Peculiarities of approaches to the treatment of arterial hypertension in the Maldives in the practice of general practitioners from the point of view of evidence-based medicine

Background: Arterial Hypertension (AH), commonly known as high blood pressure, is a significant chronic condition affecting millions globally and is a primary cause of cardiovascular diseases (CVD). In the Maldives, the management of AH by general practitioners (GPs) is crucial due to its high prevalence and associated health complications. This study examines the approaches of GPs in treating AH, emphasizing evidence-based medicine (EBM) to ensure effective management and prevention strategies. Methods and Materials: The study involves a comprehensive review of current evidence-based methods used for AH management in the Maldives. It focuses on lifestyle modifications, dietary changes, increased physical activity, stress reduction techniques, and pharmacotherapy. Data were collected through clinical guidelines, patient records, and interviews with GPs to understand the practical application of these methods in Maldivian healthcare settings. Results: The findings indicate that lifestyle modifications, including healthier diets and increased physical activity, are critical in managing AH. Traditional Maldivian diets and community-based exercise programs play significant roles. Pharmacotherapy, involving antihypertensive medications, is essential but faces challenges such as limited access and patient adherence. GPs also highlighted the importance of stress reduction techniques and individualized treatment plans tailored to patient needs and cultural sensitivities. Conclusion: Effective management of AH in the Maldives requires a multifaceted approach combining evidence-based medical practices with local context sensitivity. GPs play a pivotal role in diagnosing, treating, and educating patients about AH. Addressing socioeconomic barriers, enhancing healthcare resources, and promoting cultural competence are essential for improving AH management and overall public health