Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney

The knowledge of each patient’s global risk profile is a prerequisite for effective therapeutic strategies in primary hypertension. Detecting the presence of subclinical organ damage at the cardiac, vascular, and renal levels is key for stratifying cardiovascular risk and may also be helpful in choo...

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Main Authors: Francesca Viazzi, Giovanna Leoncini, Roberto Pontremoli
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2013/542646
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author Francesca Viazzi
Giovanna Leoncini
Roberto Pontremoli
author_facet Francesca Viazzi
Giovanna Leoncini
Roberto Pontremoli
author_sort Francesca Viazzi
collection DOAJ
description The knowledge of each patient’s global risk profile is a prerequisite for effective therapeutic strategies in primary hypertension. Detecting the presence of subclinical organ damage at the cardiac, vascular, and renal levels is key for stratifying cardiovascular risk and may also be helpful in choosing antihypertensive agents and in monitoring the effectiveness of treatment. A systematic, in-depth search for subclinical organ damage, however, may be difficult to carry out because of logistic and economic problems related to the high prevalence of hypertension in the population. Renal abnormalities such as microalbuminuria and reduction in glomerular filtration rate have proven to be powerful predictors of cardiovascular and renal outcome. Thanks to their relatively low cost and wide applicability, more widespread use of these tests in the diagnostic workup will help detect subsets of patients at greater risk for whom additional preventive and therapeutic treatment is advisable.
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spelling doaj-art-a7aa258122fb4bf1aef067e78fc77d2f2025-02-03T05:46:20ZengWileyInternational Journal of Hypertension2090-03842090-03922013-01-01201310.1155/2013/542646542646Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the KidneyFrancesca Viazzi0Giovanna Leoncini1Roberto Pontremoli2Università Degli Studi e I.R.C.C.S. Azienda Ospedaliera Universitaria San Martino-IST, Istituto Nazionale per la Ricerca sul Cancro, 16125 Genoa, ItalyUniversità Degli Studi e I.R.C.C.S. Azienda Ospedaliera Universitaria San Martino-IST, Istituto Nazionale per la Ricerca sul Cancro, 16125 Genoa, ItalyUniversità Degli Studi e I.R.C.C.S. Azienda Ospedaliera Universitaria San Martino-IST, Istituto Nazionale per la Ricerca sul Cancro, 16125 Genoa, ItalyThe knowledge of each patient’s global risk profile is a prerequisite for effective therapeutic strategies in primary hypertension. Detecting the presence of subclinical organ damage at the cardiac, vascular, and renal levels is key for stratifying cardiovascular risk and may also be helpful in choosing antihypertensive agents and in monitoring the effectiveness of treatment. A systematic, in-depth search for subclinical organ damage, however, may be difficult to carry out because of logistic and economic problems related to the high prevalence of hypertension in the population. Renal abnormalities such as microalbuminuria and reduction in glomerular filtration rate have proven to be powerful predictors of cardiovascular and renal outcome. Thanks to their relatively low cost and wide applicability, more widespread use of these tests in the diagnostic workup will help detect subsets of patients at greater risk for whom additional preventive and therapeutic treatment is advisable.http://dx.doi.org/10.1155/2013/542646
spellingShingle Francesca Viazzi
Giovanna Leoncini
Roberto Pontremoli
Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
International Journal of Hypertension
title Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_full Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_fullStr Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_full_unstemmed Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_short Global Cardiovascular Risk Assessment in the Management of Primary Hypertension: The Role of the Kidney
title_sort global cardiovascular risk assessment in the management of primary hypertension the role of the kidney
url http://dx.doi.org/10.1155/2013/542646
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