open access

Vol 3, No 4 (2002): Practical Diabetology
Review articles (submitted)
Published online: 2002-09-25
Get Citation

Treatment of arterial hypertension in obese subjects

Stanisław Czekalski, Andrzej Oko
Diabetologia Praktyczna 2002;3(4):213-218.

open access

Vol 3, No 4 (2002): Practical Diabetology
Review articles (submitted)
Published online: 2002-09-25

Abstract

All over the world, the increasing incidence of obesity, which, particularly in the abdominal type, is associated with arterial hypertension. In the development of hypertension in obese persons, increased sympathetic activity and hyperinsulinemia play particular role. The gudelines for the treatment of arterial hypertension, based on the results of scientific investigations, were not prepared as yet. Numerous indirect evidences suggest that treatment of hypertension in obese persons should follow the same rules as in patients with type 2 diabetes mellitus. Besides body weight reduction and changes of the life style, the pharmacotherapy should be started immediately. The drugs of the first choice are most propably angiotensin converting enzyme inhibitors, angiotensin II receptor antagonists, diuretics in the small doses and nondihydropiridine calcium antagonists. In particular situations, the b-adrenolitics may be beneficial. Effective treatment requires most often use of several hipotensive drugs from different groups. Further studies on the treatment of arterial hypertension in obese persons are needed.

Abstract

All over the world, the increasing incidence of obesity, which, particularly in the abdominal type, is associated with arterial hypertension. In the development of hypertension in obese persons, increased sympathetic activity and hyperinsulinemia play particular role. The gudelines for the treatment of arterial hypertension, based on the results of scientific investigations, were not prepared as yet. Numerous indirect evidences suggest that treatment of hypertension in obese persons should follow the same rules as in patients with type 2 diabetes mellitus. Besides body weight reduction and changes of the life style, the pharmacotherapy should be started immediately. The drugs of the first choice are most propably angiotensin converting enzyme inhibitors, angiotensin II receptor antagonists, diuretics in the small doses and nondihydropiridine calcium antagonists. In particular situations, the b-adrenolitics may be beneficial. Effective treatment requires most often use of several hipotensive drugs from different groups. Further studies on the treatment of arterial hypertension in obese persons are needed.
Get Citation

Keywords

obesity; arterial hypertension; treatment

About this article
Title

Treatment of arterial hypertension in obese subjects

Journal

Clinical Diabetology

Issue

Vol 3, No 4 (2002): Practical Diabetology

Pages

213-218

Published online

2002-09-25

Bibliographic record

Diabetologia Praktyczna 2002;3(4):213-218.

Keywords

obesity
arterial hypertension
treatment

Authors

Stanisław Czekalski
Andrzej Oko

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