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:
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:
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120-129
80-84
130-139
85-89
140-159
90-99
160-179
100-109
180
110
140
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Mancia G, Fagard R, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial
hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). European Heart Journal, 2013; 34:
2159-2219
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: 151,3 / 87,1 mmHg
140
90
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:
Mancia G, Fagard R, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial
hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). European Heart Journal, 2013; 34:
2159-2219
1
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Mancia G, Fagard R, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial
hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). European Heart Journal, 2013; 34:
2159-2219
..>=60mmHg
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Mancia G, Fagard R, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial
hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). European Heart Journal, 2013; 34:
2159-2219
1
,
,
:
&
24
holter
Mancia G, Fagard R, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial
hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). European Heart Journal, 2013; 34:
2159-2219
1
(,
, ) -
,
.
Mancia G, Fagard R, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial
hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). European Heart Journal, 2013; 34:
2159-2219
1
H :
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1
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MV & AV
1
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24: 38 gr
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BPM
,/,//
triplex
. stress-echo
, 68 , ,
:
Glu: 115mg/dl , U:35 , Cr:0,90, eGFR:96,51 , TChol:257mg/dl
HDL: 34mg/dl
LDL: 149 mg/dl , TG: 220 mg/dl , UA: 8.4 mg%,
: (-),ALT:43,AST:40,-GT:39
: , (48 )
2
3
:
1.
2.S1, S2 , 75 bpm
3. ,
4.
5. s
6. HBPM: 155-145mmHg & 90-95mmHg
3
2 :
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,
3
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. (-Blockers)
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140-150
:
?
1. Losartan ABPM &
HBPM >160mmHg
140-150
:
?
2. Losartan CCB DU 140150mmHg
:
?
3. Losartan 120-140mmHg
:
?
3. Losartan 120-140mmHg
:
?
3. Losartan 120-140mmHg
:
?
3. Losartan 120-140mmHg
:
?
1
,
& 2 :
& HBPM:
: 145.1 / 81.2 mmHg
: 155,3 / 84,1 mmHg
:
0,9 eGFR 88 mL/min
24: 38 gr
AST 24, ALT 35, K+ 4.1, Na+ 138
24 ..
(
1 ,..
/
)
(
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/ )
ESH/ESC 2013
2
:
?
1.,
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3., (masked HT)
4.,
, 68, ..
:
?
1. Losartan ABPM &
HBPM >160mmHg
2. Losartan CCB DU 140150mmHg
3. Losartan 120-140mmHg
80
20 Losartan 50 mg 1X1
(
2 , ).
:
1. 24
2. 98
.
3
H :
S/R 72 bpm
(-) Sokolow
3
:
?
1.
2.
-
300 mgr
E 40 mgr
E 2