By Sverre Erik Kjeldsen
High blood pressure, hypercholesterolemia and smoking current the #1 probability components for heart problems and dying. hence cardiologists play a key position within the care of hypertensive sufferers and as educators within the box. This distinct factor of "Heart Drug" beneficial properties joint instructions for the detection and therapy of high blood pressure, constructed by means of the ecu Society of high blood pressure and the ecu Society of Cardiology. in response to the 1999 foreign Society of Hypertension/World wellbeing and fitness association guidance and recommended via the foreign Society of high blood pressure, those new guidance combine detection and therapy of different vital possibility elements, similar to diabetes, and, for the 1st time, comprise the detection of objective organ harm like left ventricular hypertrophy, arterial plaque, microalbuminuria or a bit of increased serum creatinine. the ideas additional spotlight a few medicinal drugs for the therapy of high blood pressure.
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Extra resources for 2003 European Society of Hypertension - European Society of Cardiology Guidelines for the Management of Arterial Hypertension
Acknowledgements The expert contributions of Prof. Fiona Broughton-Pipkin, Nottingham, UK in advising on the section about hypertension in pregnancy and of Dr. Jiguang Wang, Belgium in collaborating to the meta-analysis of section D4c, are gratefully acknowledged. Heart Drug 2004;4:6–51 39 References 1 Guidelines Sub-Committee. 1993 Guidelines for the management of mild hypertension: memorandum from a World Health Organization/International Society of Hypertension meeting. J Hypertens 1993;11:905–918.
Fagard, Leuven, Belgium; C. Farsang, Budapest, Hungary; K. Kawecka-Jaszcs, Krakow, Poland; W. Kiowski, Zurich, Switzerland; S. Kjeldsen, Oslo, Norway; T. Lüscher, Zurich, Switzerland; G. M. E. O. R. H. L. M. Ruilope, Madrid, Spain; M. Safar, Paris, France; J. Staessen, Leuven, Belgium; P. van Zwieten, Amsterdam, The Netherlands; B. Waeber, Lausanne, Switzerland; B. Williams, Leicester, UK; A. Zanchetti, Milan, Italy; F. Zannad, Nancy, France. Writing Committee: A. Zanchetti, University of Milan, Ospedale Maggiore and Istituto Auxologico Italiano, Milan, Italy (Coordinator), R.
Follow-Up The frequency of follow-up visits will depend on the overall risk category of the patient as well as on the level of blood pressure. Once the goals of therapy have been reached, including the control of other risk factors and the achievement of goal blood pressure, the frequency of visits can be reduced considerably, particularly if self-measurement of blood pressure at home is encouraged. New technologies for tele-transmission of home blood pressure values to the physician’s office may further help a more effective follow-up.