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Hypertension control: lessons from Malaysia, a upper-middle-income country


Journal of Cardiology & Current Research
Khalid Yusoff,1 Azlina Razak,1 Abdul Rashid Abdul Rahman,2 Feisul Mustapha,3 Martin McKee4

Abstract

Hypertension is a major modifiable determinant of the increasing burden of cardiovascular diseases in Malaysia. When not controlled it increases the risk of heart disease, stroke, and renal disease. This paper, a contribution to development of an effective response to this challenge, reviews what is known about the prevalence, awareness, treatment and control of hypertension in Malaysia, identifying the factors contributing to inadequate levels of control and feasible measures to improve it. It reviews published data from Malaysia - with reference to other countries where relevant – to offer a comprehensive understanding of the problem. It is apparent that managing hypertension goes beyond the mere prescription of blood pressure (BP) lowering drugs. It involves a complex interplay of the healthcare delivery system, healthcare providers, and patients, recognising their differing educational, psychosocial, economic and residential status. Thus a one-size-fits-all approach will be patently inadequate to achieve good hypertension control. A paradigm shift towards a precision care for hypertension in Malaysia is needed.

Keywords

blood pressure, CVDs, noncommunicable diseases, hypertension, heart disease, stroke, NCDs, noncommunicable diseases, BP, blood pressure, WHO, world health organization, NHMS, national health and morbidity survey

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