Treatment: special conditions Co-existing heart disease: coronary artery disease, myocardial infarction, heart failure

摘要

There is a strong epidemiologic association between hypertension (HT) and coronary artery disease (CAD). In men older than the age of 65 years, HT increases the relative risk of CAD to 1.6, of stroke to 2.0, and heart failure (HF) to 1.9. The figures for women of the same age are even worse: 1.9, 2.6, and 1.9. Consequently, HT and CAD commonly occur together and raise some unique problems of management. These include the elusive definition of the blood pressure (BP) goal of therapy in these patients and the optimal choice of the treatment of HT, both for the prevention and management of CAD.