Hypertension and stroke in Asia: A comprehensive review from HOPE Asia

• Published in: The journal of clinical hypertension (Greenwich, Conn.) Vol. 23; no. 3; pp. 513 - 521
• Main Authors: Turana, Yuda, Tengkawan, Jeslyn, Chia, Yook Chin, Nathaniel, Michael, Wang, Ji‐Guang, Sukonthasarn, Apichard, Chen, Chen‐Huan, Minh, Huynh Van, Buranakitjaroen, Peera, Shin, Jinho, Siddique, Saulat, Nailes, Jennifer M., Park, Sungha, Teo, Boon Wee, Sison, Jorge, Ann Soenarta, Arieska, Hoshide, Satoshi, Tay, Jam Chin, Prasad Sogunuru, Guru, Zhang, Yuqing, Verma, Narsingh, Wang, Tzung‐Dau, Kario, Kazuomi
• Format: Journal Article
• Language: English
• Published: United States John Wiley and Sons Inc 01.03.2021; Wiley
• Subjects: Asia; Asia - epidemiology; Blood Pressure; Humans; hypertension; Hypertension - epidemiology; Hypertension and Clinical Outcomes; Incidence; Review Paper; Risk Factors; stroke; Stroke - epidemiology; Stroke - etiology; Asia; Asia; hypertension; stroke
• ISSN: 1524-6175; 1751-7176; 1751-7176
• DOI: 10.1111/jch.14099

Stroke is the primary cause of disability and vascular death worldwide, including Asia. Asian characteristics that differ from the West lead to higher stroke incidence. Stroke epidemiology studies in Asia have shown varying levels of mortality, incidence, prevalence, and burden of disease. Hypertension is the most prevalent risk factor found in Asia. Besides ethnicity that is associated with stroke incidence, both systolic blood pressure, diastolic blood pressure, and blood pressure variability are positively correlated with stroke incidence. Post‐stroke cognitive impairment is one of the sequelae that affect one‐third of stroke survivors and has become a significant public health concern that is often neglected despite its increasing prevalence. Therefore, it is very important to prevent recurrence by treating stroke optimally and effectively. Increasing awareness and treatment adherence to hypertension, the leading risk factor for stroke, became the main goal in several countries in Asia.