Via practica S4/2007

MANAGEMENT OF ARTERIAL HYPERTENSION IN PATIENTS WITH METABOLIC SYNDROME

The metabolic syndrome is characterized by the variable combination of visceral obesity and alterations in glucose metabolism, lipid metabolism, and arterial hypertension. It has a high prevalence in the middle age and elderly population. In all individuals with metabolic syndrome, intense lifestyle measures should be adopted immediately. Non-pharmacological treatment represents very important part in the management of arterial hypertension in metabolic syndrome patients. When drug treatment is recommended we should start with a drug unlikely to facilitate onset of diabetes. Therefore a blocker of the renin – angiotensin –aldosteron system should be used followed, if needed, by the addition of a calcium antagonist or a low-dose thiazide diuretic.

Keywords: metabolic syndrome, arterial hypertension, renin angiotensin aldosteron system, antihypertensive treatment.