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Arterial Hypertension: What Is the Optimal Goal of Treatment?

  • Emmanuel A. Andreadis
  • Charalampia V. Geladari
Chapter

Abstract

Landmark clinical trials have proved that the use of antihypertensive drugs reduces the risk of cardiovascular events occurrence, including incident stroke, myocardial infarction and heart failure. In contrast to the past, when hypertension was considered essential for the perfusion of vital organs, the benefit of lowering blood pressure levels is considered now invaluable, especially among high risk populations. However, the optimal blood pressure goal is still debated. This chapter focuses primarily on milestone studies and on updated evidence-based clinical HTN guidelines. More specifically, it reviews the MRC,the HDFP,the HOT, the SPRINT, the ACCORD and the HOPE-3 studies, and discusses the suggested optimal BP goals derived from these trials. It also focuses on interesting meta-analyses stratifying the different trials according to the BP levels achieved by active treatment.

Keywords

Hypertension Landmark studies Systolic blood pressure HDFP MRC HOT SPRINT HOPE-3 JNC guidelines JAMA guidelines 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Emmanuel A. Andreadis
    • 1
    • 2
  • Charalampia V. Geladari
    • 2
    • 3
  1. 1.Hypertension and Cardiovascular Disease Prevention Center, Evangelismos General HospitalAthensGreece
  2. 2.Fourth Internal Medicine DepartmentEvangelismos State General HospitalAthensGreece
  3. 3.Department of Medicine, Division of CardiologyBeth Israel Deaconess Medical Center, Harvard Medical SchoolBostonUSA

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