دورية أكاديمية

ESH-ESC guidelines for the management of hypertension.

التفاصيل البيبلوغرافية
العنوان: ESH-ESC guidelines for the management of hypertension.
المؤلفون: Erdine, S., Ari, O., Zanchetti, A., Cifkova, R., Fagard, R., Kjeldsen, S., Mancia, G., Poulter, N., Rahn, K.H., Rodicio, J.L., Ruilope, L.M., Staessen, J., van Zwieten, P., Waeber, B., Williams, B.
المصدر: Herz, vol. 31, no. 4, pp. 331-338
سنة النشر: 2006
المجموعة: Université de Lausanne (UNIL): Serval - Serveur académique lausannois
مصطلحات موضوعية: Age Factors, Aged, 80 and over, Antihypertensive Agents, Blood Pressure Determination, Blood Pressure Monitoring, Ambulatory, Cardiology, Diabetes Mellitus, Type 1, Type 2, Diabetic Nephropathies, Diastole, Diet, Drug Therapy, Combination, Dyslipidemias, Europe, Exercise, Female, Humans, Hypertension, Kidney Diseases, Life Style, Male, Middle Aged, Prognosis, Randomized Controlled Trials as Topic, Risk Assessment, Risk Factors
الوصف: The following is a brief statement of the 2003 European Society of Hypertension (ESH)-European Society of Cardiology (ESC) guidelines for the management of arterial hypertension.The continuous relationship between the level of blood pressure and cardiovascular risk makes the definition of hypertension arbitrary. Since risk factors cluster in hypertensive individuals, risk stratification should be made and decision about the management should not be based on blood pressure alone, but also according to the presence or absence of other risk factors, target organ damage, diabetes, and cardiovascular or renal damage, as well as on other aspects of the patient's personal, medical and social situation. Blood pressure values measured in the doctor's office or the clinic should commonly be used as reference. Ambulatory blood pressure monitoring may have clinical value, when considerable variability of office blood pressure is found over the same or different visits, high office blood pressure is measured in subjects otherwise at low global cardiovascular risk, there is marked discrepancy between blood pressure values measured in the office and at home, resistance to drug treatment is suspected, or research is involved. Secondary hypertension should always be investigated.The primary goal of treatment of patient with high blood pressure is to achieve the maximum reduction in long-term total risk of cardiovascular morbidity and mortality. This requires treatment of all the reversible factors identified, including smoking, dislipidemia, or diabetes, and the appropriate management of associated clinical conditions, as well as treatment of the raised blood pressure per se. On the basis of current evidence from trials, it can be recommended that blood pressure, both systolic and diastolic, be intensively lowered at least below 140/90 mmHg and to definitely lower values, if tolerated, in all hypertensive patients, and below 130/80 mmHg in diabetics.Lifestyle measures should be instituted whenever appropriate in all patients, ...
نوع الوثيقة: article in journal/newspaper
review
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/16810473; info:eu-repo/semantics/altIdentifier/pissn/0340-9937; https://serval.unil.ch/notice/serval:BIB_ED50208EE073Test
DOI: 10.1007/s00059-006-2829-3
الإتاحة: https://doi.org/10.1007/s00059-006-2829-3Test
https://serval.unil.ch/notice/serval:BIB_ED50208EE073Test
رقم الانضمام: edsbas.5FFCDC07
قاعدة البيانات: BASE