Cardiovascular risk stratification according to the 2003 ESH-ESC guidelines in uncomplicated patients with essential hypertension: comparison with the 1999 WHO/ISH guidelines criteria

Blood Pressure
C CuspidiA Zanchetti

Abstract

The 2003 European Society of Hypertension/European Society of Cardiology (ESH-ESC) guidelines have recently proposed a new risk stratification scheme for estimating absolute risk for cardiovascular disease. At variance from the previous 1999 World Health Organization-International Society of Hypertension (WHO/ISH) guidelines, the new criteria include some additional risk factors such as obesity, abnormal high-density (HDL) or low-density lipoprotein (LDL) cholesterol levels and define a slight increase in creatinine and microalbuminuria as signs of target organ damage (TOD). The aim of the study was to assess overall cardiovascular risk in uncomplicated hypertensives according to the 2003 ESH-ESC guidelines comparing this approach with the stratification scheme of the 1999 WHO/ISH guidelines. Four hundred and twenty-five never-treated grade 1 and 2 essential hypertensive patients, referred for the first time to our outpatient clinic without diabetes mellitus, were included in the study. They underwent the following procedures: (i) repeated clinical blood pressure measurements; (ii) routine blood chemistry and urine analysis; (iii) electrocardiogram; (iv) 24-h urine collection for microalbuminuria; (v) echocardiogram; and (vi) c...Continue Reading

References

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Citations

Feb 14, 2021·European Journal of Preventive Cardiology·Pierre-Yves CourandPierre Lantelme
Jun 4, 2010·Journal of Hypertension·M Lorenza MuiesanEnrico Agabiti Rosei
Apr 14, 2006·Journal of Hypertension·Mika J KastarinenErkki A Vartiainen
Sep 20, 2007·Journal of Cardiovascular Pharmacology·Nipavan ChiamvimonvatBruce D Hammock

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