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Revista Română de CardiologieVol. XXII, Nr. 3, <strong>2007</strong>Anthony M. Heagerty h , Sverre E. Kjeldsen i , StephaneLaurent j , Krzysztof Narkicwicz k , Luis Ruilope l , AndrzejRynkiewicz m , Roland E. Schmieder n , Harry A.J.Struijker Boudier o , Alberto Zanchetti p<strong>Ghidul</strong> <strong>pentru</strong> <strong>managementul</strong> <strong>hipertensiunii</strong> <strong>arteriale</strong> <strong>2007</strong>Ghid al Societăţii Europene de CardiologieaUniversitatea Milano-Bicocca, Ospedale San Gerardo,Milano, Italia; b Departamentul de Sănătate Publică,Spi talul Universitar, Ghent, Belgia; cUniversitateaGlasgow, Glasgow, Marea Britanie; dInstitutul deMe di cină Experimentală Clinică, Praga, RepublicaCehă; e Universitatea Catolică, Leuven, Belgia; f Universitatea La Sapienza, Policlinica Umberto 1, Roma,Italia; g Universitatea Milano-Bicocca, Ospedale SanGerardo, Milano, Italia; h Universitatea Manchester,Manchester, Marea Britanie; iSpitalul UniversitarUllevaal, Oslo, Norvegia; j Departamentul de Farmacologie, Spitalul European Georges Pompidou, Paris,Franţa; k Departamentul de Hipertensiune şi Diabetologie,Universitatea de Medicină Gdansk, Gdansk,Polonia; lSpitalul 12 Octombrie, Madrid, Spania;mDepar tamentul de Cardiologie, Universitatea deMedi cină Gdansk, Gdansk, Polonia; n MedizinischeKlinik, Universitatea Erlangen Nuernberg, Erlangen,Germania; o Departamentul de Farmacologie, UniversitateaLimburg Maastricht, Maastricht, Olanda; p UniversitateaMilano, Instituto Auxologico Italiano,Milano, Italia.CHEIA BIBLIOGRAFIEICT: trial controlat; GL: opinia ghidurilor/experţilor;MA: meta-analiză; OS: studiu observaţional; RT: trialrandomizat; RV: review.†<strong>Ghidul</strong> de Management al Hipertensiunii Arteriale este acreditat de către Board-ul European de Acreditare în Cardiologie (EBAC) cu 2 ore de credite externe CME. Fiecareparticipant trebuie să reclame doar acele ore de credit care au fost folosite efectiv <strong>pentru</strong> activitate educţională. EBAC lucrează în conformitate cu standardele de calitate ale ConsiliuluiEuropean de Acreditare <strong>pentru</strong> Educaţie Medicală Continuă (EACCME), care este o instituţie a Uniunii Europene a Speciliştilor Medicali (UEMS). În conformitate cughidurile EBAC/EACCME, toţi autorii participanţi în acest program şi-au dezvăluit potenţialele conflicte de interese care ar putea interfera cu articolul. Comitetul de Organizareeste răspunzător să se asigure că toate potenţialele conflicte de interese relevante sunt declarate participanţilor anterior activităţilor CME.BIBLIOGRAFIE1. Guidelines Sub-Committee. 1993 Guidelines for the management ofmild hypertension: memorandum from World Health Organization/International Society of Hypertension meeting. J Hypertens 1993;11:905-918. GL.2. Guidelines Sub-Committee. 1999 World Health Organization/International Society of Hypertension Guidelines for the managementof hypertension. J Hypertens 1999; 17:151-183. GL.3. Guidelines Committee 2003. European Society of Hypertension -European Society of Cardiology guidelines for the management ofarte rial hypertension. J Hypertens 2003;21:1011-1053. GL.4. Top 10 papers published. The Scientist 2005;19:26. OS.5. ESH/ESC Hypertension Practice Guidelines Committee. Practice guidelines for primary care physicians: 2003 ESH/ESC hypertension gui delines.J Hypertens 2003;21:1779-1786. GL.6. Simoons ML, van der Putten N, Wood D, Boersma E, Bassand JP. TheCardiology Information System: the need for data standards for integration of systems for patient care, registries and guidelines for clinicalpractice. Eur Heart J 2002;23:1148-1152. GL.7. MacMahon S, Peto R, Cutler J, Collins R, Sorlie P, Neaton J, Abbott R,Godwin J, Dyer A, Stamler J. Blood pressure stroke coronary heartdisease. Part 1 prolonged differences in blood pressure: prospectiveobservational studies corrected for the regression dilution bias. Lancet1990;335:765-774. MA.8. Report of the Joint National Committee on Detection Evaluation. Treatment of High Blood Pressure: a cooperative study. JAMA 1977; 237:255-261. GL.9. The 1980 report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1980;140:1280-1285. GL.10. Collins R, Peto R, MacMahon S, Herbert P, Fieback NH, Eberlein KA,Godwin J, Qizilbash N, Taylor JO, Hennekens CH. Blood pressurestroke coronary heart disease. Part 2, short-term reductions in bloodpressure: overview of randomised drug trials in their epidemiologicalcontext. Lancet 1990;335:827-839. MA.11. Prospective Studies Collaboration. Age-specific relevance of usual bloodpressure to vascular mortality: a meta-analysis of individual data forone million adults in 61 prospective studies. Lancet 2002;360:1903-1913. MA.12. European cardiovascular disease statistics, British Heart Foundation2000 www.dphpc.ox.ac/UKbhfhprg. RV.13. Kannel WB. Blood pressure as a cardiovascular risk factor: preventionand treatment. JAMA 1996;275:1571-1576. OS.14. Levy D, Larson MG, Vasan RS, Kannel WB, Ho KK. The progression fromhypertension to congestive heart failure. JAMA 1996;275:1557-1562.OS.15. Criqui MH, Langer RD, Fronek A, Feigelson HS, Klauber MR, McCann TJ,Browner D. Mortality over a period of 10 years in patients with peripheralarterial disease. N Engl J Med 1992; 326:381 -386. OS.16. Klag MJ, Whelton PK, Randall BL, Neaton JD, Brancati FL, Ford CE,Shulman NB, Stamler J. Blood pressure and end-stage renal disease inmen. N Engl J Med 1996;334:13-18. OS.17. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J.Global burden of hypertension: analysis of worldwide data. Lancet2005;365:217-223. OS.18. Martiniuk AL, Lee CM, Lawes CM, Ueshima H, Suh I, Lam TH, Gu D,Feigin V, Jamrozik K, Ohkubo T, Woodward M, for the Asia-PacificCohort Studies Collaboration. Hypertension: its prevalence and po pulation-attributablefraction for mortality from cardiovascular di sea sein the Asia-Pacific region. J Hypertens <strong>2007</strong>;25:73-79. OS.19. Wolf-Maier K, Cooper RS, Banegas JR, Giampaoli S, Hense HW, Joffres M,Kastarinen M, Poulter N, Primatesta P, Rodriguez-Artalejo F, Stegmayr B,Thamm M, Tuomilehto J, Vanuzzo D, Vescio F. Hypertension prevalenceand blood pressure levels in 6 European countries, Canada, and theUnited States. JAMA 2003;289:2363-2369. OS.20. Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ, ComparativeRisk Assessment Collaborating Group. Selected major risk factors andglobal and regional burden of disease. Lancet 2002;360:1347-1360.RV.21. Franklin SS. Ageing and hypertension: the assessment of blood pressureindices in predicting coronary heart disease. J Hypertens 1999;17(Suppl5):S29-S36. RV.22. Benetos A, Zureik M, Morcet J, Thomas F, Bean K, Safar M, DucimetiereP, Guize L. A decrease in diastolic blood pressure combinedwith an increase in systolic blood pressure is associated with a hi-

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