Titlebook: Clinician’s Manual: Treatment of Hypertension; Third Edition Franz H Messerli Book 2011Latest edition Springer Healthcare Ltd. 2011 Clinica

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https://doi.org/10.1007/978-1-349-18516-0ch strongly favors treatment of the elderly population because age is a more powerful determinant of the short-term risk in the elderly than in younger patients. Additional risk factors that should be considered are diabetes, decreased GFR, proteinuria and cardiac abnormalities on electrocardiograph

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Introduction: The Place in the Forest,ardioprotection and to treat hypertension separately by adding another drug class that has been shown to have outcome benefits in hypertension, such as a diuretic, calcium antagonist, or ACE inhibitor. The twofer, however, is perfectly acceptable in the same situation for the ACE inhibitor. ACE inhi

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Gemeinsamer Vertreter der Gläubigerhowed a significantly greater reduction of proteinuria with the nondihydropyridine derivatives than with the dihydropyridines in patients with hypertension, regardless of whether or not they had diabetes [80]. However, we should not forget that albuminuria/proteinuria is a surrogate end point that i

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Definition of hypertension,ge. It is presently recommended that antihypertensive therapy is started in patients who have “confirmed” hypertension, defined by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) as a blood pressure (BP) level exce

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The J curve,as BP is lowered, morbidity and mortality diminish, but, clearly, there is a point at which further lowering leads to the under-perfusion of vital organs and, thereby, will increase morbidity and mortality. Thus, it stands to reason that a J curve has to exist. However, it is not so clear whether th

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Drug therapy or lifestyle modification?,intake to less than 100 mmol/day, modification of alcohol intake to, at most, two drinks per day, and maintenance of an adequate dietary intake of potassium, calcium, and magnesium [2]. The JNC 7 also recommended regular physical activity for all patients with hypertension who have no conditions tha

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Hypertension as a gateway to cardiovascular risk modification,P is clearly inefficient to reduce the overall associated cardiovascular disease risk. Antihypertensive therapy should, therefore, serve as a gateway to overall cardiovascular risk management and give rise to normal risk estimation. This can be done by using the Framingham risk score [1] or the syst

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,When initial therapy is insufficient — To uptitrate, to substitute, or to combine?, when BP remains elevated. That physicians are uneasy with this question is illustrated by the fact that patients are often treated for years with the same dose of the same drug or combination, despite the fact that BP is not at goal. Any excuses volunteered by the patient (ie, crowded parking garag