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Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
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Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion

Published on: May 26, 2022

[Treatment of hypertension in diabetic patients]

Jörg Slany1

  • 1Präsident der Osterreichischen Gesellschaft für Hypertensiologie, Wien, Osterreich. joerg@slany.org

Wiener Medizinische Wochenschrift (1946)
|March 16, 2010
PubMed

Insights

Effective hypertension management is crucial for patients with diabetes and visceral adiposity to prevent cardiovascular and renal complications. Achieving strict blood pressure control, often with combination therapy and lifestyle changes, is essential.

Area of Science:

  • Cardiology
  • Endocrinology
  • Nephrology

Context:

  • Hypertension, diabetes, and visceral adiposity frequently coexist.
  • These comorbidities significantly elevate the risk of cardiovascular and renal complications.

Purpose:

  • To outline essential treatment strategies for managing hypertension in patients with diabetes and visceral adiposity.
  • To emphasize the importance of achieving strict blood pressure control.

Summary:

  • Recommended blood pressure goal: below 130/80 mmHg (office) and <7/30 values <135/85 mmHg (home).
  • Treatment typically requires combination therapy, starting with RAS inhibitors plus calcium channel blockers and/or diuretics.
  • Fixed-dose combinations and newer beta-blockers can be utilized. Lifestyle modifications are critical.

Impact:

  • Strict blood pressure control demonstrably reduces macro- and microvascular morbidity.
  • Comprehensive management is necessary to mitigate severe health outcomes associated with these conditions.

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