By Sverre Erik Kjeldsen
High blood pressure, hypercholesterolemia and smoking current the #1 probability elements for heart problems and dying. hence cardiologists play a key function within the care of hypertensive sufferers and as educators within the box. This detailed factor of "Heart Drug" beneficial properties joint instructions for the detection and remedy of high blood pressure, built by means of the eu Society of high blood pressure and the ecu Society of Cardiology. according to the 1999 foreign Society of Hypertension/World wellbeing and fitness association directions and counseled via the foreign Society of high blood pressure, those new directions combine detection and therapy of different vital possibility components, similar to diabetes, and, for the 1st time, contain the detection of aim organ harm like left ventricular hypertrophy, arterial plaque, microalbuminuria or a bit increased serum creatinine. the ideas extra spotlight a couple of medications for the therapy of high blood pressure.
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High blood pressure, hypercholesterolemia and smoking current the #1 chance components for heart problems and demise. hence cardiologists play a key position within the care of hypertensive sufferers and as educators within the box. This detailed factor of "Heart Drug" good points joint guidance for the detection and therapy of high blood pressure, constructed by means of the eu Society of high blood pressure and the eu Society of Cardiology.
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Additional info for 2003 European Society of Hypertension - European Society of Cardiology Guidelines for the Management of Arterial Hypertension
Staessen, Leuven, Belgium; P. van Zwieten, Amsterdam, The Netherlands; B. Waeber, Lausanne, Switzerland; B. Williams, Leicester, UK; A. Zanchetti, Milan, Italy; F. Zannad, Nancy, France. Writing Committee: A. Zanchetti, University of Milan, Ospedale Maggiore and Istituto Auxologico Italiano, Milan, Italy (Coordinator), R. Cifkova, Institute Clinical Experimental Medicine, Prague, Czech Republic; R. Fagard, Catholic University, Leuven, Belgium; S. Kjeldsen, Ulleval University Hospital, Oslo, Norway; G.
New year, new challenges. J Hypertens 2003;21:1– 2. 18 Meigs JB, D’Agostino RB Sr, Wilson PW, Cupples LA, Nathan DM, Singer DE: Risk variable clustering in the insulin resistance syndrome. The Framingham Offspring Study. Diabetes 1997;46:1594–1600. OS 19 Zanchetti A: The hypertensive patient with multiple risk factors: is treatment really so difficult? Am J Hypertens 1997;10:223S–229S. 20 Stamler J, Wentworth D, Neaton JD: Is relationship between serum cholesterol and risk of premature death from coronary heart disease continuous and graded?
The vast majority of patients will reach recommended TC:HDL ratio and/or total cholesterol or LDL-cholesterol targets using statin drugs at appropriate doses in combination with non-pharmacological measures . g. 3 mmol/l, respectively) despite reaching LDL targets, referral to lipid specialists may be indicated for consideration of the addition of fibrate or other therapy. It remains to be seen whether in those patients, such as many type II diabetics, whose primary lipid abnormality is a low HDLcholesterol and raised triglycerides, the use of a fibrate might be preferable to a statin.