Should we redefine hypertension?
In the past, hypertension has been defined as a systemic arterial blood pressure chronically exceeding certain levels. However, it is now apparent that there is no blood pressure threshold that separates those with increased cardiovascular risk from those with no or low risk. Hypertension is a complex disease that eventually leads to an increase in blood pressure above optimal values for an individual. Moreover, levels of blood pressure, a physical force, need to be evaluated in the context of other cardiovascular risk factors. This definition of hypertension will permit physicians to treat patients with the goal of reducing global risk for myocardial infarction, stroke, and chronic kidney disease.
Giles
Thomas D
TD
Department of Medicine, Tulane University School of Medicine, 109 Holly Drive, Metairie, LA 70005, USA. tgiles4@cox.net
D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000209:etiology*; D002986:Clinical Trials as Topic; D004056:Differential Threshold; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology*; D012307:Risk Factors; D009626:Terminology as Topic
D000959:Antihypertensive Agents