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Manual of Nonpharmacological Control of Hypertension

  • J. R. Viskoper

Table of contents

  1. Front Matter
    Pages I-IX
  2. Preface

    1. J. R. Viskoper
      Pages 1-1
  3. General Background

    1. Front Matter
      Pages 3-3
    2. J. R. Viskoper
      Pages 28-46
    3. J. R. Viskoper
      Pages 47-51
  4. Implementation of Nonpharmacological Control of Hypertension and Other ASCVD Risk Factors

    1. Front Matter
      Pages 53-53
    2. J. R. Viskoper
      Pages 55-64
    3. J. R. Viskoper
      Pages 65-68
    4. J. R. Viskoper
      Pages 69-72
    5. J. R. Viskoper
      Pages 73-75
  5. The Israel Study of Nonpharmacological Control of Hypertension in Primary Care Practices

    1. Front Matter
      Pages 81-81
  6. Back Matter
    Pages 91-132

About this book

Introduction

The prevention and correction of high blood pressure obviously is not an end in itself but a means of preventing cardiovascular complications. It is tempting to res ort to antihypertensive drugs, for the simple reason that current preparations are easy to dose and to take. There is a variety of reasons, however, to take advantage of the antihypertensive potential of nonpharmaco­ logical approaches first. For one thing, the use of tablets tends to accentuate the negative effects oflabelling a subject as hypertensive. The act oftaking tablets per se may elicit a spectrum of subjective adverse effects, as we have learned from placebo-controlled therapeutic trials. Even more importantly, the benefits of antihypertensive drug treatment are largely confined to the reduction of stroke and disease of the large vessels. With regard to incidence of cardiac events, some modest beneficial effects have been registered, such as a decrease in congestive heart failure and in the fatality rate of myocardial infarction. The effects on the incidence of coronary heart disease are only marginal at best. This disappointing finding has been ascribed to various factors: unwanted metabolie effects of anti­ hypertensive drugs, inadvertent drops in diastolic pressure interfering with coro­ nary perfusion, and, last but not least, failure to eliminate risk factors other than high blood pressure (smoking, alcohol abuse, lipid and glucose disturbanees, obesity, and the hemodynamic disadvantages of a sedentary life). Most of these additional noxious factors are refractory to drug treatment and call for modifica­ tion of life-style.

Keywords

blood pressure cardiovascular hypertension non-pharmacologic control of CVO risk factors vascular disease

Editors and affiliations

  • J. R. Viskoper
    • 1
  1. 1.The Barzilai Medical CenterAshkelonIsrael

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-74720-5
  • Copyright Information Springer-Verlag Berlin Heidelberg 1990
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-540-51070-3
  • Online ISBN 978-3-642-74720-5
  • Buy this book on publisher's site