Intensive blood pressure control led to a decreased rate of major adverse cardiovascular events, including cardiovascular death and heart failure, in older adults with hypertension, the study concluded.
Among other strategies, for all patients, blood glucose monitoring before, during, and after exercise is essential to develop strategies and maintain stable glycemia, the consensus statement said.
A 77-year-old man with a 5-year history of idiopathic cardiomyopathy is evaluated for progressive exertional fatigue and dyspnea. He has recently stopped carrying groceries in from the car because of his exertional dyspnea. He had an implantable cardioverter-defibrillator placed 3 years ago. Medical history is also significant for hypertension. Medications are lisinopril, 40 mg/d; metoprolol succinate, 25 mg/d; furosemide, 40 mg/d; and spironolactone, 25 mg/d. Following a physical exam and electrocardiogram, what is the most appropriate next step in management?
Evidence does not support giving renin angiotensin system inhibitors to all patients with stable CAD, review finds
For all primary outcomes studied, renin angiotensin system inhibitors reduced risk when compared to placebo but not when compared to active controls, a study found.