Hypertension is a condition that is responsible for 50% of all deaths from stroke and heart disease worldwide. If left uncontrolled, hypertension can also cause cardiac arrhythmias, heart failure, and vision loss. The risk of complications is generally greater if other diseases or conditions that affect the blood vessels are present (diabetes mellitus, high cholesterol, smoking).
\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”10″ text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” gradient_type=”default” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][split_line_heading animation_type=”line-reveal-by-space” font_style=”h3″ text_color=”#3E55A5″ line_reveal_by_space_text_effect=”default” content_alignment=”default” mobile_content_alignment=”inherit” link_target=”_self” text_content=”Diagnosis \u2013 Monitoring (measurement at the doctor's office):” text_direction=”default”][\/split_line_heading][vc_column_text css=”” text_direction=”default”]\n
Depends on cardiovascular risk, estimated long-term benefit, and organ damage due to hypertension.<\/p>\n
Stage \u2265 2 hypertension:<\/strong><\/p>\n Immediate initiation of drug therapy is recommended. Diastolic pressure:<\/p>\n < 80 mmHg (for everyone) If BP remains uncontrolled with a combination of two drugs, a combination of three drugs is recommended, preferably in one pill. Penelope Rafouli-Stergiou, MD, PhD<\/strong><\/p>\n Supervisor \u2013 Scientific Director of the Cardiology Department, Therapis General Hospital<\/strong><\/p>\n Specialization in Cardiovascular Imaging (EACVI, CMR level 3 certified)<\/strong><\/p>\n Book your appointment today at 210 729 1111. [vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” gradient_type=”default” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″…<\/p>\n","protected":false},"author":1,"featured_media":8216,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[119],"tags":[],"class_list":{"0":"post-8751","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medical-articles"},"acf":[],"_links":{"self":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts\/8751","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/comments?post=8751"}],"version-history":[{"count":2,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts\/8751\/revisions"}],"predecessor-version":[{"id":8753,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts\/8751\/revisions\/8753"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/media\/8216"}],"wp:attachment":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/media?parent=8751"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/categories?post=8751"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/tags?post=8751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”10″ text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” gradient_type=”default” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][split_line_heading animation_type=”line-reveal-by-space” font_style=”h3″ text_color=”#3E55A5″ line_reveal_by_space_text_effect=”default” content_alignment=”default” mobile_content_alignment=”inherit” link_target=”_self” text_content=”Nutrition” text_direction=”default”][\/split_line_heading][vc_column_text css=”” text_direction=”default”]Systolic pressure:<\/p>\n\n
\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”10″ text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” gradient_type=”default” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][split_line_heading animation_type=”line-reveal-by-space” font_style=”h3″ text_color=”#3E55A5″ line_reveal_by_space_text_effect=”default” content_alignment=”default” mobile_content_alignment=”inherit” link_target=”_self” text_content=”What does the medication include?” text_direction=”default”][\/split_line_heading][vc_column_text css=”” text_direction=”default”]\nCombination of two drugs in most patients, preferably as a single pill. Exceptions are frail elderly patients and those with low-risk, grade 1 hypertension (especially if they have <150 mmHg).
\n[\/vc_column_text][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”6639″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”10″ text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” gradient_type=”default” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text css=”” text_direction=”default”]\nIt is recommended that preferred combinations include an angiotensin-converting enzyme inhibitor (ACEi) or an angiotensin II receptor antagonist (ARB), together with a calcium channel blocker (CCB) or a diuretic, but other combinations of the five main classes (ACEi, ARB, beta-blocker, CCB, thiazide\/thiazide-like diuretic) may also be used .
E.g. Triatec\/Renitec or Olartan\/Aprovel\/Diovan, together with Amlopen (combination: Orizal, Exforge) or a diuretic (co-Renitec, Olartan plus).<\/p>\n
If BP remains uncontrolled with a combination of three drugs, the addition of spironolactone (Aldactone), or other diuretics such as amiloride (Frumil\/Moduretic), alpha-blockers or beta-blockers (Concor\/Lopresor\/Lobivon), or clonidine (Catapresan).<\/p>\n
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