viernes, 5 de diciembre de 2008

Guide to management of hypertension 2008

Higher levels of blood pressure (BP) are strongly associated with increasing rates of cardiovascular disease, cardiovascular events and death. Observational studies show that the lower the BP, the lower the risk of stroke, coronary heart disease, chronic kidney disease (CKD), heart failure and death. This relationship applies across whole range of BP levels usually encountered in clinical practice. Systolic BP is a stronger and more consistent predictor of cardiovascular events such as stroke than diastolic BP. Among patients with hypertension, lowering BP reduces cardiovascular risk. Hypertension is responsible for more deaths and disease than any other biomedical risk factor worldwide. It is the major risk factor for stroke and coronary heart disease, and is a major contributor to chronic heart failure (CHF), CKD, and their progression.7 The total burden of cardiovascular disease, particularly CHF, is expected to increase over the next few decades due to population ageing. The dividing line between normotension and hypertension is arbitrary, and the decision to intervene depends on the individual’s overall cardiovascular risk profile and the presence or absence of end-organ damage. Antihypertensive drug treatment and lower targets are recommended for all patients with Psensitive conditions (e.g. stroke,* diabetes10 or CKD11) even if initial BP is within the ‘normal’ range.


Más Información:

http://www.heartfoundation.org.au/document/NHF/A_Hypert_Guidelines2008_Guideline_FINAL.pdf

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