By Sverre Erik Kjeldsen
High blood pressure, hypercholesterolemia and smoking current the number 1 chance components for heart problems and demise. hence cardiologists play a key function within the care of hypertensive sufferers and as educators within the box. This distinctive factor of "Heart Drug" gains joint instructions for the detection and therapy of high blood pressure, constructed via the eu Society of high blood pressure and the ecu Society of Cardiology. in keeping with the 1999 foreign Society of Hypertension/World wellbeing and fitness association guidance and counseled through the foreign Society of high blood pressure, those new directions combine detection and remedy of different very important chance components, resembling diabetes, and, for the 1st time, contain the detection of goal organ harm like left ventricular hypertrophy, arterial plaque, microalbuminuria or somewhat increased serum creatinine. the tips additional spotlight a few medications for the therapy of high blood pressure.
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Additional resources for 2003 European Society of Hypertension - European Society of Cardiology Guidelines for the Management of Arterial Hypertension
Gestational hypertension associated with significant proteinuria (1300 mg/l or 1500 mg/24 h or dipstick 2+ or more) is known as pre-eclampsia. Hypertension develops after 20 weeks’ gestation. 42 days post partum. Gestational hypertension is characterized by poor organ perfusion. E Pre-existing hypertension plus superimposed gestational hypertension with proteinuria. Pre-existing hypertension is associated with further worsening of blood pressure and protein excretion 63 g/day in 24-hour urine collection after 20 weeks’ gestation; it corresponds to previous terminology ‘chronic hypertension with superimposed pre-eclampsia’.
Once the goals of therapy have been reached, including the control of other risk factors and the achievement of goal blood pressure, the frequency of visits can be reduced considerably, particularly if self-measurement of blood pressure at home is encouraged. New technologies for tele-transmission of home blood pressure values to the physician’s office may further help a more effective follow-up. Patients with a low risk profile and milder degrees of blood pressure elevation (high normal or grade 1), managed on a single drug, could well be seen every 6 months.
In 1955, Perera  described that proteinuria was present in 42%, and chronic renal failure in 18%, in a series of 500 patients he had followed until death. In this series, life expectancy after the onset of renal involvement was reported to be no more than 5–7 years. 125/75 mm Hg, when proteinuria 11 g/day is present), and second to lower proteinuria or albuminuria (micro or macro) to values as near to normalcy as possible. In order to attain the latter goal, blockade of the effects of angiotensin II (either with an ACE inhibitor or with an angiotensin receptor blockers) is required.
2003 European Society of Hypertension - European Society of Cardiology Guidelines for the Management of Arterial Hypertension by Sverre Erik Kjeldsen