The following targets are currently recommended for reducing blood pressure: • in general, less than 140 mm Hg systolic and less than 90 mm Hg diastolic • for patients with diabetes or chronic kidney disease, less than 130/80 mm Hg Use Combinations of Medications and Lifestyle Modifications to Achieve Blood Pressure Targets Most patients require [...]
OLD BUT STILL VERY IMPORTANT MESSAGES OF CHEP Measure Blood Pressure in All Adults at All Appropriate Visits For many Canadians with hypertension, the condition remains undetected; therefore, measure blood pressure in all adults at all appropriate visits.
NEW KEY MESSAGE OF THE 2006 RECOMMENDATIONS: IMPROVE PATIENT ADHERENCE TO ANTIHYPERTENSIVE THERAPIES Adherence with antihypertensive management can be improved by implementing a multipronged approach incorporating the following strategies.
INTRODUCTION Hypertension remains a significant health problem that is projected to become a greater global burden in the next 20 years. The estimated total number of adults with hypertension was 972 million in 2000: 333 million in economically developed countries and 639 million in less economically developed countries. The number of adults with hypertension is [...]
Which came first, the chicken or the egg? If diuretics had been a panacea for curing hypertension, it is unlikely that drug companies would have taken on the financial risk of developing alternative classes of antihypertensive drugs. As previously discussed, diuretics alone are often inadequate for controlling hypertension and are contraindicated for, or are not [...]
Metabolic Effects Chlorthalidone represents one of three different types of diuretics. Each type works in a slightly different way, but all diuretics lower the amount of salt and water in the body, thereby helping to reduce blood pressure. Diuretic treatments are not benign, and not every patient can tolerate them. As a class of drugs, [...]
The ALLHAT study validated current national hypertension treatment guidelines by demonstrating that using chlorthali-done as the initial treatment was as effective as using a drug from one of the alternative classes of antihypertensive agents known as ACE-inhibitors (lisinopril) and a calcium-channel blocker (amlopidine) in decreasing blood pressure and reducing the incidence of fatal coronary heart [...]