Abstract
Man, 59 years old, never a smoker, and mildly overweight from the young age, with nearly no physical activity (his working life is sedentary as the leisure one). He knows he is hypertensive since 20 years when his GPs began to treat him with atenolol 100 mg 1 cp in the morning. He remembers that his GPs gave him this drug because he also had a mild tachycardia. During the last winter, his blood pressure further increased and his old GPs added in therapy hydrochlorothiazide 25 mg in the morning. His blood pressure is relatively well controlled with this therapy, but he comes to our observation after the suggestion of his new GP, worried about potential side effects of beta-blockers and diuretics on his erectile function.
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References
Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013;31(7):1281–357.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49(6):822–30.
Brinton EA. Management of hypertriglyceridemia for prevention of atherosclerotic cardiovascular disease. Endocrinol Metab Clin North Am. 2016;45(1):185–204. doi:10.1016/j.ecl.2015.09.012.
Fergus IV, Connell KL, Ferdinand KC. A comparison of vasodilating and non-vasodilating beta-blockers and their effects on cardiometabolic risk. Curr Cardiol Rep. 2015;17(6):38. doi:10.1007/s11886-015-0592-x.
Cicero AF, Veronesi M, Prandin MG, Di Gregori V, Ambrosioni E, Borghi C. Effects of AT1 receptor and beta1 receptor blocking on blood pressure, peripheral hemodynamic and lipid profile in statin-treated hypertensive hypercholesterolemic patients. Fundam Clin Pharmacol. 2009;23(5):583–8. doi:10.1111/j.1472-8206.2009.00719.x.
Musso G, Gambino R, Cassader M, Pagano G. A meta-analysis of randomized trials for the treatment of nonalcoholic fatty liver disease. Hepatology. 2010;52(1):79–104. doi:10.1002/hep.23623.
Shah NP, Cainzos-Achirica M, Feldman DI, Blumenthal RS, Nasir K, Miner MM, Billups KL, Blaha MJ. Cardiovascular disease prevention in men with vascular erectile dysfunction: the view of the preventive cardiologist. Am J Med. 2016;129(3):251–9. doi:10.1016/j.amjmed.2015.08.038.
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Cicero, A.F.G. (2016). Clinical Case 4: Patient with Essential Hypertension and Hypertriglyceridaemia. In: Hypertension and Metabolic Cardiovascular Risk Factors. Practical Case Studies in Hypertension Management. Springer, Cham. https://doi.org/10.1007/978-3-319-39504-3_4
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DOI: https://doi.org/10.1007/978-3-319-39504-3_4
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