Treatment of hypertension in patients with peripheral arterial disease: An update

被引:3
作者
Clement, Denis L. [1 ]
机构
[1] Ghent Univ Hosp, Dept Dean, B-9000 Ghent, Belgium
关键词
CARDIOVASCULAR EVENTS; INTERMITTENT CLAUDICATION; DOUBLE-BLIND; HIGH-RISK; MANAGEMENT; MORTALITY; OUTCOMES; ASSOCIATION; OUTPATIENTS; PROGRESSION;
D O I
10.1007/s11906-009-0046-1
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Hypertension is a known risk factor for cardiovascular events, and recent data have pointed to peripheral arterial disease (PAD) as another strong risk factor; together, they cause a surprisingly high total risk. This review deals with the clinical management of this dangerous association. The ankle-brachial index helps in the diagnosis of PAD and the estimation of risk. To control risk, lifestyle adaptation is essential. There is no consensus on a first choice of antihypertensive drug. Arguments favor angiotensin-converting enzyme inhibitors, but most patients require several antihypertensive drugs to reach goal pressure (140/90 mm Hg or lower). Moreover, to control the risk of PAD, antiplatelet drugs, antihypertensive drugs, and statins are recommended.
引用
收藏
页码:271 / 276
页数:6
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