How to Monitor Progress in Hypertensive Patients
Hypertension is a major risk factor for cardiovascular morbidity and mortality. The risk of cardiovascular morbidity and mortality is remarkably increased by the coexistence of hypertension with other risk factors. These are mainly diabetes mellitus, hypercholesterolemia, smoking, obesity, and positive family history. The existence of target organ damage (TOD) such as left ventricular hypertrophy (LVH), congestive heart failure (CHF), ischemic heart disease, stroke or transient ischemic attack, renal failure or proteinuria, peripheral vascular disease, and retinopathy also increases remarkably the risk of cardiovascular morbidity and mortality (1,2). Lowering blood pressure (BP) reduces the risk of stroke by about 40% and the risk of coronary heart disease by about 20% (3). Controlling additional risk factors may even increase the benefit obtained from lowering BP. Because hypertension is frequently associated with other risk factors, it is therefore important to identify and control all these risk factors as well. When a patient has elevated BP levels, repeated measurements will determine whether initial elevations persist and require prompt attention or have returned to normal and need only periodic surveillance (1).
KeywordsHypertensive Patient Calcium Antagonist Blood Pressure Control Peripheral Vascular Disease Blood Pressure Level
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