Abstract:
:There has been a considerable revolution in the field of hypertension therapy. We have gone through an era in which patients with severe hypertension and those with accelerated hypertension had a very short life expectancy. Currently blood pressure can be readily controlled with a marked improvement in longevity. We have gone from an era in which stroke was common due to hypertensive cardiovascular disease to an era in which patients are effectively treated and there has been a marked reduction in the incidence of stroke. The challenge is whether we can reduce the very high mortality due to coronary artery disease in patients with hypertension as we have done with stroke. New groups of drugs that may have a more favorable effect on metabolic and hemodynamic risk considerations have been developed over the last decade. These agents may reduce the risk for coronary heart disease to a greater extent than previously employed therapy. While there are no randomized placebo-controlled studies demonstration this, a theoretical basis does exist to give the physician reason to think about prioritizing therapies and tailoring them to the needs of the individual patient.
journal_name
J Clin Pharmacoljournal_title
Journal of clinical pharmacologyauthors
Somberg J,Ehrenpreis S,Shroff G,Khosla Sdoi
10.1002/j.1552-4604.1993.tb03957.xsubject
Has Abstractpub_date
1993-03-01 00:00:00pages
279-85issue
3eissn
0091-2700issn
1552-4604journal_volume
33pub_type
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