Reappraisal of European Guidelines on Hypertension Management

A European Society of Hypertension Task Force document

The ESH Task Force offers the Reappraisal of European Guidelines on Hypertension Management. This book incorporates new research and results of recent important studies with the 2007 Guidelines and analyses new evidence in one short handbook for ease of reference for the healthcare practitioner and specialists.

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Section I: Assessment of subclinical organ damage for stratification of total cardiovascular risk

Heart

Blood vessels

Kidney

Additional measures of organ damage

Subclinical organ damage as a marker of high cardiovascular risk

Prognostic value of treatment-induced modifications of subclinical organ damage

Conclusions

Section II: Treatment approach

When to initiate antihypertensive treatment

Blood pressure goals

Post-hoc analysis of trials and trials on organ damage

The J-curve phenomenon

Are the 2007 recommendations still applicable?

Section III: Treatment strategies

Choice of antihypertensive drugs

Is ranking antihypertensive agents in order of choice useful or deceiving in practice?

Preferred drugs

Monotherapy and combination therapy

Section IV: Therapeutic approach in special conditions

Elderly

Diabetes mellitus

Renal disease

Cerebrovascular disease

Coronary heart disease and heart failure

Atrial fibrillation

Hypertension and erectile dysfunction

Section V: Treatment of associated risk factors

Lipid lowering agents

Lipid lowering agents

Glycaemic control

The issue of the polypill

Section VI: New trials needed

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