Med. praxi. 2014;11(4):143-146

Treatment of arterial hypertension in patient with metabolic syndrome

prof.MUDr.Martin Haluzík, DrSc.

III. interní klinika 1. LF UK a VFN, Praha

Metabolic syndrome is defined as a combination of obesity, arterial hypertension, dyslipidemia, impaired glucose metabolism and other

pathologies that in combination markedly increase cardiovascular risk. The treatment of arterial hypertension in patient with metabolic

syndrome is an important part of complex lifestyle and therapeutic measures aiming at lowering total cardiovascular risk. Increased

physical activity, hypocaloric diet with sodium restriction and smoking cessation represent an integral part of lifystele measures. Pharmacological

treatment of choice are ACE-inhibitors or AT1-receptor blockers in combination with calcium channel blockers combined with

other antihypertensive agents such as diuretics, beta-blockers and others, if necessary. Intensive treatment of diabetes, dyslipidemia

and the intervention of other cardiovascular risk factors is another important part of complex therapeutic approach.

Keywords: arterial hypertension, metabolic syndrome, insulin resistance, ACE inhibitors, AT1-receptor blockers

Published: June 1, 2014  Show citation