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Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney

The knowledge of each patient's global risk profile is a prerequisite for effective therapeutic strategies in primary hypertension. Detecting the presence of subclinical organ damage at the cardiac, vascular, and renal levels is key for stratifying cardiovascular risk and may also be helpful in...

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Detalles Bibliográficos
Autores principales: Viazzi, Francesca, Leoncini, Giovanna, Pontremoli, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745834/
https://www.ncbi.nlm.nih.gov/pubmed/23984048
http://dx.doi.org/10.1155/2013/542646
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author Viazzi, Francesca
Leoncini, Giovanna
Pontremoli, Roberto
author_facet Viazzi, Francesca
Leoncini, Giovanna
Pontremoli, Roberto
author_sort Viazzi, Francesca
collection PubMed
description The knowledge of each patient's global risk profile is a prerequisite for effective therapeutic strategies in primary hypertension. Detecting the presence of subclinical organ damage at the cardiac, vascular, and renal levels is key for stratifying cardiovascular risk and may also be helpful in choosing antihypertensive agents and in monitoring the effectiveness of treatment. A systematic, in-depth search for subclinical organ damage, however, may be difficult to carry out because of logistic and economic problems related to the high prevalence of hypertension in the population. Renal abnormalities such as microalbuminuria and reduction in glomerular filtration rate have proven to be powerful predictors of cardiovascular and renal outcome. Thanks to their relatively low cost and wide applicability, more widespread use of these tests in the diagnostic workup will help detect subsets of patients at greater risk for whom additional preventive and therapeutic treatment is advisable.
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spelling pubmed-37458342013-08-27 Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney Viazzi, Francesca Leoncini, Giovanna Pontremoli, Roberto Int J Hypertens Review Article The knowledge of each patient's global risk profile is a prerequisite for effective therapeutic strategies in primary hypertension. Detecting the presence of subclinical organ damage at the cardiac, vascular, and renal levels is key for stratifying cardiovascular risk and may also be helpful in choosing antihypertensive agents and in monitoring the effectiveness of treatment. A systematic, in-depth search for subclinical organ damage, however, may be difficult to carry out because of logistic and economic problems related to the high prevalence of hypertension in the population. Renal abnormalities such as microalbuminuria and reduction in glomerular filtration rate have proven to be powerful predictors of cardiovascular and renal outcome. Thanks to their relatively low cost and wide applicability, more widespread use of these tests in the diagnostic workup will help detect subsets of patients at greater risk for whom additional preventive and therapeutic treatment is advisable. Hindawi Publishing Corporation 2013 2013-07-29 /pmc/articles/PMC3745834/ /pubmed/23984048 http://dx.doi.org/10.1155/2013/542646 Text en Copyright © 2013 Francesca Viazzi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Viazzi, Francesca
Leoncini, Giovanna
Pontremoli, Roberto
Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_full Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_fullStr Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_full_unstemmed Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_short Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_sort global cardiovascular risk assessment in the management of primary hypertension: the role of the kidney
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745834/
https://www.ncbi.nlm.nih.gov/pubmed/23984048
http://dx.doi.org/10.1155/2013/542646
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