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  • Morales Salinas, AlbertoCardioctr Ernesto Che Guevara, Santa Clara, Cuba (author)

Clinical Perspective on Antihypertensive Drug Treatment in Adults With Grade 1 Hypertension and Low-to-Moderate Cardiovascular Risk : An International Expert Consultation

  • Article/chapterEnglish2017

Publisher, publication year, extent ...

  • Elsevier,2017
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-332736
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-332736URI
  • https://doi.org/10.1016/j.cpcardiol.2017.03.001DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • Hypertension is a leading risk factor for disease burden globally. An unresolved question is whether grade 1 hypertension (140-159/90-99 mm Hg) with low (cardiovascular mortality < 1% at 10 years) to moderate (cardiovascular mortality ≥ 1% and <5% at 10 years) absolute total cardiovascular risk (CVR) should be treated with antihypertensive agents. A virtual international consultation process was undertaken to summarize the opinions of select experts. After holistic analysis of all epidemiological, clinical, psychosocial, and public health elements, this consultation process reached the following consensus in hypertensive adults aged < 80 years: (1) The question of whether drug treatment in grade 1 should be preceded by a period of some weeks or months during which only lifestyle measures are recommended cannot be evidence based, but the consensus opinion is to have a period of lifestyle alone reserved only to patients with grade 1 "isolated" hypertension (grade 1 uncomplicated hypertension with low absolute total CVR, and without other major CVR factors and risk modifiers). (2) The initiation of antihypertensive drug therapy in grade 1 hypertension with moderate absolute total CVR should not be delayed. (3) Men ≥ 55 years and women ≥ 60 years with uncomplicated grade 1 hypertension should automatically be classified within the moderate absolute total CVR category, even in the absence of other major CVR factors and risk modifiers. (4) Statins should be considered along with blood-pressure lowering therapy, irrespective of cholesterol levels, in patients with grade 1 hypertensive with moderate CVR.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

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  • Olsen, Michael H.Univ Southern Denmark, Holbaek Hosp, Dept Internal Med, Odense, Denmark.;Univ Southern Denmark, Odense Univ Hosp, Ctr Individualized Med Arterial Dis CIMA, Odense, Denmark (author)
  • Sanchez, Ramiro A.Hosp Univ, Fdn Favaloro, Hipertens Arterial & Unidad Metabol, Buenos Aires, DF, Argentina (author)
  • Sebba-Barroso, Weimar K.Univ Fed Goias, Hypertens League, Jatai, Brazil (author)
  • Kones, RichardCardiometab Res Inst, Houston, TX USA (author)
  • Bertomeu-Martinez, VicenteHosp Univ San Juan, Alicante, Spain (author)
  • Sobrino, JavierFundacio Hosp EsperitSt, Barcelona, Spain (author)
  • Alcocer, LuisInst Mexicano Salud Cardiovasc, Mexico City, DF, Mexico (author)
  • Pineiro, Daniel J.Univ Buenos Aires, Buenos Aires, DF, Argentina (author)
  • Lanas, FernandoUniv La Frontera, Temuco, Chile (author)
  • Machado, Carlos A.Minist Salud, Muncipal Hlth Off, Campos Do Jordao, Brazil (author)
  • Aguirre-Palacios, FernandoClin Kennedy, Guayaquil, Ecuador (author)
  • Ortellado, JoseMinist Salud, Asuncion, Paraguay (author)
  • Perez, GonzaloClin Olivos, Buenos Aires, DF, Argentina (author)
  • Sabio, RodrigoHospital de Alta Complejidad, Santa Cruz, Argentina (author)
  • Landrove, OrlandoMinist Salud Pabl, Havana, Cuba (author)
  • Rodriguez-Leyva, DelfinUniv Med Holguin, Holguin, Cuba (author)
  • Duenas-Herrera, AlfredoInst Cardiol & Cirugia Cardiovasc, Havana, Cuba (author)
  • Rodriguez Portelles, AyelenUniv Med Holguin, Holguin, Cuba (author)
  • Parra-Carrillo, Jose Z.Univ Guadalajara, Guadalajara, Jalisco, Mexico (author)
  • Piskorz, Daniel L.Sanatorio Britanico, Inst Cardiol, Rosario, Argentina (author)
  • Bryce-Moncloa, AlfonsoCARDIOGOLF Lima, Lima, Peru (author)
  • Waisman, GabrielHosp Italiano Buenos Aires, Buenos Aires, DF, Argentina (author)
  • Yano, YuichiroUniv Mississippi, Med Ctr, University, MS 38677 USA (author)
  • Ventura, HectorUniv Queensland, Sch Med, Ochsner Clin Sch, Dept Cardiovasc Dis,John Ochsner Heart & Vasc Ins, New Orleans, LA USA (author)
  • Orias, MarceloSanatorio Allende & Univ Nacl Cordoba, Cordoba, Argentina (author)
  • Prabhakaran, DorairajPubl Hlth Fdn India, Gurgaon, Haryana, India.;Ctr Chron Dis Control, Gurgaon, Haryana, India (author)
  • Sundström, Johan,Professor,1971-Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Geriatrik,Kardiologi,Molekylär epidemiologi,Science for Life Laboratory, SciLifeLab,Klinisk epidemiologi,Arbets- och miljömedicin(Swepub:uu)johasund (author)
  • Wang, JiguangShanghai Jiao Tong Univ, Sch Med, Ruijin Hosp, Shanghai Inst Hypertens, Shanghai, Peoples R China (author)
  • Burrell, Louise M.Univ Melbourne, Austin Health, Dept Med, Melbourne, Vic, Australia (author)
  • Schutte, Alta E.North West Univ, Hypertens Africa Res Team, Unit Hypertens & Cardiovasc Dis, South African Med Res Council, Potchefstroom, South Africa (author)
  • Lopez-Jaramillo, PatricioUniv Santander, Fdn Oftalmol Santander, Res Inst, Bucaramanga, Colombia.;Univ Santander, Med Sch, Bucaramanga, Ecuador.;Univ Tecnol Equinoccial, Fac Med Eugenio Espejo, Quito, Ecuador (author)
  • Barbosa, EduardoH Moinhos Vento Porto Alegre, Porto Alegre, RS, Brazil (author)
  • Redon, JosepUniv Valencia, Valencia, Spain (author)
  • Weber, Michael A.Division of Cardiovascular Medicine, State University of New York, Downstate College of Medicine, New York (author)
  • Lavie, Carl J.Univ Queensland, Sch Med, Ochsner Clin Sch, Dept Cardiovasc Dis,John Ochsner Heart & Vasc Ins, New Orleans, LA USA (author)
  • Ramirez, AgustinHosp Univ, Fdn Favaloro, Hipertens Arterial & Unidad Metabol, Buenos Aires, DF, Argentina.; Univ Favaloro, CONICET, Inst Med Traslac Trasplante & Bioingn, Buenos Aires, DF, Argentina (author)
  • Ordunez, PedroPan Amer Hlth Org, Dept Noncommun Dis & Mental Hlth, Washington, DC USA (author)
  • Yusuf, SalimHamilton Hlth Sci, Populat Hlth Res Inst, Hamilton, ON, Canada.;McMaster Univ, Hamilton, ON, Canada (author)
  • Zanchetti, AlbertoUniv Milan, Ist Auxol Italiano, Ctr Interuniv Fisiol Clin & Ipertens, Milan, Italy (author)
  • Cardioctr Ernesto Che Guevara, Santa Clara, CubaUniv Barcelona, Hosp Clin IDIBAPS, Unidad Hipertens & Riesgo Vasc, Barcelona, Spain (creator_code:org_t)

Related titles

  • In:Current problems in cardiology: Elsevier42:7, s. 198-2250146-28061535-6280

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