WHEN PATIENTS ARE RENDERED NORMOTENSIVE

Citation
G. Mancia et al., WHEN PATIENTS ARE RENDERED NORMOTENSIVE, Cardiology, 85, 1994, pp. 58-64
Citations number
27
Categorie Soggetti
Cardiac & Cardiovascular System
Journal title
ISSN journal
00086312
Volume
85
Year of publication
1994
Supplement
1
Pages
58 - 64
Database
ISI
SICI code
0008-6312(1994)85:<58:WPARN>2.0.ZU;2-O
Abstract
Hypertension is usually symptomless and associated with little or no a lterations in well-being. However, conclusive evidence demonstrates th at hypertension is a major risk factor for cardiovascular disease. A r eduction of the elevated blood pressure with antihypertensive medicati on can reduce this risk, but not to that of a normotensive patient. Fu rthermore, antihypertensive treatment is more effective against stroke and congestive heart failure than against coronary heart disease. Ant ihypertensive treatment is costly due to its extensive use and life-lo ng indication. Future progress in this area will aim to identify those hypertensive patients at greatest risk of cardiovascular disease, in order to limit treatment to those patients who may benefit most. This paper will consider the effects of blood pressure reduction on cardiov ascular morbidity and mortality, the differing effects of antihyperten sive treatment on the complications of hypertension, and how antihyper tensive therapy can be optimized.