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β-受体阻滞剂在高血压治疗再认识(Recognition of beta blocker in the treatment of hypertension)
β-受体阻滞剂在高血压治疗再认识(Recognition of beta blocker in the treatment of hypertension) During the European hypertension (ESH) conference and the ESC conference in 2009, the president of the European Society of hypertension, Italy Professor Mancia described the major revisions to the guidelines and said the complete, up-to-date guidelines will be published in the October 2009 issue of the Journal hypertension. Although beta receptor antagonists test negative results such as LIFE and ASCOT, but also have positive results such as HAPPHY, IPPPSH, STOP, INVEST, and UKPDS. All the evidence suggests that different patients with different results, Mancia said, for example, the prevention of stroke, beta blockers are inferior to calcium antagonists, but the prevention of congestive heart failure, beta blockers are better than calcium antagonists, and other drug effects. In fact, reducing the emphasis on gradual treatment (not recommending routine antihypertensive therapy as first-line or second-line therapy) is a central element of the guidelines update. Since 2006 the British NICE guidelines will beta blockers from the first-line treatment program, beta receptor antagonists in the treatment of hypertension has attracted much attention and discussion of adverse beta receptor antagonists more involved in the influence on glucose metabolism and reduce stroke. China cardiovascular experts with Chinese hypertension patients since beta blockers in experience are discussed based on literature review on different beta blockers differences on pharmacokinetics and pharmacodynamics, clinical evidence is different, since most previous studies are limited to a soluble receptor antagonist atenolol, beta receptor antagonists on controversial initiation and atenolol, which are commonly used as new metoprolol lipophilic beta receptor antagonists in the treatment of hypertension China nearly 15 years of history, the accumulation of a large number of application experience, for the prevention and tre
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