The hypertension associated with cardiovascular disease

Coronary heart disease in hypertensive patients with cardiovascular disease morbidity and mortality rate is very high. Buck help to reduce this risk. For such patients should avoid excessive hypotension, tachycardia to trigger a reaction. For the patients with myocardial infarction may choose not to be sympathetic activity of β - receptor antagonist. If the secondary after myocardial infarction left ventricular systolic dysfunction, angiotensin converting enzyme inhibitors particularly effective. Left ventricular hypertrophy is an independent cardiovascular disease risk factors. Most of antihypertensive drugs can reduce the left ventricular chamber size and wall thickness (except hydralazine and minoxidil, and other direct vasodilator outside). Some studies indicate that angiotensin converting enzyme inhibitors on more effective reduction of left ventricular hypertrophy, which may be related to angiotensin-converting enzyme inhibitor in the role of renin - angiotensin-related. It was not immediately clear whether the reduction of left ventricular hypertrophy alone can reduce hypertension morbidity and mortality. Hypertension is to promote progress in congestive heart failure one of the important causes. Alone or angiotensin converting enzyme inhibitors and diuretics, digoxin or combination also effectively reduce congestive heart failure morbidity and mortality. If patients can not tolerate angiotensin converting enzyme inhibitors, also can be reached triazine hydralazine and isosorbide the sugar alcohol combined. Recent studies show that angiotensin receptor antagonist on the treatment of congestive heart failure and effective.