One in three Pinoys aged 30 to 79 have hypertension, less than 20% have it under control

Cardiologist points to unhealthy lifestyle, lack of awareness, and non-compliance with doctor’s advice
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Hypertension cases among Filipinos aged 30 to 79 have steadily increased over the decades – from less than 10 million in 2000 to 16.8 million in 2024, according to the World Health Organization (WHO). Cases are projected to increase to 20 million in 2030.

The 16.8 million who had elevated blood pressure in 2024 represented one-third of Filipinos in the said age range. The WHO Global Report on Hypertension 2025 estimated that of this number, only 19 percent had their condition under control.

This is a serious public health issue, as uncontrolled hypertension is a major risk factor for stroke, heart attack, and other cardiovascular diseases. Coronary heart disease is the leading cause of death in the country.

It is hard to control something that you are not aware of. Most of those with hypertension have no symptoms. That’s why it is often called a silent killer. They become aware of their condition only after developing serious issues,"
said Mactan Optimal Medical Center cardiologist Dr. Crystal Hope Guanzon at the recent “Hisgutan Ta!” media forum.

She added that some people mistakenly think that only the elderly get hypertension. “This leads them to become complacent about getting regular check-ups and living a healthy lifestyle. But the truth is that there are several risk factors.”

Dr. Guanzon said risk factors include an unhealthy diet, obesity, physical inactivity, smoking or vaping, regular and heavy alcohol consumption, stress, and poor sleep.

Aside from being undiagnosed, hypertension is often left untreated. “Even those who know they have hypertension sometimes do not follow their doctor’s advice,” Dr. Guanzon said. “If your doctor prescribes maintenance medication to keep your blood pressure normal, you have to follow. Unfortunately, some patients stop taking their medicine as soon as their BP normalizes. This will cause their BP to slowly go up again.”

She also shared that some patients do not take their prescribed medicines at all. “They rely on herbal supplements, which could be very dangerous. These are not evidence-based, which is why you can see ‘no approved therapeutic claims’ on their packaging.”

To keep their blood pressure normal and avoid the risk of heart disease, Dr. Guanzon advised the public to eat healthy, exercise, stop or avoid smoking (even second-hand smoke), avoid or minimize alcohol intake, and sleep seven to eight hours a night.

She also reminded those with hypertension to monitor their blood pressure, cholesterol, sugar level, weight, and waistline regularly; take their medications as prescribed; not to stop their medication without consulting their doctor; and follow up regularly with their physician.

The monthly “Hisgutan Ta!” media forum also featured as speaker Dr. Elisse Nicole Catalan, Piso Consultant for Health and Hospital Development of the Cebu Provincial Government, to discuss Cebu’s health priorities. (PR)

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