Drug treatment of hypertension: the reduction of pulse pressure does not necessarily parallel that of systolic and diastolic blood pressure

被引:27
作者
Safar, ME
Rudnichi, A
Asmar, R
机构
[1] Hop Broussais, Dept Internal Med, Paris, France
[2] Hop Broussais, INSERM, U337, Paris, France
[3] Inst Cardiovasc, Paris, France
关键词
antihypertensive therapy; pulse pressure; cardiovascular risk;
D O I
10.1097/00004872-200018090-00001
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Drug treatment of hypertension reduces systolic and diastolic blood pressure according to a well-established dose-response curve. Whether there is a parallel decrease in mean blood pressure and pulse pressure has not been investigated in the past. Recent analysis of the literature and personal work indicates that, during drug treatment of hypertension, a significant decrease in systolic and diastolic blood pressure may be associated with an unchanged pulse pressure, a situation that might contribute to maintaining cardiovascular risk. J Hypertens 2000, 18:1159-1163 (C) Lippincott Williams & Wilkins.
引用
收藏
页码:1159 / 1163
页数:5
相关论文
共 21 条
[1]   Distribution and determinants of cardiovascular events during 20 years of successful antihypertensive treatment [J].
Alderman, MH ;
Cohen, H ;
Madhavan, S .
JOURNAL OF HYPERTENSION, 1998, 16 (06) :761-769
[2]  
[Anonymous], 1991, JAMA, V265, P3255
[3]   Pulse pressure -: A predictor of long-term cardiovascular mortality in a French male population [J].
Benetos, A ;
Safar, M ;
Rudnichi, A ;
Smulyan, H ;
Richard, JL ;
Ducimetière, P ;
Guize, L .
HYPERTENSION, 1997, 30 (06) :1410-1415
[4]   The paradigm has shifted, to systolic blood pressure [J].
Black, HR .
HYPERTENSION, 1999, 34 (03) :386-387
[5]   BLOOD-PRESSURE, STROKE, AND CORONARY HEART-DISEASE .2. SHORT-TERM REDUCTIONS IN BLOOD-PRESSURE - OVERVIEW OF RANDOMIZED DRUG TRIALS IN THEIR EPIDEMIOLOGIC CONTEXT [J].
COLLINS, R ;
PETO, R ;
MACMAHON, S ;
HEBERT, P ;
FIEBACH, NH ;
EBERLEIN, KA ;
GODWIN, J ;
QIZILBASH, N ;
TAYLOR, JO ;
HENNEKENS, CH .
LANCET, 1990, 335 (8693) :827-838
[6]   PULSATILE VERSUS STEADY COMPONENT OF BLOOD-PRESSURE - A CROSS-SECTIONAL ANALYSIS AND A PROSPECTIVE ANALYSIS ON CARDIOVASCULAR MORTALITY [J].
DARNE, B ;
GIRERD, X ;
SAFAR, M ;
CAMBIEN, F ;
GUIZE, L .
HYPERTENSION, 1989, 13 (04) :392-400
[7]   ANTIHYPERTENSIVE EFFECT OF SUSTAINED-RELEASE ISOSORBIDE DINITRATE FOR ISOLATED SYSTOLIC SYSTEMIC HYPERTENSION IN THE ELDERLY [J].
DUCHIER, J ;
IANNASCOLI, F ;
SAFAR, M .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (01) :99-102
[8]   Is pulse pressure useful in predicting risk for coronary heart disease? The Framingham Heart Study [J].
Franklin, SS ;
Khan, SA ;
Wong, ND ;
Larson, MG ;
Levy, D .
CIRCULATION, 1999, 100 (04) :354-360
[9]   Randomised trial of old and new antihypertensive drugs in elderly patients:: cardiovascular mortality and morbidity the Swedish Trial in Old Patients with Hypertension-2 study [J].
Hansson, L ;
Lindholm, LH ;
Ekbom, T ;
Dahlöf, B ;
Lanke, J ;
Scherstén, B ;
Wester, PO ;
Hedner, T ;
de Faire, U .
LANCET, 1999, 354 (9192) :1751-1756
[10]   Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension:: principal results of the hypertension optimal treatment (HOT) randomised trial [J].
Hansson, L ;
Zanchetti, A ;
Carruthers, SG ;
Dahlöf, B ;
Elmfeldt, D ;
Julius, S ;
Ménard, J ;
Rahn, KH ;
Wedel, H ;
Westerling, S .
LANCET, 1998, 351 (9118) :1755-1762