Pharmacological update of the mechanisms of action and management of high blood pressure. Review article

Main Article Content

Arturo Arellano-Moya
Francisco Rodríguez-Beita

Abstract

As part of the understanding of the mechanism of action and effectiveness of hypotensive drugs, a review of the scientific literature is made, regarding the different related therapeutic targets, as well as the receptors involved in the response to antihypertensive therapies.


The demonstrated efficacy of antihypertensive drugs is probably related to their therapeutic targets and their signaling mechanisms or second messengers, whose clinical evidence is consolidated in the recommendations of the most recent clinical practice guidelines American Heart Association (AHA 2017), European Society of Cardiology (ESC) and Hypertension (ESC/ ESH 2018), which will also be commented on in this review.

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How to Cite
Arellano-MoyaA., & Rodríguez-BeitaF. (2019). Pharmacological update of the mechanisms of action and management of high blood pressure. Review article. Acta Académica, 65(Noviembre), 81-104. Retrieved from http://201.196.25.14/index.php/actas/article/view/168
Section
Acta Médica

References

Ahluwalia, M. and Bangalore, S. (2017). Management of hypertension in 2017. Current Opinion in Cardiology, 32(4), pp.413-421.
Bazan JF. (1990). Structural design and molecular evolution of acytokine receptor superfamily. Proc Natl Acad Sci U S A; 87:6934–8
Davide L, Kattie M, et al. (2018) Hypertension and frailty: a systematic review and meta-analysis. BMJ. (8)12.
ESC/ESH. (2018). Guidelines for the management of arterial hypertension. European Heart Journal, 39 (33), 3021-3104. Recuperado de, https://doi.org/10.1093/eurheartj/ehy339
Fernandez, R, Chilton PM, Ma Y. (1996). Soluble cytokine receptors: their roles in immunoregulation, disease, and therapy. Adv Immunol; 63:269–336
Goodman, L., Gilman, A., Brunton, L., Hilal-Dandan, R. and Knollmann, B. (2018). Goodman & Gilman’s the pharmacological basis of therapeutics. New York [etc.]: McGraw Hill Education.
Lonn EM, Bosch J, Lopez-Jarmillo P, et al. (2016). Blood pressure lowering in intermediate-risk persons without cardiovascular disease. N Engl J Med. 374:2009–2020.
Rosendorff C, Lackland D, Allison M, et al. (2015). Treatment of hypertension in patients with coronary artery disease: a scientific statement from the American Heart Association, American College of Cardiology, and American Society of Hypertension. J Am Coll Cardiol. 65:1998-2038.
Salud Siglo XXI. (2013, febrero, 19). Tipos de receptores. [Mensaje de un blog]. Recuperado de, http://elmercaderdelasalud. blogspot.com/2013/02/tipos-de-receptores.html
Uings, I. (2000). Cell receptors and cell signalling. Molecular Pathology, 53(6), pp.295-299.
Whelton PK, Carey RM, Aronow WS, et al. (2017). ACC/AHA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 71:1269–324.
Williamson JD, Supiano MA, Applegate WB, et al. (2016). Intensive JAMA. 315:2673–82. 10.1001/jama.2016.7050
World Health Organization. (2015). World report on ageing and health. Geneva, Switzerland: World Health Organization.