Hypertension and nephrology - 2010;14(04)

Hypertension and nephrology

SEPTEMBER 09, 2010

[On the safety of angiotensin-receptor blockers - A new attack on this drug class]

FARSANG Csaba

[Up until now, angiotensin-receptor blockers have been considered to be the safest cardio-, cerebro-, reno- and vasculoprotective drugs. In a previous metaanalysis, ARBs were accused of increasing the risk of myocardial infarction, but a number of metaanalyses and randomised, controlled trials have disproved this hypothesis. In a recent metaanalysis, ARBs were associated with an increased risk of tumours. The author reviews this issue, discusses the flaws of the above metaanalysis and, on... tovább »

Hypertension and nephrology

SEPTEMBER 09, 2010

[The importance of assessing subclinical organ damage in risk prediction of hypertensive patients]

JÁRAI Zoltán, GODINA Gabriella

[As the cardiovascular risk influences the quality and intensity of blood pressure lowering therapy, the goal blood pressure values and the frequency of medical control of hypertensive patients, as well as global risk assessment has an important role in the management of hypertension. In the last couple of years many data have been accumulated showing the poor prognostic value of traditional cardiovascular risk factors. This is the reason why recent Hungarian and international guidelines on the... tovább »

Hypertension and nephrology

SEPTEMBER 09, 2010

[Evaluation of arterial stiffness in children. Guidelines for the practice]

REUSZ György, SZABÓ J. Attila, KIS Éva, CSEPREKÁL Orsolya

[Assessment of early atherosclerosis and decreased arterial elasticity to recognise the cardiovascular dysfunction in high-risk patients has gained importance in the past decade. Since 1990, more than 630 papers have been published in the adult and pediatric literature. Methods of early risk assessment in adults are well determined in international recommendations. The aim of the present work is to review the suggestions of the American Heart Association helping us to find the most appropriate... tovább »

Hypertension and nephrology

SEPTEMBER 09, 2010

[Update on diagnostics and therapy of the renal artery stenosis in 2010]

KISS István, FARKAS Katalin, KOLOSSVÁRY Endre, KERKOVITS Lóránt

[Results of epidemiological studies indicate the atherosclerotic renal artery stenosis is a common condition, thus development of its diagnostics and therapy has significant importance. Renal artery narrowing can cause hypertension, renal function decline, cardiac failure and the increased cardiovascular risk seriously affects survival perspective of the patients. The evolution of MR technology has a prominent role in renovascular diagnostics. Beyond the detection of arterial stenosis this... tovább »

Hypertension and nephrology

SEPTEMBER 09, 2010

[Diuretikumok hypertoniában - 2010]

BARNA István

[Diuretics (especially thiazide derivatives and indapamide that also has vasodilator efficacy) are considered as first line treatment in hypertension. They are particularly favourable in the treatment of overweight, elderly, isolated systolic hypertensive patients suffering from type 2 diabetes and metabolic syndrome or in mild renal and cardiac insufficiency. They can be ideally combined with other antihypertensive agents (primarily with angiotensin-converting enzyme inhibitors, angiotensin... tovább »