Clinical benefits of a consistent reduction in blood pressure

Giuseppe Mancia, Bianca M. Cattaneo, Stefano Omboni, Guido Grassi

Research output: Contribution to journalArticlepeer-review

Abstract

This paper briefly reviews the epidemiological evidence that hypertension is a major cardiovascular risk factor. It also summarizes the data from controlled intervention trials that show antihypertensive treatment to be accompanied by a reduction in cardiovascular morbidity and mortality. The inability of antihypertensive treatment to offer full protection to the hypertensive individual is then discussed, together with the therapeutic strategies to increase the benefits, particularly with respect to limiting end-organ damage and reduction of cardiovascular events. In this context, emphasis is given to the potential additional benefit conferred by control of 24-h blood pressure and to the compliance advantage of using drugs with a long duration of action. The longevity of the blood pressure lowering effect can compensate for delayed or missed drug consumption, a frequent phenomenon in the chronically treated hypertensive patient.

Original languageEnglish
JournalJournal of Hypertension, Supplement
Volume16
Issue number6
Publication statusPublished - 1998

Keywords

  • Ambulatory blood pressure monitoring
  • Antihypertensive treatment
  • Calcium antagonists
  • Clinical trials

ASJC Scopus subject areas

  • Internal Medicine

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