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Published on: May 26, 2022
[Current trends in the treatment of arterial hypertension]
1Dipartimento di Medicina Clinica, Prevenzione e Biotecnologie Sanitarie, Università degli Studi di Milano-Bicocca, Milano, Italy.
Insights
Arterial hypertension treatment now focuses on reducing overall cardiovascular risk, not just blood pressure. Treatment decisions consider hypertension severity, other risk factors, and existing conditions, guided by 2003 European guidelines.
Area of Science:
- Cardiology
- Hypertension Management
Context:
- Current arterial hypertension treatment extends beyond blood pressure reduction.
- Management strategies increasingly incorporate overall cardiovascular risk assessment.
Purpose:
- To summarize 2003 European Society of Hypertension and Cardiology guidelines.
- To outline criteria for planning antihypertensive treatment based on cardiovascular risk levels.
Summary:
- Treatment decisions for hypertension are influenced by pressure levels, additional risk factors, organ damage, and comorbidities.
- Guidelines emphasize individualized treatment plans considering varying cardiovascular risk profiles.
Impact:
- Provides a framework for managing hypertension in diverse patient populations.
- Highlights the importance of a comprehensive approach to cardiovascular risk reduction in hypertensive patients.
Abstract:
Today's approach to the treatment of patients with arterial hypertension is no longer based solely on reducing high pressure values but forms part of a broader context designed to reduce the overall cardiovascular risk. The very decision of whether to begin anti-hypertensive treatment or not depends both on the degree of hypertension and on the presence or otherwis of other risk factors, organ damage or associated pathological conditions. The present paper summarises recent indications provided by the guidelines issued in 2003 by the European Society of Hypertension and the European Society of Cardiology. The criteria for planning anti-hypertensive treatment in patients with a different level of cardiovascular risk are the subject of particularly concentrated discussion and the approach to the hypertens patient in special clinical conditions such as ageing, diabetes mellitus, the presence of renal, cerebrovascular or coronary pathology and pregnancy will be treated separately.
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