Non-pharmacologic therapy of arterial hypertension


Authors: H. Rosolová
Authors‘ workplace: Centrum preventivní kardiologie ;  II. interní kliniky LF UK a FN v Plzni
Published in: Kardiol Rev Int Med 2006, 8(1-2): 44-46
Category: Editorial

Overview

Non-pharmacologic therapy, i.e. life-style modification in terms of non-smoking, low-energy diet and regular exercising, is an integral part of arterial hypertension therapy. As such, it has to be started early and very intensively. Patients should be advised on a desirable percentage of individual diet components and appropriate food, as well as on risk factors of smoking and excessive alcohol consumption. Also, non-pharmacological therapy should include stress compensation and prevention of depressive disorders, as chronic stress demonstrably increases the cardiovascular risk.

Keywords:
non-smoking – well-balanced diet – hypertension – exercising – stress compensation


Sources

1. Cífková R, Býma S, Rosolová H et al. Prevence kardiovaskulárních onemocnění v dospělém věku. Společné doporučení českých odborných společností. Vniř Lék 2005; 51: 1021-1036.

2. Van Melle JP et al. Prognostic association of depression following MI with mortality and CV events: a meta-analysis. Psychosom Med 2004; 66: 814-822.

3. Facchini FS, Hollenbeck CB, Jeppesen J et al. Insulin resistance and cigarette smoking. Lancet 1992; 339: 1128-1130.

4. Králíková E, Býma S, Rosolová H et al. Doporučení pro léčbu závislosti na tabáku. Čas Lék Čes 2005; 144: 327-333.

5. Garg A, Bantle JP, Henry RR et al. Effects of varying carbohydrate content of diet in patients with non-insulin dependent diabetes. JAMA 1994; 271: 1421-1428.

6. Sacks FM, Svetkey LP, Vollmer WM et al for the DASH – Podium Collaborative Research Group. Effects on blood pressure of reduced dietary podium and the Dietary Approaches to Stop Hypertension (DASH) diet. N Engl J Med 2001; 344: 3-10.

7. Chobanian AV, Bakfiš GL, Blafl HR et al. NHLBI Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The 7th Report of the Joint National Committee on Prevention Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003; 289: 2560-2572.

8. Grundy SM, Denke MA. Dietary influences on serum lipids and lipoproteins. J Lipid Res 1990; 31: 1149-1172.

9. Klatsky AL. Moderate drinking and reduced risk of heart disease. Alcohol Res Health 1999; 23: 15-24.

10. Rosolová H, Šimon J, Šefrna F. Impact of cardiovascular risk factors on morbidity and mortality in Czech middle-aged men: Pilsen Longitudinal Study. Cardiology 1994; 85: 61-68.

11. Petrlova B, Rosolova H, Hess Z, Podlipny J, Simon J. Depressive Disorders and the Metabolic Syndrome of Insulin Resistance. Semin Vasc Med 2004; 4: 161-165.

12. Hess Z, Podlipny J, Rosolova H et al. Depression as one of Risk Factors of the Metabolic Syndrome. In: Progress in Metabolic Syndrome Research. New York: Nova Science Publishers 2006 (přijato do tisku).

13. Bonnet F, Irving K, Terra JL et al. Depressive symptoms are associated with unhealthy lifestyles in hypertensive patiens with metabolic syndrome. J Hypertens 2005; 23: 611-617.

Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account