2010, Number 591
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Rev Med Cos Cen 2010; 67 (591)
Uso de antagonistas de receptores de angiotensina para el tratamiento de la prehipertension
Bolaños RH
Language: Spanish
References: 20
Page: 77-80
PDF size: 233.46 Kb.
ABSTRACT
Prehypertension is considered a precursor of stage 1 hypertension and a predictor of excessive cardiovascular risk. That’s why the Trial of Preventing Hypertension investigated whether pharmacologic treatment prevents or postpones stage 1 hypertension. Participants were randomly assigned to receive two years of candesartan or placebo, followed by two years of placebo for all. When a participant reached the study end point of stage 1 hypertension, treatment with antihypertensive agents was initiated. Both the candesartan group and the placebo group were instructed to make changes in lifestyle to reduce blood pressure throughout the trial. Over a period of four years, stage 1 hyperten-sion developed in nearly two thirds of patients with untreated prehypertension(the placebo group). Treatment of prehypertension with candesartan appeared to be well tolerated and reduced the risk of incident hypertension during the study period. Thus, treatment of prehypertension appears to be feasible.
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