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Titolo:
Step care therapy for hypertension in diabetic patients
Autore:
Blackshear, JL; Schwartz, GL;
Indirizzi:
Mayo Clin, Div Cardiovasc Dis & Internal Med, Jacksonville, FL 32224 USA Mayo Clin Jacksonville FL USA 32224 ernal Med, Jacksonville, FL 32224 USA Mayo Clin & Mayo Fdn, Div Hypertens & Internal Med, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn Rochester MN USA 55905 Med, Rochester, MN 55905 USA
Titolo Testata:
MAYO CLINIC PROCEEDINGS
fascicolo: 12, volume: 76, anno: 2001,
pagine: 1266 - 1274
SICI:
0025-6196(200112)76:12<1266:SCTFHI>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
ISOLATED SYSTOLIC HYPERTENSION; CONVERTING-ENZYME-INHIBITION; RANDOMIZED TRIAL; LONG-TERM; ANTIHYPERTENSIVE THERAPY; CARDIOVASCULAR MORBIDITY; BLOOD-PRESSURE; BETA-BLOCKERS; MELLITUS; MORTALITY;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
50
Recensione:
Indirizzi per estratti:
Indirizzo: Blackshear, JL Mayo Clin, Div Cardiovasc Dis, 4500 San Pablo Rd, Jacksonville, FL 32224 USA Mayo Clin 4500 San Pablo Rd Jacksonville FL USA 32224 4 USA
Citazione:
J.L. Blackshear e G.L. Schwartz, "Step care therapy for hypertension in diabetic patients", MAYO CLIN P, 76(12), 2001, pp. 1266-1274

Abstract

For diabetic patients, a goal blood pressure lower than 130/80-85 min Hg is strongly supported by clinical trial results. We review the agents, sequence, and dosing used in clinical trials and propose a treatment algorithm. Multiagent antihypertensive therapy is required to attain goal blood pressure in most patients. Step sequences to obtain this goal are suggested. In general, we favor initial therapy with an angiotensin-converting enzyme inhibitor, followed by the addition of a diuretic. The presence of comorbid conditions may dictate variation from this scheme. The effect of antihypertensive agents on established cardiovascular diseases, proteinuria, renal function, and metabolic factors is discussed. Tailored recommendations for specific clinical scenarios are described.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 10:20:54