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Cellular and Molecular Mechanisms in Hypertension (Paperback, Softcover reprint of the original 1st ed. 1991)
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Cellular and Molecular Mechanisms in Hypertension (Paperback, Softcover reprint of the original 1st ed. 1991)
Series: Advances in Experimental Medicine and Biology, 308
Expected to ship within 10 - 15 working days
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Hypertension is recognized to be one of the major risk factors for
the development of peripheral vascular disease. The last decade has
witnessed several major advances in therapy for hypertension,
including the development of angiotensin-converting enzyme
inhibitors and calcium channel blockers. These compounds have
greatly improved the ability to control blood pressure and to
reduce the impact of this risk factor on morbidity and mortality.
In spite of these advances, cardiovascular disease remains a major
health problem in most modern industrialized countries with related
deaths exceeding those from all other causes combined. In contrast
to these advances in therapy, our understanding of the basic
mechanisms responsible for the pathogenesis of hypertension remains
incomplete. Recent studies have produced new insights into the
nature of the regulation of muscle contraction in both heart and
blood vessels as well as the changes in muscle function that occur
in hypertension. However, the effects of antihypertensive therapy,
both in terms of restoring normal function and in producing
reversal of hypertension-associated changes, has not been as
thoroughly studied, especially in the vasculature. Studies in the
heart suggest that the efficacy of different therapeutic agents in
restoring normal function and reversing hypertensive changes vary
substantially with the mechanism of action of the therapeutic
agent. It has also been recently determined that some therapeutic
agents produce adverse effects on plasma lipid profiles, which
could lead to the secondary acceleration of the atherosclerotic
process, while at the same time normalizing blood pressure.
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