Download e-book for iPad: 2003 European Society of Hypertension - European Society of by Sverre Erik Kjeldsen

By Sverre Erik Kjeldsen

ISBN-10: 3805577540

ISBN-13: 9783805577540

High blood pressure, hypercholesterolemia and smoking current the number 1 probability elements for heart problems and demise. hence cardiologists play a key position within the care of hypertensive sufferers and as educators within the box. This unique factor of "Heart Drug" positive aspects joint instructions for the detection and therapy of high blood pressure, built through the ecu Society of high blood pressure and the eu Society of Cardiology. according to the 1999 foreign Society of Hypertension/World health and wellbeing association guidance and counseled by way of the foreign Society of high blood pressure, those new guidance combine detection and therapy of different very important danger elements, resembling diabetes, and, for the 1st time, contain the detection of goal organ harm like left ventricular hypertrophy, arterial plaque, microalbuminuria or a little bit increased serum creatinine. the tips additional spotlight a couple of medicines for the therapy of high blood pressure.

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OS 30 Vartiainen E, Jousilahti P, Alfthan G, Sundvall J, Pietinen P, Puska P: Cardiovascular risk factor changes in Finland, 1972–1997. Int J Epidemiol 2000;29:49–56. OS 31 Pocock SJ, Cormack VMc, Gueyffier F, Boutitie F, Fagard RH, Boissel JP: A score for predicting risk of death from cardiovascular disease in adults with raised blood pressure, based on individual patient data from randomised controlled trials. BMJ 2001;323:75–81. OS 32 Conroy RM, Pyörälä K, Fitzgerald AP, Sans S, Menotti A, De Backer G, et al on behalf of the SCORE project group.

In the third trimester, it returns to, or may exceed, the pre-pregnancy levels. This fluctuation occurs in both normotensive and chronically hypertensive women, and in those who will develop pregnancy-specific hypertension. The definition of hypertension in pregnancy is not uniform [2, 278–279]. It used to include an elevation in blood pressure during the second trimester from a baseline reading in the first trimester, or to pre-pregnancy levels, but a definition based on absolute blood pressure values (systolic blood pressure 6140 mm Hg or diastolic blood pressure 690 mm Hg) is now preferred [279].

Prior to these most recent trial results, other randomised controlled trial data were available from analyses of the hypertensive subgroups from lipid lowering trials in secondary [296–299] and primary prevention [300, 304]. Overall these analyses demonstrate that the benefits of lipid lowering – primarily with statins – in terms of preventing major coronary events are similar for hypertensive and normotensive patients. Somewhat more surprising, in view of the limited epidemiological association between serum cholesterol levels and stroke risk [302], is the finding that in the statin trials stroke risk was reduced by an average of 11 and 30% in primary and secondary prevention settings, respectively.

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2003 European Society of Hypertension - European Society of Cardiology Guidelines for the Management of Arterial Hypertension by Sverre Erik Kjeldsen


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