TY - JOUR
T1 - Clinical practice and guidelines in Europe for the treatment of hypertension, with a focus on patients with diabetes mellitus
AU - Zanchetti, Alberto
PY - 2007
Y1 - 2007
N2 - Background: The guidelines of the European Society of Hypertension/European Society of Cardiology (ESH/ESC) for the management of arterial hypertension were published in 2003. According to these guidelines, blood pressure values can be classified into several categories. Objective: The goal of this article was to provide a review of the current European guidelines for the classification and treatment of hypertension. The use of treatment in hypertensive patients with diabetes mellitus (DM) is highlighted. Results: A classification of blood pressure values is necessary and convenient from a clinical point of view. Any categorization is inevitably artificial, however, since the relationship between blood pressure levels and cardiovascular risk is actually a continuum. Definitions and categorization of hypertension have changed dramatically over the last 3 to 4 decades. Hypertension--currently defined as systolic blood pressure (SBP) >140 mm Hg or diastolic blood pressure (DBP) >90 mm Hg--is universally accepted as a major cardiovascular risk factor. The European guidelines state that patients should start antihypertensive treatment according to their total level of cardiovascular risk in addition to their level of SBP and DBE If a patient is at moderate to low risk, clinicians may postpone pharmacologic treatment and start by simply recommending lifestyle changes. In high-risk patients, immediate initiation of antihypertensive treatment is recommended, together with lifestyle measures, which should always be implemented. The European guidelines clearly state that the primary goal of treatment of the hypertensive patient is to achieve the maximum reduction in long-term total risk of cardiovascular morbidity and mortality. The 2003 ESH/ESC guidelines encourage weight loss and reduction of salt intake in patients with type 2 DM and recommend a blood pressure goal
AB - Background: The guidelines of the European Society of Hypertension/European Society of Cardiology (ESH/ESC) for the management of arterial hypertension were published in 2003. According to these guidelines, blood pressure values can be classified into several categories. Objective: The goal of this article was to provide a review of the current European guidelines for the classification and treatment of hypertension. The use of treatment in hypertensive patients with diabetes mellitus (DM) is highlighted. Results: A classification of blood pressure values is necessary and convenient from a clinical point of view. Any categorization is inevitably artificial, however, since the relationship between blood pressure levels and cardiovascular risk is actually a continuum. Definitions and categorization of hypertension have changed dramatically over the last 3 to 4 decades. Hypertension--currently defined as systolic blood pressure (SBP) >140 mm Hg or diastolic blood pressure (DBP) >90 mm Hg--is universally accepted as a major cardiovascular risk factor. The European guidelines state that patients should start antihypertensive treatment according to their total level of cardiovascular risk in addition to their level of SBP and DBE If a patient is at moderate to low risk, clinicians may postpone pharmacologic treatment and start by simply recommending lifestyle changes. In high-risk patients, immediate initiation of antihypertensive treatment is recommended, together with lifestyle measures, which should always be implemented. The European guidelines clearly state that the primary goal of treatment of the hypertensive patient is to achieve the maximum reduction in long-term total risk of cardiovascular morbidity and mortality. The 2003 ESH/ESC guidelines encourage weight loss and reduction of salt intake in patients with type 2 DM and recommend a blood pressure goal
KW - classification
KW - diabetes mellitus
KW - European guidelines
KW - hypertension
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U2 - 10.1016/j.clinthera.2007.07.008
DO - 10.1016/j.clinthera.2007.07.008
M3 - Article
AN - SCOPUS:36048933968
VL - 29
JO - Clinical Therapeutics
JF - Clinical Therapeutics
SN - 0149-2918
IS - SUPPL. B
ER -