Hhl@'
Ha
trElEffi
Hrft^fYfiffi4'
wffi#E#fffi
iETE
ffi
ftFW,,
E*rF.-ftt=r=ffilg)fi
f!)6ffi
+'
16
,\HH
H
rH-
w
TEGH!-#.ffi fr
f&t*,
H+&Wg4uttrra
H!ffi
it'
Et=
€Fi)F6,\EFE-=-91'"
ffiffrrtElR
'
^A1AL\T4€EIE)E,
'
tetb
-
fr.rtJH'
++EUEIE
H
EGflgfffi '
15rl9t
:'=r=mEs.F.#E+
EDEHtF|Jemls
'
)effiEml4Gg++
[:,1.1
'
EP'f=,L.'i*
,Lrf,l'l'
,L',
EE#-'I?HrF,frlSTffi
'
E#fE
*E#A'
MfrH,Effi.
#
,
fr,AE#Ef!+F€Tl4#-Wr#1iffi#'
EfftFlJEmE
'
)ft.
-
,!'w
'iffi.ft#l?ftEfefFBf.fr
,
tEH4rtlt#t;Efi
'
)d#
€HE# .
^)taE
Xu Guang-Ming
MISTAKES AND STRATEGIES
IN
TREATMENT
OF
HYPERTENSION
The aim of drug therapy
for
hy-
pertension
is
to
use
the
agents
(either
alone or in combination) to return arte-
rial
pressure to normal levels with mini-
mal side
effects.
These agents should
have dilferent site
ol
action.
Since
many effective antihypertensive agents
are available,
a
number of
useful
thera-
peutic regimens have been developed.
A plan of therapy should be suggested
for a patient
with essential hypertension
without contraindications to
specific
agents.
ln
general, there
are only
a
few
patients with whom blood pressure can
not be adequately controlled with the
above
approach.
However,
it
must be
emphasized that only
a
very small frac-
tion
(in
the United States, probably less
than
one{ifth)
of hypertensive patients
is
being treated
effectively.
lt
has been
demonstrated that only
a
small number
of
these failures
is related
to drug
un-
responsiveness. The majority are
re-
lated
to: 'l)
faiure of detection of hyper-
tension at early stage; 2) failure of
in-
stitution
ol
effective treatment of the
asymptomatic hyertensive subjects;
3)
lailure
of
the asymptomatic hyperten-
sive
subjects
to
adhere to
therapy.
ln
order
to
improve
this
deficiency, wide-
spread screening
lor
hypertension
is
necessary, and patients
must be edu-
cated to continue treatment once
and
effective regimen required
for a
particu-
lar patient has been
identified.
Side
etfect ol treatment
must
be
minimized
or counteracted
in
order to obtain the
patients' continued
cooperation.
ln ad-
dition, general measures including
re-
lief
of stress, control of diet, regular ex-
ercise etc. should
be
employed
in
the
treatment of hypertension.
€ffi4fi.l*'4+;f+B6at#ffs
,
ffH,[trEBE+T
1i&,re,)
,
FfrD}
BP'ftrEdtrlEE
EE
ffi
iB
H,
ffi
).0t
"I
4
!1
fr.4+
4"I6zEl*€
" €Ffi
FJ'F'E
R"
iEffiA\
4W.'/XE
: HrtuE,B,#
ffi+tr€Snlj€-trtr,E
'
ttrt
I#JE2
IA
,
?rtF&|JE-7^mE
"
ffi,^.€ffiEE#-
,E.ffiF#-,
T
AE++
Z u
tEtu
YA
ffi '
€#I-ffi./E
AffiE
'
84.-,fEffiHftt€ME
ffilLs-F'trJUKT "'F.+N,
f+*HH
-m.EFJ€ri,r.
-
xffi
-
F+E*tsH
#sAoHg
"
Effi#Jt&',txE ,
?6)tr8fr8
ffiqffi
[:,L.t,
FpfH,L.
.
R,L.f,E
'tr,1.
, F.HrAffin
FgEbrtEIffirE
&€gEFffi+FE#|JFg
"
€ffi^iE{Etrrflft#_tt*
,Ert
EE
#-(+#-EF.#,
ffi
+4*.rn'
IE
fr
'F.IIH-WTE-'+H,
AIE
s
rF,&;,r
tlE
IF.vs
tP.&s,
ffi@4|
tu
,1.
-
Eff
-
ts€f4.ffi€trlL#Wft
'
TEfltrffiM4+
"
iEffiffrF;F-#'-n*E:
ER#-4A
frIF,trtrETW ,
trI#.ffiAEre*E
'
MI,€EV.#,
&,8
EW
+.H!
+F
€_tr
ffi#Wr
#11;E
#'
4trr9 ffi,#+'Zr
F"
fiE4fR*FlAll€
,
Nf,'AF
HIF+
1FW'*'E#
"
HrcffiffiFtrI
(iEfffi'f'fiAF.
-EJi,-OE
4S'
rrc#,+r,'
tH+
+)
,^ftCEWE|J€m,lS'-*
tE&f+l
nR#
,
rlt,FFh
tE
tr
i6
&,#
E+.^i61*'
fr.tr"fr,Al1tu
38
