[Risky high blood pressure, lipid and blood glucose values. Are blood pressure patients underserved?].
It is now generally accepted that the prognostic relevance of diastolic and systolic blood pressures varies with age. The probable explanation for this is considered to be the age-related hemodynamic changes in central and peripheral arteries. An analysis of 47,000 hypertensives reveals that a therapeutic strategy focused merely on lowering elevated blood pressure is inadequate. Since most hypertensives have multiple risk factors that are readily identifiable and treatable, a multifactorial therapeutic strategy is needed. Accordingly, modern treatment of hypertensives implies a predominant role for risk factor management. A European study on secondary prevention documents an unacceptably high prevalence of unhealthy lifestyles and poorly controlled blood pressure, lipid and glucose levels in patients with clinically diagnosed CHD. It is high time that scientific investigations be carried out to identify the reasons for the inadequate practical implementation of evidence-based preventive and therapeutic measures. It is to be expected that epidemiological investigations will help provide relevant data.
Hense
H W
HW
Bereich Klinische Epidemiologie, Institut für Epidemiologie und Sozialmedizin, Univ.-Klinikum Münster. hense@uni-muenster.de
D003327:Coronary Disease / Q000209:etiology / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005060:Europe; D006801:Humans; D006949:Hyperlipidemias / Q000628:therapy*; D006973:Hypertension / Q000628:therapy*; D020380:Needs Assessment; D011379:Prognosis; D012307:Risk Factors
Riskant hohe Blutdruck-, Lipid- und Blutzuckerwerte. Sind unsere Hochdruck-Patienten unterversorgt?