miércoles, 3 de diciembre de 2008

Over 60% Of Patients With Seemingly Well Controlled Blood Pressure (BP) Are Not Controlled Over 24-hours




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Dr Sarah Jarvis, GP, London, observation, "Despite the recent finance in hypertension administration in the UK, the call for in benefit of well brought-up 24-hour BP control be habitually underestimate in tailor`s dummy pour. So it's not amazing to see here 'real incident setting' study that, in wickedness of unloading physiotherapy, a full-size gain of patients frozen have badly controlled BP at quite several point in the afternoon, put them at increased extend beyond of cardiovascular dealings. It is simply not trustworthy or practicable to splurge ABPM or even HBPM for both lenient - what we really need are trustworthy treatment that pop high than the souk even control over a full 24 - hour period." SURGE-2 - a tailing study of the efficacy of telmisartan ± HCTZ treatment in reducing over-hasty morning blood pressure lower than definite clinical stipulations SURGE-2, an 8-week, open-label prospective observational study of >26,000 patients beside hypertension (office blood pressure >140/90mmHg) - the largest practice-based study ever conduct in hypertension using this methodology - demonstrate that telmisartan provide significant blood pressure control over a full 24-hour period, with the dicey early morning hours3,4: -- The have it in mind morning ABP be greatly reduced by telmisartan alone and in fusion with HCTZ by -8.2/-4.9 mmHg (p<0.001), almost doubling the numeral of patients with controlled blood pressure from 36.5% to 64.4% with telmisartan + HCTZ (<135/85mmHg, ESH/ESC) after 8 weeks of treatment.



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