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Management of Hypertension among Patients with Coronary Heart Disease.
MedLine Citation:
PMID:  21785704     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Evidence suggests that coronary heart disease (CHD) is the most common outcome of hypertension. Hypertension accelerates the development of atherosclerosis, and sustained elevation of blood pressure (BP) can destabilize vascular lesions and precipitate acute coronary events. Hypertension can cause myocardial ischemia in the absence of CHD. These cardiovascular risks attributed to hypertension can be reduced by optimal BP control. Although several antihypertensive agents exist, the choice of agent and the appropriate target BP for patients with CHD remain controversial. In this succinct paper, we examine the evidence and the mechanisms for the linkage between hypertension and CHD and we discuss the treatment options and the goals of therapy that are consistent with the report of the seventh Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) and American Heart Association scientific statement. We anticipate changes in the recommendations of the forthcoming JNC 8.
Authors:
Oladipupo Olafiranye; Ferdinand Zizi; Perry Brimah; Girardin Jean-Louis; Amgad N Makaryus; Samy McFarlane; Gbenga Ogedegbe
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Publication Detail:
Type:  Journal Article     Date:  2011-07-13
Journal Detail:
Title:  International journal of hypertension     Volume:  2011     ISSN:  2090-0392     ISO Abbreviation:  Int J Hypertens     Publication Date:  2011  
Date Detail:
Created Date:  2011-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101538881     Medline TA:  Int J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  653903     Citation Subset:  -    
Affiliation:
Brooklyn Health Disparities Center, Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
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