par Leeman, Marc
Référence Revue médicale de Bruxelles, 15, 4, page (236-240)
Publication Publié, 1994
Article révisé par les pairs
Résumé : Guidelines for the management of high blood pressure have been recently actualized by several expert pannels. These reports display many common features: 1) non-pharmacological or pharmacological therapy should be initiated only after careful evaluation of hypertension (including repeated measurements of blood pressure) and associated cardiovascular risk factors; 2) life-style modifications should always be recommended: weight loss when overweight, regular physical activity, sodium restriction, moderation of alcohol consumption, smoking cessation; 3) initial drug therapy: all reports advocate the use of a low-dose diuretic or of a β-blocker. According to contraindications or concomitant disease(s), other drugs can be used as initial therapy: converting enzyme inhibitors, calcium antagonists, α1-blockers, α-β-blockers.