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REFLECTIONS
Hypertension
Hypertension Global Newsletter #4 2023

EPIDEMIOLOGY Hypertension

Arterial hypertension in women: State of the art and knowledge gaps.
Chapman N, et al. Hypertension. 2023;80(6):1140-1149.

Hypertension is the leading risk factor for cardiovascular This comprehensive review article elaborates on the evidence
disease and premature death among women globally. It is often on clinical, health system, and societal aspects of hypertension
underdiagnosed and undertreated, with control rates as low in women. The data indicate that women have a distinct, under-
as 23%. While established risk factors for hypertension in both recognized, and understudied risk factor profile for hypertension
men and women include unhealthy diet and lifestyle, obesity, and cardiovascular disease (CVD). Key summaries of the
and ageing, female-specific risk factors are related to menarche, evidence were provided within pathophysiology, risk factors
reproduction, menopause, and the pharmacological use of across the life course, HMOD and CVD, sex-specific aspects of
sex hormones, along with societal factors such as variation clinical hypertension management, and cardiovascular health in
in access to and intensity of health care. There are limited women.
evidence-based, gender- or sex-specific recommendations for
managing hypertension in women.

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