Advanced Search

Home > Journals > Gazzetta Medica Italiana Archivio per le Scienze Mediche > Past Issues > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2000 August;159(4) > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2000 August;159(4):129-33

ISSUES AND ARTICLES   MOST READ

CURRENT ISSUEGAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology

Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index

Frequency: Monthly

ISSN 0393-3660

Online ISSN 1827-1812

 

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2000 August;159(4):129-33

    ORIGINAL ARTICLES

Arte­ri­al hy­per­ten­sion and die­tol­o­gy treat­ment. Personal ex­pe­ri­ence

Terra L. 1, Pellicanò S. 1, Calzone R. 2, Dattola O. L. 1, Mandica D. 2

1 Regione Calabria - ASL n. 5, Ospedale «S. Giovanni di Dio» - Crotone, Divisione di Malattie Infettive;
2 Regione Calabria - ASL n. 5, Ospedale «S. Giovanni di Dio» - Crotone, Dietista

Background. The etio­log­ical fac­tors of ar­te­ri­al hy­per­ten­sion are ­thought to be age, ­race, ge­net­ic ­traits, obes­ity and die­tary fac­tors. A num­ber of die­tary fac­tors, ­like so­di­um, po­tas­sium, caf­feine, al­co­hol and lip­ids may ­play an im­por­tant ­role in the eti­ol­o­gy, treat­ment and pre­ven­tion of the dis­ease. Based on he­mo­dy­nam­ic char­ac­ter­is­tics, it is pos­sible to dis­tin­guish ­between ­stable ­forms of hy­per­ten­sion in mid­dle age in­di­vid­u­als, hy­per­ten­sion in the eld­er­ly, bor­der­line hy­per­ten­sion, hy­per­ten­sion in the ­obese and in ­black, peo­ple. The aim of ­this ­study was to an­a­lyse the cor­re­la­tion ­between ar­te­ri­al hy­per­ten­sion and ­diet in a per­son­al se­ries.
Methods. Between 1994-1998, 99 pa­tients (5%) out of a to­tal of 2031 pa­tients ad­mit­ted to the Infectious Disease Department, of ­whom 36 ­were ­male and 63 fe­male, ­aged ­between 24 and 91 ­years old (­mean 57.5) ­were al­so di­ag­nosed ­with hy­per­ten­sive pa­thol­o­gy. The cri­ter­ion for in­clu­sion in the ­study was the pres­ence of ar­te­ri­al hy­per­ten­sion.
Results. Hypertensive pa­tients ­were clas­si­fied ­into two ­groups: ­those sen­si­tive to ­salt ­with con­se­quent hy­per­ten­sion fol­low­ing a so­di­um chal­lenge and ­those who ­were not sen­si­tive who, by elim­i­nat­ing ­more so­di­um in the ­urine, put on ­less ­weight. Sodium, al­co­hol and caf­feine in­crease ar­te­ri­al ­blood pres­sure, where­as a po­tas­sium-­rich ­diet ­helps to di­min­ish it. Hypertension in the eld­er­ly is char­ac­ter­ised by ­high to­tal pe­riph­er­al re­sis­tanc­es ­which, by im­pos­ing a ­high ­post-­load, ac­cel­er­ate the func­tion­al de­cline of the ­left ven­tri­cle, pro­mot­ing the on­set of car­diac de­com­pen­sa­tion. Excess fat in the ­diet ­leads to an in­crease in cho­les­te­rol re­sult­ing in an in­creased ­risk of cor­o­nary dis­ease, where­as obes­ity is a ­risk fac­tor for car­di­o­vas­cu­lar com­pli­ca­tions.
Conclusions. It is es­sen­tial to ­treat ar­te­ri­al hy­per­ten­sion us­ing ­diet. Low-­salt ­diets are an im­por­tant as­pect of the die­tary chang­es ­that can be ­made. In the ­light of ­these re­sults, it is ­worth stress­ing the im­por­tance of re­cord­ing a care­ful die­tary his­to­ry in or­der to eval­u­ate die­tary hab­its and the ad­e­qua­cy of the ­patient’s ­diet. Adequate die­tary coun­sel­ling is al­so im­por­tant for pre­ven­tive rea­sons.

language: Italian


FULL TEXT  REPRINTS

top of page