2017, Number 3
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Arch Med Fam 2017; 19 (3)
Hypertension in Obese Patients
Rubio GAF, Narváez RJL
Language: Spanish
References: 39
Page: 69-80
PDF size: 158.87 Kb.
ABSTRACT
Hypertension and obesity usually cluster in the same patient; such association increases the risk for the deve-lopment of diabetes mellitus, coronary heart disease and cardiac failure. Hypertension control in obese pa-tients must be the top priority for prevention of cardiac and renal complications. It is now recommended to start drug therapy with an inhibitor of the renin-angiotensin system to reduce the risk of progression to diabetes mellitus. However, most patients require combinations of antihypertensive agents to reach the recommended goals. In this paper we review some advances in the pathophysiology of hypertension in obese patients, and in the therapeutic strategies in the management of those patients.
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