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Blood-Pressure Lowering in Intermediate-Risk Persons without Cardiovascular Disease
Ist Teil von
The New England journal of medicine, 2016-05, Vol.374 (21), p.2009-2020
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2016
Quelle
MEDLINE
Beschreibungen/Notizen
In one comparison from a 2-by-2 factorial trial, over 12,000 participants with a mean baseline blood pressure of 138/82 mm Hg were assigned to candesartan plus hydrochlorothiazide or to placebo. At 5.6 years, there was no between-group difference in the rates of cardiovascular events.
High blood pressure is the leading risk factor for cardiovascular disease globally
1
and affects more than 1 billion adults worldwide.
2
Observational studies involving persons without cardiovascular disease show a graded increase in risk at systolic blood-pressure levels above 115 mm Hg.
3
It has been suggested that lowering blood pressure at any level above this value will reduce the risk of cardiovascular events.
4
Antihypertensive therapy has been clearly shown to reduce the risk of cardiovascular disease among people with vascular or renal disease, diabetes, or hypertension with end-organ damage or, in the absence of these conditions, among persons with a systolic . . .