Treatment of Hypertension in Patients with Coronary Artery Disease

Treatment of Hypertension in Patients with Coronary Artery Disease


– Hello, I’m Elliot Antman, President of the American
Heart Association. An important, new scientific statement dealing with hypertension
was published today by the American Heart
Association in collaboration with the American College of Cardiology and the American Society of Hypertension. It is published in the
AHA’s journal, Hypertension and simultaneously in circulation the Journal of the American
College of Cardiology and the Journal of the American
Society of Hypertension. The authors remind us that hypertension is a major, independent risk factor for coronary artery disease for all race, age and sex groups. Epidemiological studies
have also shown that an elevated blood pressure
is the most important determinant of the risk of stroke. What this statement deals
with is the very important topic of treating hypertension
in patients who have both high blood pressure
and have had a stroke, a heart attack or some
other form of heart disease. The Writing Committee
reinforces the target of less than 140 over 90
to prevent heart attacks and strokes in patients with hypertension and coronary artery disease. They also point out that a
lower blood pressure target for example, less than 130 over 80 may be appropriate in
some individuals with CAD, pre-SMI, stroke, transient ischemic attack or CAD risk equivalents. This is very important
since confusion has arisen in the clinical community
over the last year regarding the appropriate
target for blood pressure management in the general population. I hope you will take the time to read this scientific statement. It provides detailed
recommendations on the pharmacological approaches to hypertension in patients with important
clinical problems. Such as acute coronary
syndromes and heart failure. Let’s remember that
hypertension is a very serious and common problem that effects over 80 million Americans and may impact 90 percent of our population as we age. Congratulations to the
Writing Committee for their hard work in bringing us
these latest recommendations! (short, victorious music)

1 Reply to “Treatment of Hypertension in Patients with Coronary Artery Disease”

  1. I spent just one month and a half following the recommendations in handling blood pressure level issues “fetching komso site” (G00GLE it). I`ve got stage II diabetes, high Blood pressure and over weight. I had to pass a D.O.T. Physical. My blood pressure went from 155 to the natural level of 136 and my weight was 13 lbs lighter. I keep an eye on my blood sugar and it is now 125-130 compared to the last time which was always somewhere in the 160s.

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