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Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1177))

Abstract

Hypertension is still the number one global killer. No matter what causes are, lowering blood pressure can significantly reduce cardiovascular complications, cardiovascular death, and total death. Unfortunately, some hypertensive individuals simply do not know having hypertension. Some knew it but either not being treated or treated but blood pressure does not achieve goal. The reasons for inadequate control of blood pressure are many. One important reason is that we are not very familiar with antihypertensive agents and less attention has been paid to comorbidities, complications as well as the hypertension-modified target organ damage in patients with hypertension. The right antihypertensive drug was not given to the right hypertensive patients at right time. This reviewer studied comprehensively the literature, hopefully that the review will help improve antihypertensive drug selection and antihypertensive therapy.

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Abbreviations

ABPM:

Ambulatory blood pressure monitoring

ACC:

American College of Cardiology

ACE:

Angiotensin-converting enzyme

AHA:

American Heart Association

ARB:

Angiotensin II receptor blocker ARB

ASCVD:

Atherosclerotic cardiovascular disease

BP:

Blood pressure

BSA:

Body surface area

CCB:

Calcium channel blocker

CK-MB:

Creatine kinase-MB

DHP:

Dihydropyridine

ECG:

Electrocardiogram

eGFR:

Estimated Glomerular Filtration Rate

ENaC:

Epithelial sodium channel

ESC:

European Society of Cardiology

ESH:

European Society of Hypertension

ESKD:

End-stage kidney disease

HBPM:

Home blood pressure monitoring

HELLP:

Hemolysis, elevated liver enzymes, and low platelets

HFpEF:

Ejection fraction preserved heart failure

HMOD:

Hypertension-modified organ damage

MAP:

Mean arterial pressure

NEDD4L:

Neural precursor cell expressed, developmentally down-regulated 4, like E3 ubiquitin Protein ligase

NO:

Nitric oxide

NSAIDs:

Non-steroidal anti-inflammatory drugs

NT-proBNP:

N-terminal prohormone of brain natriuretic peptide

MRI:

Magnetic resonance imaging

PWV:

Pulse wave velocity

RAAS:

Renin–angiotensin–aldosterone system

TIA:

Transient ischemic attack

VSMC:

Vascular smooth muscle cells

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Hui, R. (2020). Hypertension Drug Therapy. In: Wang, M. (eds) Coronary Artery Disease: Therapeutics and Drug Discovery. Advances in Experimental Medicine and Biology, vol 1177. Springer, Singapore. https://doi.org/10.1007/978-981-15-2517-9_6

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