"Hypertension" is a major risk factor for cardiovascular disease, affecting the health of the global population. The European Society of Hypertension (ESH) has developed a systematic approach to the management of hypertension. It is called the 'MASTER' Plan to help patients control their blood pressure effectively. Reduce the risk of potential complications, which consists of 4 steps.

M - Measure (measure blood pressure regularly)

Accurate blood pressure measurements are important in the diagnosis and management of hypertension. Use of standardized tools Study the principles of use according to the manual provided for each model and have the correct measurement technique to help you get a more accurate blood pressure reading.

A - Assess

After measuring blood pressure, it is necessary to assess health risk factors (family history, lifestyle history), history of illness and past treatment, and other factors that may affect high blood pressure, as well as the detection of associated complications. To determine the appropriate treatment approach for each individual.

ST - Select Therapy

The treatment approach consists of 2 parts:

1. Lifestyle modification is still the key to taking care of high blood pressure. Exercise regularly. Controlling body weight within the appropriate limit Stress management and avoidance of risk factors such as smoking and alcohol consumption Exposure to noise and air pollution, etc.

2. The main drug groups used are Angiotensin-converting enzyme (ACE) inhibitors, Angiotensin II receptor blockers (ARBs), calcium channel blockers, beta-blockers, and thiazide diuretics. In selecting and administering appropriate medications.

ER - Evaluate Response (regularly evaluate and monitor treatment results)

After starting treatment, follow-up should be done every 3 months to see how well the response to the drug and behavior adjustments after the instruction are made. The goal should be to have a blood pressure value below 140/80 mmHg. 

In addition, monitoring for complications such as kidney function (eGFR) and blood potassium levels, or other risk factors such as glucose, lipids, LDL, cholesterol, to prevent side effects from the medications received, and to adjust the appropriate treatment plan.

       Hypertension is a major risk factor for cardiovascular disease. Effective management of hypertension requires a systematic treatment plan. So that the patient can control his blood pressure properly.

       On May 17 every year, World Hypertension Day. Under the concept of "Measure Your Blood Pressure Accurately, Control It, Live Longer!", we would like to invite everyone to join us in emphasizing the importance of accurate blood pressure measurement. To control blood pressure appropriately and prolong life.

Reference List

1. Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, Muiesan ML, et al. 2024 European Society of Hypertension clinical practice guidelines for the management of arterial hypertension. European Journal of Internal Medicine. 2024;126:1-15.

2. World Hypertension League 2025. World Hypertension Day [Internet]. 2025 [cited 2025 Mar 20]. Available from: https://www.whleague.org/about-us/world-hypertension-day