Hypertension treatment in patients with metabolic syndrome

Czech version

Authors: M. Souček; I. Řiháček; P. Fráňa; M. Plachý
Authors‘ workplace: II. interní klinika LF MU a FN U sv. Anny v Brně
Published in: Kardiol Rev Int Med 2010, 12(2): 73-76

Overview

The issue of hypertension treatment in patients with MS should be approached as topical, considering the high prevalence of these patients in the population and frequent target organ damage. Non-pharmacological management should be preferred in these patients with pharmacological treatment applied always when the blood pressure levels are 140/90 mmHg and higher. Renin-angiotensin axis blockers (ACE-I, sartans) are the first line choice. When the treatment is insufficient, these agents should be combined with calcium channel blockers, centrally acting agents or, alternatively, a low dose thiazide diuretic or indapamide. The HYVET study provided an evidence on hypertension treatment in advanced age patients.

Keywords:
metabolic syndrome – hypertension – combination therapy

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Article was published in

Cardiology Review

2010 Issue 2