Treatment of hypertension with ACE inhibitors as first step: pharmacologic and clinical considerations

Détails

ID Serval
serval:BIB_CBA63F099A59
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Treatment of hypertension with ACE inhibitors as first step: pharmacologic and clinical considerations
Périodique
Journal of Cardiovascular Pharmacology
Auteur(s)
Brunner  H. R., Waeber  B., Nussberger  J.
ISSN
0160-2446 (Print)
Statut éditorial
Publié
Date de publication
1987
Volume
10 Suppl 7
Pages
S36-42
Notes
Journal Article
Review
Résumé
A stepped-care approach to the treatment of hypertension has been developed to provide some practical guidelines for practicing physicians. Obviously, only drugs that are effective as monotherapy, and that are particularly well tolerated and safe, can be recommended for the use in the first step. In this discussion, evidence is provided in favor of using ACE inhibitors as first-step agents. They are effective in a large fraction of hypertensive patients when given as monotherapy and they are well tolerated even in the presence of associated diseases. They have a favorable hemodynamic profile, induce no tolerance, and can be combined with almost any other drug. They elicit few side effects, many of which are due to inadequate handling of the agents by the physician, and they appear to provide in general a particularly good quality of life to the patient.
Mots-clé
Angiotensin-Converting Enzyme Inhibitors/adverse effects/pharmacology/*therapeutic use Animals Cardiac Output/drug effects Drug Interactions Drug Tolerance Humans Hypertension/*drug therapy/physiopathology Posture Sodium/metabolism
Pubmed
Création de la notice
05/03/2008 16:41
Dernière modification de la notice
20/08/2019 15:46
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