ANTIHYPERTENSIVE THERAPY TO MAXIMALLY REDUCE CORONARY RISK

被引：13

作者：

KAPLAN, NM

机构：

[1] Hypertension Division, University of Texas Southwestern Medical Center Dallas, TX

来源：

AMERICAN HEART JOURNAL | 1993年 / 125卷 / 05期

基金：

英国医学研究理事会;

关键词：

D O I：

10.1016/0002-8703(93)90445-F

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Antihypertensive therapy as it is currently prescribed has not provided the degree of protection against coronary disease that was predicted by epidemiologic evidence. At least five steps can be taken to maximally reduce coronary risk: (1) more frequent, out-of-the-office monitoring of blood pressure, particularly during the early morning hours; (2) diligent search for other coexisting coronary risk factors; (3) vigorous use of various life-style modifications; (4) greater selectivity in the choice of antihypertensive agents, using those that may provide additional benefits for other coronary risk factors and other coexisting conditions; and (5) avoidance of coronary hypoperfusion by too great a reduction of blood pressure.

引用

页码：1487 / 1493

页数：7

共 35 条

[1]

AMERY A, 1985, LANCET, V1, P1349

[2]

[Anonymous], 1991, Arch Intern Med, V151, P1413

[3]

[Anonymous], 1991, JAMA, V265, P3255

[4] THE LIMITED ECHOCARDIOGRAM - A MODIFICATION OF STANDARD ECHOCARDIOGRAPHY FOR USE IN THE ROUTINE EVALUATION OF PATIENTS WITH SYSTEMIC HYPERTENSION [J].