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Management of hypertension in patients with coronary artery disease
Haisam Ismail1, Amgad N Makaryus
1Department of Cardiology, North Shore University Hospital, Hofstra North Shore-LIJ School of Medicine at Hofstra University, 300 Community Drive, Manhasset, NY 11030, USA.
Insights
Effectively controlling high blood pressure (hypertension) is crucial for reducing cardiovascular risks in patients with coronary artery disease. This review covers recommended antihypertensive agents and challenges in managing resistant hypertension.
Area of Science:
- Cardiology
- Hypertension Management
- Pharmacology
Background:
- Hypertension is a major modifiable risk factor for cardiovascular events, particularly in patients with coronary artery disease.
- The prevalence of hypertension is increasing globally, necessitating effective blood pressure control strategies.
- Managing hypertension in patients with coronary artery disease is challenging due to aging populations and comorbidities like diabetes mellitus.
Purpose of the Study:
- To review therapeutic antihypertensive agents for patients with hypertension and coronary artery disease.
- To discuss guidelines from major hypertension societies, including the Joint National Committee.
- To explore challenges in managing resistant hypertension in this high-risk population.
Main Methods:
- Literature review of therapeutic antihypertensive agents.
- Analysis of guidelines from hypertension societies.
- Discussion of clinical challenges in special populations.
Main Results:
- Multiple classes of antihypertensive medications are available for blood pressure control.
- Effective blood pressure management is essential for reducing adverse cardiovascular events.
- Resistant hypertension presents unique management challenges in patients with coronary artery disease.
Conclusions:
- Optimal blood pressure control is paramount in patients with hypertension and coronary artery disease.
- A comprehensive review of antihypertensive therapies and management strategies is needed.
- Addressing challenges in resistant hypertension is critical for improving patient outcomes.
Abstract:
Hypertension is the most prevalent and significant modifiable risk factor in individuals with concomitant coronary artery disease. The number of individuals with hypertension is substantially increasing every year. It has been shown in several studies that it is imperative to effectively control blood pressure in order to reduce the risk of adverse cardiovascular events. There are many classes of medications that can help control blood pressure in individuals with hypertension and coronary artery disease. The management of blood pressure in this high-risk population continues to be a challenge, especially as more people survive myocardial infarctions and the prevalence of disease such as diabetes mellitus increases as the population continues to age. In this article, we will review the different therapeutic antihypertensive agents recommended by the different societies on hypertension including the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure, and the challenges faced in special cases of resistant hypertension.
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