NEW APPROACHES TO THE TREATMENT OF HYPERTENSION

被引:0
作者
KAPLAN, NM
机构
[1] University of Texas Southwestern Medical Center, Dallas, TX
关键词
THERAPY OF HYPERTENSION; NONDRUG THERAPIES; ANTIHYPERTENSIVE THERAPY;
D O I
10.1007/BF00143522
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In the past, therapy of hypertension has not provided protection against coronary heart disease. The possible reasons are multiple and likely will never be fully ascertained. Nonetheless, numerous changes in therapy can be made that should reduce coronary risk. These include more careful monitoring of the blood pressure with particular care for control of high levels during the early morning hours; attention to all alterable risk factors with care to avoid worsening of other risks with antihypertensive drugs; adroit use of nondrug therapies; and, when drugs are used, the pressure should be lowered slowly and only to a level that avoids coronary hypoperfusion.
引用
收藏
页码:973 / 978
页数:6
相关论文
共 14 条
[1]  
Collins R., Peto R., MacMahon S., Et al., Blood pressure, stroke, and coronary heart disease. Part 2, short-term reductions in blood pressure: Overview of randomised drug trials in their epidemiological context, Lancet, 335, pp. 827-838, (1990)
[2]  
Cutler J.A., MacMahon S.W., Furberg C.D., Controlled clinical trials of drug treatment for hypertension. A review, Hypertension, 13, pp. I36-I44, (1989)
[3]  
Payer L., Medicine & Culture: Varieties of Treatment in the United States, England, West Germany, and France, (1988)
[4]  
McClellan W., Neel J., Owen S., Correlates of drug therapy of diastolic blood pressure between 80–89 mmHg by physicians in the community, Am J Hypertens, 2, pp. 869-871, (1989)
[5]  
Smith T.D.W., Clayton D., Individual variation between general practitioners in labelling of hypertension, Br Med J, 300, pp. 74-75, (1990)
[6]  
Kaplan N.M., Clinical Hypertension, (1990)
[7]  
Smith W.C.S., Lee A.J., Crombie I.K., Tunstall-Pedoe H., Control of blood pressure in Scotland: The rule of halves, Br Med J, 30, pp. 981-983, (1990)
[8]  
Jennings G.L., Sudhir K., Initial therapy of primary hypertension, Med J Aust, 152, pp. 198-203, (1990)
[9]  
1989 guidelines for the management of mild hypertension: Memorandum from a WHO/ISH meeting, J Hypertens, 7, pp. 689-693, (1989)
[10]  
Argentino C., Toni D., Rasura M., Et al., Circadian variation in the frequency of ischemic stroke, Stroke, 21, pp. 387-389, (1990)