Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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From Hypertension to Heart Failure (Paperback, illustrated edition)
Loot Price: R2,782
Discovery Miles 27 820
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From Hypertension to Heart Failure (Paperback, illustrated edition)
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Total price: R2,792
Discovery Miles: 27 920
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Arterial hypertension, coronary heart disease and heart fail ure
are the commonest cardiovascular conditions to present in clinical
practice. Over the past few years it has become in creasingly clear
that they are closely and causally interrelated and that their
relationship can have a significant bearing on prognosis.
Epidemiological studies have shown that arterial hypertension is
one of the most important risk factors for de veloping heart
failure. Only one in four patients with hyper tension is adequately
managed, and in 50% of cases, the hypertension has not been
recognised or treated. Patients with pre-existing hypertension who
go on to suffer an acute myocardial infarction have usually not
previously had typi cal angina symptoms, the infarct territory is
larger, life threatening arrhythmias are commoner and hence
in-hospi tal mortality and long-term prognosis are markedly worse.
The presence of raised blood pressure in the post-infarct phase
doubles the risk of manifest heart failure. The close relationship
between hypertension, coronary heart disease and heart failure
makes the choice of therapeu tic strategy particularly important.
Agents and classes of agents that have prognostic value in all
three conditions should be considered first, as synergy might
result in addi tional benefits. In such patients, this sort of
therapeutic deci sion-making might have further advantages. The use
of these agents may prevent complications which are not yet
clinically obvious (such as heart failure)."
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