Hypertension. 2001;38:990-991
(Hypertension. 2001;38:990.)
© 2001 American Heart Association, Inc.
Hypertension: Our Major Challenges
Edward D. Frohlich, MD, Editor-in-Chief
As the tenure of our 8-year editorship of
Hypertension nears
its end, a number of scientific issues concerning this very
complex multifactorial disease burn in my mind. At the outset
of our editorial term, we indicated that a sea change was taking
place in our scientific information and clinical thinking about
the hypertensive diseases. A virtual upheaval was looming in
our fundamental thinking about the genetic, molecular biological,
biochemical, physiological, and pharmacological aspects dealing
with arterial pressure control and the involvement of the various
target organs and systems. Indeed, over these 8 years, massive
changes have appeared in the explosion of knowledge concerning
our field of investigation. Molecular-biological knowledge has
burgeoned, and heretofore unenvisioned genetic information is
published each month. Clinically oriented information dealing
with the pathophysiology of hypertension and its treatment provides
hope that not only can cardiac and renal failure be treated
effectively but, when treated early enough, may even be prevented.
Each of the fundamental areas of scientific endeavor will most
assuredly have a tremendous impact on how clinicians will understand
the disease mechanisms of their patients with hypertension and
how they will employ new modes of treatment.
In reflecting about the progress already made in our understanding and treatment of hypertensive diseases, the quantity of new information amassed over the past several decades has been nothing less than monumental and mind-boggling. Much of the gains made in treatment have already been translated into the remarkable reduction of morbidity and mortality using our initially employed antihypertensive agents. . . . [Full Text of this Article]
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