By Sverre Erik Kjeldsen
High blood pressure, hypercholesterolemia and smoking current the #1 possibility components for heart problems and dying. therefore cardiologists play a key position within the care of hypertensive sufferers and as educators within the box. This detailed factor of "Heart Drug" positive factors joint instructions for the detection and remedy of high blood pressure, built by way of the ecu Society of high blood pressure and the eu Society of Cardiology. in keeping with the 1999 foreign Society of Hypertension/World wellbeing and fitness association directions and counseled by means of the overseas Society of high blood pressure, those new directions combine detection and therapy of different vital chance components, resembling diabetes, and, for the 1st time, contain the detection of aim organ harm like left ventricular hypertrophy, arterial plaque, microalbuminuria or a little increased serum creatinine. the information extra spotlight a few medicinal drugs for the therapy of high blood pressure.
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Extra info for 2003 European Society of Hypertension - European Society of Cardiology Guidelines for the Management of Arterial Hypertension
The level of blood pressure achieved during treatment influences greatly the outcome of diabetic patients. In patients with diabetic nephropathy, the rate of progression of renal disease is in a continuous relationship with blood pressure until a level of 130 mm Hg systolic and 70 mm Hg diastolic is reached [253, 254]. Aggressive treatment of hypertension protects patients with type 2 diabetes against cardiovascular events. As it has been mentioned in Section D2, the primary goal of antihypertensive treatment in diabetics should be to lower blood pressure below 130/80 mm Hg whenever possible, the best blood pressure being the lowest one that remains tolerated.
It is important that patients not on drug treatment understand the need for monitoring and followup and for periodic reconsideration of the need for drug treatment. In more complex cases, patients should be seen at more frequent intervals. If the therapeutic goals, including the control of blood pressure, have not been reached within 6 months, the physician should consider referral to a hypertension specialist. Antihypertensive therapy is generally for life. Cessation of therapy by patients who have been correctly diagnosed as hypertensive is usually followed, sooner or later, by the return of blood pressure to pretreatment levels.
OS 41 Yikona JI, Wallis EJ, Ramsay LE, Jackson PR: Coronary and cardiovascular risk estimation in uncomplicated mild hypertension. A comparison of risk assessment methods. J Hypertens 2002;20:2173–2182. OS 42 Cuspidi C, Ambrosioni E, Mancia G, Pessina AC, Trimarco B, Zanchetti A: Role of echocardiography and carotid ultrasonography in stratifying risk in patients with essential hypertension: the Assessment of Prognostic Risk Observational Survey. J Hypertens 2002;20:1307– 1314. OS 43 Chalmers JP, Zanchetti A, (Co-Chairmen): Hypertension Control.