Hypertension

Boston, MA—Expect new national guidelines for the management of hypertension (HTN) to back away from recommending a target blood pressure (BP) of <130/80 mm Hg in patients with diabetes and/or chronic kidney disease (CKD), according to George Bakris, MD, Professor of Medicine at the University of Chicago and Director of the Comprehensive Hypertension Center, Chicago, IL, who discussed the new guidelines at the 2012 Cardio­metabolic Congress.

Munich, Germany—New prognostic markers of hypertension were presented at the 2012 European Society of Cardiology Congress. Roland E. Schmieder, MD, Head of the Clinical Unit of Hypertension and Vascular Medicine, Erlangen University Hospital in Nürnberg, Germany, discussed the results of 3 studies that “identified prognostic markers in hypertensive patients.” These markers include blood pressure (BP) variability, low testosterone levels, and treatment-resistant hypertension.

Chicago, IL—The long-awaited update of the hypertension treatment guidelines, the Eighth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-8), will be published at the end of 2012. The previous guidelines (JNC-7) were last published in 2003.

Chicago, IL—Combination therapy from the start should be considered for all patients in whom pharmacotherapy is chosen for the treatment of hypertension, said Kenneth A. Jamerson, MD, Professor of Medicine, University of Michigan Health System, Ann Arbor, at the 2012 American College of Cardiology meeting.

In high-risk patients, combining an angiotensin-converting enzyme (ACE) inhibitor with amlodipine is superior to diuretic-based combinations, he said, and in low-risk patients, combination therapy from the outset achieves faster blood pressure (BP) control.

Chicago, IL—Patients with uncontrolled hypertension who reported blood pressure (BP) readings to their physicians through a web-based portal received more frequent medication adjustments and more timely treatment decisions compared with a group of patients with hypertension who had only conventional routine office visits, according to a study presented at the 2012 American College of Cardiology meeting.


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