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The Importance of a Constitutional Approach in Hypertension


Authors : Dr. Ruta Changela

Volume/Issue : Volume 11 - 2026, Issue 10 - October


Google Scholar : https://tinyurl.com/mrxna2t9

DOI : https://doi.org/10.38124/ijisrt/26Oct045

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Hypertension is a common chronic disorder and a major risk factor for stroke, ischemic heart disease, heart failure, chronic kidney disease, and premature death. Although blood-pressure guidelines provide standardized diagnostic and treatment targets, effective management cannot rely on a uniform plan for every patient. A constitutional approach considers the individual’s age, sex, body composition, family history, lifestyle, dietary pattern, psychological state, comorbidities, kidney function, drug tolerance, socioeconomic circumstances, and treatment preferences. Current hypertension guidance supports individualized blood-pressure targets, riskbased treatment, accurate repeated measurements, lifestyle modification, shared decision-making, and patient-specific drug selection. This article discusses why constitutional assessment is important in hypertension and how it can improve safety, adherence, and long-term cardiovascular outcomes.[1][3]

Keywords : Hypertension, Constitutional Approach, Individualized Treatment, Personalized Medicine, Lifestyle Modification, Cardiovascular Risk, Patient-Centered Care.

References :

  1. American Heart Association/American College of Cardiology. 2025 Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults.
  2. American Heart Association/American College of Cardiology. 2025 Hypertension Guideline and risk-based treatment recommendations.
  3. Agency for Care Effectiveness, Singapore. Hypertension: Tailoring the Management Plan to Optimise Blood Pressure Control.
  4. Review of the 2025 AHA/ACC Hypertension Guideline. The 2025 AHA/ACC Hypertension Guidelines.
  5. European Society of Cardiology. 2024 ESC Guidelines for the Management of Elevated Blood Pressure and Hypertension.

Hypertension is a common chronic disorder and a major risk factor for stroke, ischemic heart disease, heart failure, chronic kidney disease, and premature death. Although blood-pressure guidelines provide standardized diagnostic and treatment targets, effective management cannot rely on a uniform plan for every patient. A constitutional approach considers the individual’s age, sex, body composition, family history, lifestyle, dietary pattern, psychological state, comorbidities, kidney function, drug tolerance, socioeconomic circumstances, and treatment preferences. Current hypertension guidance supports individualized blood-pressure targets, riskbased treatment, accurate repeated measurements, lifestyle modification, shared decision-making, and patient-specific drug selection. This article discusses why constitutional assessment is important in hypertension and how it can improve safety, adherence, and long-term cardiovascular outcomes.[1][3]

Keywords : Hypertension, Constitutional Approach, Individualized Treatment, Personalized Medicine, Lifestyle Modification, Cardiovascular Risk, Patient-Centered Care.

Paper Submission Last Date
31 - October - 2026

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