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Hypertension, also referred to as high blood pressure, is a disease
afflicting almost 1 billion people world-wide. Some 70 million
adults in the United States are affected by hypertension. The
condition also affects about two million teens and children. It is
called the "silent killer" due to the deleterious damaging effects,
such as stroke, myocardial infarction, renal dysfunction, visual
problems, among others, derived from hypertension. It is noteworthy
that one-third of patients in this condition are not even aware
they are hypertensive, as this disease is usually asymptomatic for
many years, even decades, until it finally damages certain critical
organs and the only reliable way to detect its occurrence is to
regularly check blood pressure. Therefore, considerable effort has
been devoted to ascertain the causes of hypertension, as well as
the mechanisms damaging the organ function. Nevertheless, about 95%
of cases have unknown causes and represent the primary or essential
hypertension. This book presents an update of research advances
contributing to a better understanding of relevant clinical models
of hypertension, particularly; the involvement of the role of
oxidative stress in various forms of hypertension as a still
emerging subject. This paradigm could be applied to account for
blood pressure elevation in the metabolic syndrome, renovascular
disease, preeclampsia and chronic kidney disease, among others.
These examples are discussed in the light of recent clinical and
experimental studies providing a rational base for diagnosis and
treatment of the diseases. Each chapter includes a synthesis of the
mechanistic approach supported by the accumulated evidence to
facilitate its comprehension.
Recent clinical studies reported that in critically ill patients,
oxidative stress caused by an increased production of reactive
oxygen species (ROS) and reactive nitrogen species (RNS) and
reduced antioxidant response is an expectable event. This book
presents the actual scientific available evidence of the
pathophysiology of oxidative stress and the role of it in different
clinical situations in the critically ill patient, supporting an
adjunct therapy to prevent the evolution to a multiple organ
dysfunction syndrome. This point of view is supported by many
recent clinical and experimental studies.
This book provides evidence of vitamin C supplementation in the
treatment and prevention of important human diseases, such as
pre-eclampsia, hypertension, atherosclerosis, diabetes, among
others. In addition, although this antioxidant vitamin is well
tolerated, related studies are included which detail its side
effects, such as kidney stones formation, diarrhoea and
indigestion. The underlying mechanisms accounting for these
undesirable effects remain to be determined, whereas the prevailing
viewpoints consider vitamin C as a safety supplement.
This book provides accurate information about the scientific
rationale for an increase of attention of clinicians towards the
mechanisms involved in hypertension, a pathology in which it is
difficult to reach optimal efficacy with the currently used
treatments. The book will appeal to medical students, basic science
students and biomedical researchers, as well non-medical
professionals interested in this field.
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