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

被引:0
作者
Denis L. Clement
机构
[1] Ghent University Hospital,Department of the Dean
来源
Current Hypertension Reports | 2009年 / 11卷
关键词
Valsartan; Aliskiren; Intermittent Claudication; Moxonidine; Intermittent Claudication;
D O I
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中图分类号
学科分类号
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.
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页码:271 / 276
页数:5
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