Skip to main content
Top
Published in: Current Cardiovascular Risk Reports 2/2011

Open Access 01-04-2011

The Rise and Fall of Hypertension: Lessons Learned from Eastern Europe

Authors: Agata Bielecka-Dabrowa, Wilbert S. Aronow, Jacek Rysz, Maciej Banach

Published in: Current Cardiovascular Risk Reports | Issue 2/2011

Login to get access

Abstract

Hypertension is a progressive cardiovascular syndrome that arises from many differing, but interrelated, etiologies. Hypertension is the most prevalent cardiovascular disorder, affecting 20% to 50% of the adult population in developed countries. Arterial hypertension is a major risk factor for cardiovascular diseases and death. Epidemiologic data have shown that control of hypertension is achieved in only a small percentage of hypertensive patients. Findings from the World Health Organization project Monitoring Trends and Determinants in Cardiovascular Diseases (MONICA) showed a remarkably high prevalence (about 65%) of hypertension in Eastern Europeans. There is virtually no difference however, between the success rate in controlling hypertension when comparing Eastern and Western European populations. Diagnosing hypertension depends on both population awareness of the dangers of hypertension and medical interventions aimed at the detecting elevated blood pressure, even in asymptomatic patients. Medical compliance with guidelines for the treatment of hypertension is variable throughout Eastern Europe. Prevalence of hypertension increases with age, and the management of hypertension in elderly is a significant problem. The treatment of hypertension demands a comprehensive approach to the patient with regard to cardiovascular risk and individualization of hypertensive therapy.
Literature
1.
go back to reference Bruce Goldfarb. ASH Panel Proposes New Hypertension Definition. 2005; 2: 1–7. Bruce Goldfarb. ASH Panel Proposes New Hypertension Definition. 2005; 2: 1–7.
2.
go back to reference From the Centers for Disease Control and Prevention. Decline in deaths from heart disease and stroke—United States, 1990–1999. JAMA 1999; 282: 724–6.CrossRef From the Centers for Disease Control and Prevention. Decline in deaths from heart disease and stroke—United States, 1990–1999. JAMA 1999; 282: 724–6.CrossRef
3.
go back to reference Mancia G, Grassi G. The new European Society of Hypertension/European Society of Cardiology (ESH/ESC) Guidelines. Ther Adv Cardiovasc Dis. 2008;2(1):5–12.PubMedCrossRef Mancia G, Grassi G. The new European Society of Hypertension/European Society of Cardiology (ESH/ESC) Guidelines. Ther Adv Cardiovasc Dis. 2008;2(1):5–12.PubMedCrossRef
4.
go back to reference Guidelines Subcommittee, World Health Organization-International Society of Hypertension Guidelines for the management of hypertension. J Hypertens 1999; 17: 151–83. Guidelines Subcommittee, World Health Organization-International Society of Hypertension Guidelines for the management of hypertension. J Hypertens 1999; 17: 151–83.
5.
go back to reference Chobanian AV, Bakris GL, Black HR, et al.: Seventh report of the Joint National Committee on Prevention, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42:1206–1252.PubMedCrossRef Chobanian AV, Bakris GL, Black HR, et al.: Seventh report of the Joint National Committee on Prevention, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42:1206–1252.PubMedCrossRef
6.
go back to reference • Mancia G, Laurent S, Agabiti-Rosei E, et al. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. J Hypertens 2009; 27: 2121–58. These are the current guidelines of European Society of Hypertension, and they recommend new borderline issues on hypertension diagnosis and management. PubMedCrossRef • Mancia G, Laurent S, Agabiti-Rosei E, et al. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. J Hypertens 2009; 27: 2121–58. These are the current guidelines of European Society of Hypertension, and they recommend new borderline issues on hypertension diagnosis and management. PubMedCrossRef
7.
go back to reference Marques-Vidal P, Tuomilehto J. Hypertens awareness, treatment and control in the community: is the “rule of halves” still valid? J Hum Hypertens 1997; 11: 213–20.PubMedCrossRef Marques-Vidal P, Tuomilehto J. Hypertens awareness, treatment and control in the community: is the “rule of halves” still valid? J Hum Hypertens 1997; 11: 213–20.PubMedCrossRef
8.
go back to reference Mancia G, Sega R, Milesi C, Cesana S, Zanchetti A. Blood pressure control in the hypertensive population. Lancet 1997; 349: 454–7.PubMedCrossRef Mancia G, Sega R, Milesi C, Cesana S, Zanchetti A. Blood pressure control in the hypertensive population. Lancet 1997; 349: 454–7.PubMedCrossRef
9.
go back to reference MacMahon S, Peto R, Cutler J, et al. Blood pressure, stroke, and coronary heart disease. Part 1. Prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet 1990; 335: 765–74.PubMedCrossRef MacMahon S, Peto R, Cutler J, et al. Blood pressure, stroke, and coronary heart disease. Part 1. Prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet 1990; 335: 765–74.PubMedCrossRef
10.
go back to reference Kannel WB. Blood pressure as a cardiovascular risk factor: prevention and treatment. JAMA 1996; 275: 1571–6.PubMedCrossRef Kannel WB. Blood pressure as a cardiovascular risk factor: prevention and treatment. JAMA 1996; 275: 1571–6.PubMedCrossRef
11.
go back to reference Assmann G, Schulte H. The Prospective Cardiovascular Münster (PROCAM) study: prevalence of hyperlipidemia in persons with hypertension and/or diabetes mellitus and the relationship to coronary heart disease. Am Heart J 1988; 116: 1713–24.PubMedCrossRef Assmann G, Schulte H. The Prospective Cardiovascular Münster (PROCAM) study: prevalence of hyperlipidemia in persons with hypertension and/or diabetes mellitus and the relationship to coronary heart disease. Am Heart J 1988; 116: 1713–24.PubMedCrossRef
12.
go back to reference Walker WG, Neaton JD, Cutler JA, Neuwirth R, Cohen JD. Renal function change in hypertensive members of the Multiple Risk Factor Intervention Trial. Racial and treatment effects. The MRFIT Research Group. JAMA 1992; 268: 3085–91.PubMedCrossRef Walker WG, Neaton JD, Cutler JA, Neuwirth R, Cohen JD. Renal function change in hypertensive members of the Multiple Risk Factor Intervention Trial. Racial and treatment effects. The MRFIT Research Group. JAMA 1992; 268: 3085–91.PubMedCrossRef
13.
go back to reference National High Blood Pressure Education Program Working Group. Arch Intern Med. 1993;153:186–208. National High Blood Pressure Education Program Working Group. Arch Intern Med. 1993;153:186–208.
14.
go back to reference Skoog I, Lernfelt B, Landahl S, et al. 15-year longitudinal study of blood pressure and dementia. Lancet 1996; 347: 1141–5.PubMedCrossRef Skoog I, Lernfelt B, Landahl S, et al. 15-year longitudinal study of blood pressure and dementia. Lancet 1996; 347: 1141–5.PubMedCrossRef
15.
go back to reference Lewington S, Clarke R, Qizilbash N, Peto R, Collins R.; Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360: 1903–13.PubMedCrossRef Lewington S, Clarke R, Qizilbash N, Peto R, Collins R.; Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360: 1903–13.PubMedCrossRef
16.
go back to reference Vasan RS, Larson MG, Leip EP, et al. Impact of high-normal blood pressure on the risk of cardiovascular disease. N Engl J Med 2001; 345: 1291–7.PubMedCrossRef Vasan RS, Larson MG, Leip EP, et al. Impact of high-normal blood pressure on the risk of cardiovascular disease. N Engl J Med 2001; 345: 1291–7.PubMedCrossRef
17.
go back to reference Kjeldsen SE, Reims HM, Fagard R and Mancia G. Hypertension. In: Camm AJ, Luscher TF, Serruys PW. The ESC textbook of cardiovascular medicine. P 271–300. Kjeldsen SE, Reims HM, Fagard R and Mancia G. Hypertension. In: Camm AJ, Luscher TF, Serruys PW. The ESC textbook of cardiovascular medicine. P 271–300.
18.
go back to reference Kannel WB. Update on hypertension as a cardiovascular risk factor. In: Manual of Hypertension. Mancia G (ed.). Churchill Livingstone: London 2002; 4–19. Kannel WB. Update on hypertension as a cardiovascular risk factor. In: Manual of Hypertension. Mancia G (ed.). Churchill Livingstone: London 2002; 4–19.
19.
go back to reference Isomaa B, Almgren P, Tuomi T, et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001; 24: 683–9.PubMedCrossRef Isomaa B, Almgren P, Tuomi T, et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001; 24: 683–9.PubMedCrossRef
20.
go back to reference Cuspidi C, Ambrosioni E, Mancia G, Pessina AC, Trimarco B, Zanchetti A; APROS Investigators. Role of echocardiography and carotid ultrasonography in stratifying risk in patients with essential hypertension: the Assessment of Prognostic Risk Observational Survey. J Hypertens 2002; 20: 1307–14.PubMedCrossRef Cuspidi C, Ambrosioni E, Mancia G, Pessina AC, Trimarco B, Zanchetti A; APROS Investigators. Role of echocardiography and carotid ultrasonography in stratifying risk in patients with essential hypertension: the Assessment of Prognostic Risk Observational Survey. J Hypertens 2002; 20: 1307–14.PubMedCrossRef
21.
go back to reference Anderson KM, Wilson PW, Odell PM, Kannel WB. An updated coronary risk profile. A statement for health professionals. Circulation 1991; 83: 356–62.PubMed Anderson KM, Wilson PW, Odell PM, Kannel WB. An updated coronary risk profile. A statement for health professionals. Circulation 1991; 83: 356–62.PubMed
22.
go back to reference • Cífková R. Epidemiology and risk of hypertension. Arch Med Sci 2009; 5, 2A: S 199–S 211. This article presents the current data on epidemiology and risk of hypertension, including data from Eastern European countries. • Cífková R. Epidemiology and risk of hypertension. Arch Med Sci 2009; 5, 2A: S 199–S 211. This article presents the current data on epidemiology and risk of hypertension, including data from Eastern European countries.
23.
go back to reference Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide prevalence of hypertension: a systematic review. J Hypertens 2004; 22: 11–9.PubMedCrossRef Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide prevalence of hypertension: a systematic review. J Hypertens 2004; 22: 11–9.PubMedCrossRef
24.
go back to reference Wolf-Maier K, Cooper RS, Banegas JR, et al. Hypertension prevalence and blood pressure levels in 6 European countries, Canada and the United States. JAMA 2003; 289: 2363–9.PubMedCrossRef Wolf-Maier K, Cooper RS, Banegas JR, et al. Hypertension prevalence and blood pressure levels in 6 European countries, Canada and the United States. JAMA 2003; 289: 2363–9.PubMedCrossRef
25.
26.
go back to reference Zdrojewski T, Bandosz P, Szpakowski Pet al. The prevalence of major risk factors for diseases of the cardiovascular system in Poland. Test results NATPOL PLUS. Kardiol. Pol. 2004; 61(supl. IV): 15–17. Zdrojewski T, Bandosz P, Szpakowski Pet al. The prevalence of major risk factors for diseases of the cardiovascular system in Poland. Test results NATPOL PLUS. Kardiol. Pol. 2004; 61(supl. IV): 15–17.
27.
go back to reference Tykarski A, Posadzy-Małaczyńska A, Wyrzykowski B et al. Prevalence of hypertension and the effectiveness of its treatment in adults in our country. Results of WOBASZ study. Kardiol. Pol. 2005; 63: S614–S619.PubMed Tykarski A, Posadzy-Małaczyńska A, Wyrzykowski B et al. Prevalence of hypertension and the effectiveness of its treatment in adults in our country. Results of WOBASZ study. Kardiol. Pol. 2005; 63: S614–S619.PubMed
28.
go back to reference Kobalava ZhD, Kotovskaia IuV, Starostina EG et al. Problems of a physician-patient interaction and control of arterial hypertension in Russia. Main results of scientific-practical program ARGUS-2. Kardiologiia. 2007;47(3):38–47.PubMed Kobalava ZhD, Kotovskaia IuV, Starostina EG et al. Problems of a physician-patient interaction and control of arterial hypertension in Russia. Main results of scientific-practical program ARGUS-2. Kardiologiia. 2007;47(3):38–47.PubMed
29.
go back to reference Cífková R, Skodová Z, Lánská V, et al. Trends in blood pressure levels, prevalence, awareness, treatment and control of hypertension in the Czech population from 1985 to 2000/01. J Hypertens 2004; 22: 1479–85.PubMedCrossRef Cífková R, Skodová Z, Lánská V, et al. Trends in blood pressure levels, prevalence, awareness, treatment and control of hypertension in the Czech population from 1985 to 2000/01. J Hypertens 2004; 22: 1479–85.PubMedCrossRef
30.
go back to reference • Windak A, Gryglewska B, Tomasik T, Narkiewicz K, Yaphe J, Grodzicki T. Competence of Polish primary-care doctors in the pharmacological treatment of hypertension. J Eval Clin Pract. 2010;16:25–30. The authors present the problem with compliance and therapeutic inertia in Poland. PubMedCrossRef • Windak A, Gryglewska B, Tomasik T, Narkiewicz K, Yaphe J, Grodzicki T. Competence of Polish primary-care doctors in the pharmacological treatment of hypertension. J Eval Clin Pract. 2010;16:25–30. The authors present the problem with compliance and therapeutic inertia in Poland. PubMedCrossRef
31.
go back to reference • Kobalava ZD, Kotovskaya YV, Villevalde SV, Moiseev VS; ARGUS-2 Study. Treating hypertension by rational use of diuretics: results of the Russian ARGUS-2 Study. Curr Med Res Opin. 2009;25:2229–37. The authors present the data on management of hypertension in Russia. PubMedCrossRef • Kobalava ZD, Kotovskaya YV, Villevalde SV, Moiseev VS; ARGUS-2 Study. Treating hypertension by rational use of diuretics: results of the Russian ARGUS-2 Study. Curr Med Res Opin. 2009;25:2229–37. The authors present the data on management of hypertension in Russia. PubMedCrossRef
32.
go back to reference Bajraktari G, Sylejmani X, Thaçi K, Elezi S, Ndrepepa G. The quality of arterial hypertension treatment in cardiology service in Kosovo—a single center study—Original Investigation. Anadolu Kardiyol Derg 2009; 9: 96–101PubMed Bajraktari G, Sylejmani X, Thaçi K, Elezi S, Ndrepepa G. The quality of arterial hypertension treatment in cardiology service in Kosovo—a single center study—Original Investigation. Anadolu Kardiyol Derg 2009; 9: 96–101PubMed
33.
go back to reference Kumpusalo E, Parnanen H, Takala J. Treatment situation of hypertensive patients in Finnish primary health care. Blood Press 1997; 1 (Suppl): 35–9. Kumpusalo E, Parnanen H, Takala J. Treatment situation of hypertensive patients in Finnish primary health care. Blood Press 1997; 1 (Suppl): 35–9.
34.
go back to reference Cuspidi C, Lonati L, Sampieri L, Macca G, Valagussa L, Zaro T, et al. Blood pressure control in a hypertension hospital clinic. J Hypertens 1999; 17: 835–41.PubMedCrossRef Cuspidi C, Lonati L, Sampieri L, Macca G, Valagussa L, Zaro T, et al. Blood pressure control in a hypertension hospital clinic. J Hypertens 1999; 17: 835–41.PubMedCrossRef
35.
go back to reference Singer GM, Izhar M, Black HR. Goal-oriented hypertension management. Translating clinical trials to practice. Hypertension 2002; 40: 464–9.PubMedCrossRef Singer GM, Izhar M, Black HR. Goal-oriented hypertension management. Translating clinical trials to practice. Hypertension 2002; 40: 464–9.PubMedCrossRef
36.
go back to reference Berlowitz DR, Ash AS, Hickey EC, Friedman RH, Glickman M, Kader B, et al. Inadequate management of blood pressure in a hypertensive population. N Engl J Med 1998; 339: 1957–63.PubMedCrossRef Berlowitz DR, Ash AS, Hickey EC, Friedman RH, Glickman M, Kader B, et al. Inadequate management of blood pressure in a hypertensive population. N Engl J Med 1998; 339: 1957–63.PubMedCrossRef
37.
go back to reference Coca A. Actual blood pressure control: are we doing things right? J Hypertens 1998; 16 (Suppl1): S45–S51. Coca A. Actual blood pressure control: are we doing things right? J Hypertens 1998; 16 (Suppl1): S45–S51.
38.
go back to reference Bulpitt CJ, Fletcher AE. Prognostic significance of blood pressure in the very old. Implications for the treatment decision. Drugs Aging. 1994;5: 184–191.PubMedCrossRef Bulpitt CJ, Fletcher AE. Prognostic significance of blood pressure in the very old. Implications for the treatment decision. Drugs Aging. 1994;5: 184–191.PubMedCrossRef
39.
go back to reference Verdecchia P, Gentile G, Angeli F, Reboldi G. Should we prefer different drugs to treat hypertension in older and younger adults? Practical implications of clinical trials: European perspective. Pol Arch Med Wewn, 2008; 118: 513–516PubMed Verdecchia P, Gentile G, Angeli F, Reboldi G. Should we prefer different drugs to treat hypertension in older and younger adults? Practical implications of clinical trials: European perspective. Pol Arch Med Wewn, 2008; 118: 513–516PubMed
40.
go back to reference Blood Pressure Lowering Treatment Trialists’ Collaboration. Effects of different regimens to lower blood pressure on major cardiovascular events in older and younger adults: meta-analysis of randomised trials. BMJ. 2008; 336: 1121-1123.CrossRef Blood Pressure Lowering Treatment Trialists’ Collaboration. Effects of different regimens to lower blood pressure on major cardiovascular events in older and younger adults: meta-analysis of randomised trials. BMJ. 2008; 336: 1121-1123.CrossRef
41.
go back to reference Beckett N, Peters R, Fletcher AE et al. for the HYVET Study Group. Treatment of Hypertension in Patients 80 Years of Age or Older. N Engl J Med 2008; 358:1887–1898PubMedCrossRef Beckett N, Peters R, Fletcher AE et al. for the HYVET Study Group. Treatment of Hypertension in Patients 80 Years of Age or Older. N Engl J Med 2008; 358:1887–1898PubMedCrossRef
42.
go back to reference JBS 2: Joint British Societies’ guidelines on prevention of cardiovascular disease in clinical practice. Heart. 2005; 91 (Suppl 5): v1–v52. JBS 2: Joint British Societies’ guidelines on prevention of cardiovascular disease in clinical practice. Heart. 2005; 91 (Suppl 5): v1–v52.
43.
go back to reference Hansson L, Lindholm LH, Ekbom T, et al. Randomised trial of old and new antihypertensive drugs in elderly patients: cardiovascular mortality and morbidity the Swedish Trial in Old Patients with Hypertension-2 study. Lancet. 1999; 354: 1751–1756.PubMedCrossRef Hansson L, Lindholm LH, Ekbom T, et al. Randomised trial of old and new antihypertensive drugs in elderly patients: cardiovascular mortality and morbidity the Swedish Trial in Old Patients with Hypertension-2 study. Lancet. 1999; 354: 1751–1756.PubMedCrossRef
44.
go back to reference Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs. diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002; 288: 2981–2997. Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs. diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002; 288: 2981–2997.
45.
go back to reference Lithell H, Hansson L, Skoog I, et al. The Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double-blind intervention trial. J Hypertens. 2003; 21: 875–886.PubMedCrossRef Lithell H, Hansson L, Skoog I, et al. The Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double-blind intervention trial. J Hypertens. 2003; 21: 875–886.PubMedCrossRef
46.
go back to reference Papademetriou V, Farsang C, Elmfeldt D, et al. Stroke prevention with the angiotensin II type 1-receptor blocker candesartan in elderly patients with isolated systolic hypertension: the Study on Cognition and Prognosis in the Elderly (SCOPE). J Am Coll Cardiol. 2004; 44: 1175–1180PubMed Papademetriou V, Farsang C, Elmfeldt D, et al. Stroke prevention with the angiotensin II type 1-receptor blocker candesartan in elderly patients with isolated systolic hypertension: the Study on Cognition and Prognosis in the Elderly (SCOPE). J Am Coll Cardiol. 2004; 44: 1175–1180PubMed
47.
go back to reference Fagard RH, Van Den Enden M, Leeman M, Warling X. Survey on treatment of hypertension and implementation of World Health Organization/International Society of Hypertension risk stratification in primary care in Belgium. J Hypertens. 2002; 20: 1297–1302.PubMedCrossRef Fagard RH, Van Den Enden M, Leeman M, Warling X. Survey on treatment of hypertension and implementation of World Health Organization/International Society of Hypertension risk stratification in primary care in Belgium. J Hypertens. 2002; 20: 1297–1302.PubMedCrossRef
48.
go back to reference Mancia G, Grassi G. Systolic and diastolic blood pressure control in antihypertensive drug trials. J Hypertens. 2002; 20: 1461–1464.PubMedCrossRef Mancia G, Grassi G. Systolic and diastolic blood pressure control in antihypertensive drug trials. J Hypertens. 2002; 20: 1461–1464.PubMedCrossRef
49.
go back to reference • Banach M, Kjeldsen SE, Narkiewicz K. Controversies in Hypertension Treatment. Curr Vasc Pharmacol 2010; 8:731–2. The authors present the current problems in the diagnosis, control, management, treatment, and prevention of hypertension complications in hypertensive patients. PubMedCrossRef • Banach M, Kjeldsen SE, Narkiewicz K. Controversies in Hypertension Treatment. Curr Vasc Pharmacol 2010; 8:731–2. The authors present the current problems in the diagnosis, control, management, treatment, and prevention of hypertension complications in hypertensive patients. PubMedCrossRef
50.
go back to reference • Gaciong Z, Symonides B. Hypertension 2010: What was New for the Cardiologist? Expert Opin Pharmacother 2010; 11:2579–97. The authors present the current achievements in hypertension management in 2010, including the current guidelines of the European Society of Hypertension. PubMedCrossRef • Gaciong Z, Symonides B. Hypertension 2010: What was New for the Cardiologist? Expert Opin Pharmacother 2010; 11:2579–97. The authors present the current achievements in hypertension management in 2010, including the current guidelines of the European Society of Hypertension. PubMedCrossRef
51.
go back to reference Desai RV, Banach M, Ahmed MI, et al. Impact of baseline systolic blood pressure on long-term outcomes in patients with advanced chronic systolic heart failure (insights from the BEST trial). Am J Cardiol 2010;106:221–7.PubMedCrossRef Desai RV, Banach M, Ahmed MI, et al. Impact of baseline systolic blood pressure on long-term outcomes in patients with advanced chronic systolic heart failure (insights from the BEST trial). Am J Cardiol 2010;106:221–7.PubMedCrossRef
52.
go back to reference Bielecka-Dabrowa A, Aronow WS, Rysz J, Banach M. Current place of beta-blockers in the treatment of hypertension. Curr Vasc Pharmacol 2010; 8:733–41.PubMedCrossRef Bielecka-Dabrowa A, Aronow WS, Rysz J, Banach M. Current place of beta-blockers in the treatment of hypertension. Curr Vasc Pharmacol 2010; 8:733–41.PubMedCrossRef
53.
go back to reference Stepien M, Banach M, Jankowski P, Rysz J. Clinical implications of non-invasive measurement of central aortic blood pressure. Curr Vasc Pharmacol 2010; 8:747–52.PubMedCrossRef Stepien M, Banach M, Jankowski P, Rysz J. Clinical implications of non-invasive measurement of central aortic blood pressure. Curr Vasc Pharmacol 2010; 8:747–52.PubMedCrossRef
54.
go back to reference Sethi A, Arora RR. Ambulatory blood pressure as a predictor of cardiovascular risk. Arch Med Sci 2009; 5: 3–9. Sethi A, Arora RR. Ambulatory blood pressure as a predictor of cardiovascular risk. Arch Med Sci 2009; 5: 3–9.
55.
go back to reference Banach M, Rysz J. Current Problems in Hypertension and Nephrology. Expert Opin Pharmacother 2010; 11:2575–8.PubMedCrossRef Banach M, Rysz J. Current Problems in Hypertension and Nephrology. Expert Opin Pharmacother 2010; 11:2575–8.PubMedCrossRef
Metadata
Title
The Rise and Fall of Hypertension: Lessons Learned from Eastern Europe
Authors
Agata Bielecka-Dabrowa
Wilbert S. Aronow
Jacek Rysz
Maciej Banach
Publication date
01-04-2011
Publisher
Current Science Inc.
Published in
Current Cardiovascular Risk Reports / Issue 2/2011
Print ISSN: 1932-9520
Electronic ISSN: 1932-9563
DOI
https://doi.org/10.1007/s12170-010-0152-2

Other articles of this Issue 2/2011

Current Cardiovascular Risk Reports 2/2011 Go to the issue