Hypertension with concomitant diseases

Treatment of hypertension in patients with concomitant diseases. 

Percent of hypertensive patients with indicated concomitant disease... 

Hypertensive patients with concomitant diseases The (3-blockers are useful in treating conditions that may coexist with hypertension, such as supraventricular tachyarrhythmia, previous myocardial infarction, angina pectoris, glaucoma (applied topically), and migraine headache. 

Overlack A, Adamczak M, Bachmann W, Bonner G, Bretzel RG, Derichs R, Krone W, Lederle RM, Reimann HJ, Zschiedrich H, et al. ACE-inhibition with peri-ndopril in essential hypertensive patients with concomitant diseases. The Perindopril Therapeutic Safety Collaborative Research Group. Am J Med 1994 97(2) 126-34. 

In the search for a role for such exposure, the following questions need to be answered (i) does occupational/environmental exposure to a potential nephrotoxic substance play a direct etiological role in the induction of a particular renal disease, (ii) does the exposure correlate with an increased risk for the progression of renal damage already present in patients with glomerulonephritis, diabetic nephropathy, hypertensive renal disease etc. (iii) dobothpossibihties have to be considered concomitantly or separately ... 

Most patients with hypertension and CKD require drug regimens that include three or more antihypertensive agents to achieve target blood pressure. Blood pressure reductions can be achieved with agents in all antihypertensive classes, and choice should be guided by the individual patient s concomitant disease states. 

Concomitant conditions Use caution in patients with tachycardia, cardiac arrhythmias, hypertension, hypotension, prostatic hypertrophy (particularly in the elderly), or any tendency toward urinary retention, liver or kidney disorders, and obstructive disease of the Gl or GU tract. 

Hypertension of the portal vein, with its numerous intrinsic or acquired causes, may not display any symptoms for several years. Portal hypertension itself is very often a concomitant symptom in a number of liver diseases. (65) It can lead to severe or even fatal complications. For this reason, hepatological investigation frequently needs to explore (7.) the presence of portal hypertension, (2.) its aetiology, (i.) its severity, and (4.) potentially successful treatment of the underlying causes - in order to produce a favourable effect on portal hypertension. (22, 23, 33, 37, 38, 69, 158)... 

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