High normal blood pressure - clinical fact or myth?

Filip Ostrowski; Łukasz Artyszuk; Jacek Lewandowski; Zbigniew Gaciong

Vol 12, No 5 (2008)

Review paper

Published online: 2008-10-12

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High normal blood pressure - clinical fact or myth?

Filip Ostrowski, Łukasz Artyszuk, Jacek Lewandowski, Zbigniew Gaciong

Nadciśnienie tętnicze 2008;12(5):374-381.

Vol 12, No 5 (2008)

REVIEV

Published online: 2008-10-12

Abstract

During last decade, an increased interest in the clinical significance of high normal blood pressure has arisen. Its prevalence is estimated at around 30% and is associated with increased cardiovascular risk. Other cardiovascular risk factors, including metabolic syndrome, are also related to high normal blood pressure values. According to ESH/ /ESC guidelines, lifestyle modifications alone should be implemented in patients with high normal blood pressure, unless it coexists with renal or cardiovascular diseases. Current data regarding the necessity of pharmacotherapy in patients with high normal blood pressure and low cardiovascular risk are unconvincing.