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Application of Clinical Trials to Routine Practice : Updates in Treating Hypertension

Hypertension is a major risk factor for the development of CVD. The evidence linking untreated hypertension to  increased cardiovascular morbidity is undisputed. However, literature surveys continue to report suboptimal population  based management of hypertension. For example, in the 1999–2002 National Health and Nutrition Examination Survey of non-Hispanic whites, 62.9% of patients with hypertension were aware…

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Calcium Channel Blockers and Renal Protection

Calcium channel blockers have been widely used in clinical practice because of their antihypertensive capacity. Prevention of renal damage is a very important aim of antihypertensive therapy. This is particularly so taking into account the high prevalence of chronic kidney disease (CKD) in the general population. Calcium channel blockers (CCB) are widely used for the…

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ROLE OF SCORE CHART IN THE MANAGEMENT OF HYPERTENSION

Peera Buranakitjaroen, M.D. Division of Hypertension, Department of Medicine, Siriraj Hospital. Verachai Teewatanawong, M.D. Medicine Unit, Lopburi Hospital. Background: Hypertension is the most common disease in general practice. According to ESH&ESC guideline (2003), blood pressure (BP) level, cardiovascular risk factor, target organ damage and associated clinical conditions are prdictors of cardiovascular disease. Recently, ESC proposed…

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Hypertensive emergencies are not rare and frequently found in patients with diabetes mellitus or end-stage renal disease.

Weranuj Roubsanthisuk, Unticha Wongsurin, Peera Buranakitjaroen.Division of Hypertension, Department of Medicine, Faulty of Medicine Siriraj Hospital, Mahidol University. Objectives: Numerous studies have shown that blood pressure (BP) control in hypertension (HT) is effective to prevent cardiovascular complications. However, hypertensive emergencies are much less described. Therefore, we conducted this retrospective study in order to determine the…

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FATE OF MICROALBUMINURIA IN ESSENTIAL HYPERTENSIVE PATIENTS AFTER ONE YEAR FOLLOW UP

Peera Buranakitjaroen, M.D. Division of Hypertension, Department of Medicine, Siriraj Hospital. Parichat Niyomthong, M.D. Medicine Unit, Phrae Hospital. Background: The detection of Microalbuminuria (MAU) was recommended in every new diagnosed diabetic patients because of the high prevalence and being an independent cardiovascular risk. However, there were not many studies on MAU in essential hypertensive (EH) …

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Education is the independent predictor for prevalence of hypertension but not income and occupation in a 22-year cohort from Thailand.

Prin Vathesatogkit*, Sukit Yamwong*, Nongnuj Unkurapinun§, Piyamitr Sritara*, Supachai Tanomsup* *Cardiology division, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand§Medical and Health Office, Electricity Generating Authority of Thailand, Thailand. Background:Lower socioeconomic status associates with all-cause mortality and cardiovascular outcome. Among traditional cardiovascular risk factors, hypertension seems to be the readily modifiable factor. We perform an…

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Prevalence of White Coat Hypertension in Pregnancy

Viroon Likhitlertlum,MD., Tanarat Choon-ngam, MD.* Wilai Puavilai, MD.*  Surasak Jantarasaengaram,MD.** Sutham Suterapatranon, MD.*Napa Siriwiwattanakul, MD.* Korn Thongtong MD.* Pariwat Pengkeaw, MD.* *Division of Cardiology, Department of Medicine, Rajavithi Hospital,**Division of Obstetrics and Gynecology, Rajavithi Hospital Abstract Background:White coat hypertension can be found in pregnancy. 24 hour ambulatory blood pressure monitoring can detect white coat hypertension…

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Hypertension Is the Major Cause of Chronic Kidney Disease in Thailand

Kriengsak Vareesangthip, Leena Ongajyooth, Panrasri Khonputsa*, Wichai Aekplakorn** Renal Division, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, *Setting Priorities using Information on Cost-Effectiveness (SPICE) Project, Ministry of Public Health,**Community Medicine Center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand Introduction: The prevalence of patients with end stage renal disease (ESRD) who…

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