Hypertension

Among patients with hypertension, 85.2% were prescribed at least one guideline-directed antihypertensive agent. Controlled hypertension was independently associated with higher self-rated health, but its effect was modest compared with lifestyle and socioeconomic variables. Hypertension was the most common chronic condition in the cohort, affecting 46.4% of the 23,980 patients. Hypertension prevalence reached 97.9% in the multimorbidity cohort, reflecting its role as a major driver of AF development. The 2017 ACC/AHA guideline lowered the hypertension threshold to systolic blood pressure 130 mm Hg or diastolic blood pressure 80 mm Hg. The ESH/ESC defines hypertension as systolic blood pressure above 140 mm Hg or diastolic blood pressure above 90 mm Hg, and prehypertension as systolic 130–139 mm Hg or diastolic 85–89 mm Hg. Weekday hypertensive emergency presentations were significantly more common than weekend presentations, accounting for 76% versus 24% of cases (p=0.013). Women were prescribed diuretics more often than men. China's hypertension mortality rate (0.204%) substantially exceeds the global average (0.138%). Diabetes treatments, insulin use, and the number of antihyper…