2008 - Blood Pressure Drugs Can Prevent Heart Attack, Stroke Even in the Elderly (kliping)

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KHUSUSUNTUKIBU MENTERI
KESEHATAN

IloillNrilloil

Hari/Tanggal: RABU,9APRIL2008

Halaman

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Blood pressuredrugscan
preventheart attack,
stroke evenin-;Aa-d
theuh.elderlv
- --i;
,." r",,,!1,o f f r h p r u r I n a"o.
s.nrtr oi . s;.d
D r K , n n c r hJ , r n p , ! o no f l h e

Mariltrn Marchione
, 4 - o . t t r , . / / 1 r $ .r ,/ , \ ,

KODE | /^

Docto$ can start with a

combination, but few do, part
]y iorlack ofevidence, he said.
Guidelincs also may change
to refleci a second studv that
found dramatic benefirs fo.
ireaiing people in thef 80s,an
age when blood pressul€drugs
{ere not known to be sale

''The o!cr-80s
arc the most
mpidlv
expanding segment of
ua
:'':!
u::nf,h:d):
*"
,*ai""
.76 .eooa
and the prevaHen..rd nudvtesrins

d srn_ ourpopuhlion,
";g
;.e*s
- i; ,;i;"c*
,
|
lenc€of blood p.essurcdses as
(omL'nins
r
rr
a
I ;rir' r,ich br:,"a';,.i;:
- n 5,:-rl:
4 . u F r l fl
a r , r h e A C E . n h . b u o r peoplc agc. Bcckctt noted.
s u r c ,f i n d i n pr h ; t n o rp i ; r
His stud\ lssigned 3,845
'1'11"f
a d'ih p'11 older
*"

if,'g"
people in Eufope, cbina
i'
\emus
"t*p*" r":*".
"i*"ay
""ir'" ::il:':,'i":"*zeprjr in I a and s€veml oth$ coun!des to
*,.k"t
ir.ii,1.iil;i
blo.kd:
nea,1
atracks.
srrckc
rnd,,.",r,
'"r'
i^1llli,mnnel
rodrprn'A(E rnhrbr'oF.
.1.."r, iake the diurtlr. indapamide
- rvc. rt rhevam r.^ ,,r,r
or dumrny pills plus lhe ACE

inhjlritor perindopnl as needcarrrsoth€su'trisj,rsLrnrfirs *. camern
ed to t€ach a goal of 150/80
^-ll ,'_a
i drffepn'\"\
.ouiar," ^"a., i".*,i o,

..,u,rcs
$'n .,,l,Dc(,
3:e:itr':";:*:i'ili:il:,i:
. _Borr
L- lrh,
i:1T- lvl'"E9lElr"s!Etpresen,.J
r s r,{ni"J,i:'":, nju,"J"l..,l
i,';iii ::",1L:: The siudy was stopped last

an aneican Coitcsc ut C.|di_

.1.^-.,."_:_.-:'"-

July aft€r monitoN saw that

those on the diuretic had
39 percent fewer fatal strckes
on blood pr.ssun ,t*s", *,.1 i.l-' be$deshrgh blo^J prcs- and 2L percent
fewer dearhs
obc'P
had diao' Nie"t g*,."ii J Ii'J;;;
iLut-th€v--w€rc
from any cause - benefits far
b"f:,?:^"jy
hear,h
LrobrFms
ca."gFr" i."a".. *;; l;d
exceecling what res€archers
o n e s t u d y r n r h e F l . l . r v r h a r , ^ - r e - e rI n c v r o f t h c i r d o c rvhich
drues
thev
at"o*a. puur.hea
l:::- 9"Y -n' rhesrudv Jones called ii one of the
"nr:n;ilii IlT".lliI9
rh Newingrand.il;;r

most important studies at the
w a s s r u p o p dr n O c r o b e a
r f r e "i r
]led,cine
cafttiology meetine and a key
t
h
a
t
p
e
o
p
l
e
on l'lF
l , t o ' ?r h F n / ( r m r J i o n A m " "
Yl:"'":l
advance ior older people.The
combo

r** r,,";h,ch
bi;.Ji,,;;,; |ij;;i;';;,3"t1"\€r
study did noi includ€ lmil
--;-"-1:'1":l
- read'ngs ot 140 o\pf 9r .r
oldcr people in nu$ing
e
hiJ
aDour
2n
Peop
.
."*
,"'a
i
hcrr-rerqred homes, who might reap less
""ri by
"-,r'.r't';'"
" l:1":
well conrrured

med,c.n"" l:^l.l-:-''-1''
'r
okes 526 benefit than healthier peopte,
c,ia"m""
"r.gy

*.r"i""."

h-'ch,";;;

comLuoilFF

:;;';
V
_ ' K TfJ:,i
L I H o:*
vrya8.34 $as68.
isnFverrou.aterusl"11.

o n c . u s uva"r'i.""""ning;;

a'warFrpu,-"

orh"F os need;d.
"ddns
'oir rtl*"
i . , L ty o u ; a v . r o

::::l:T"T
r nr h i ' ! r u - p
i l l , i l l S : l i" ^ l r 3

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' r 2 o t h e r sJ a ' r e ' " o n ' d ' r

S- -"^fr"
of *utrn"nt
wiih eiiher combo brought
blood pres$u€ to an acceptable
rangeior ?3 pereentoipatients.
The ljndinss could shape
treatment guidelines due to be
rcviewed in a f€s'months, said
Dr Daniel Jones. a Universitv
of Mississippi blood pressuF
specialist and president of the
Amedcan Hesri Association.

Also at the conJer€nceivas
the diabetcsdrug Actos,whjch
sbrulk al1er)' buildups that
can lead to heart disease when
tested againsi glimepirlde,
an older diabeies dne, in a
sludy ol 360 diabetics led by
Cleveland Clinic cadioloaist
Sieven Nis$n
"This is the tiIst time in
which a diabetcs thempy has
been shovn to slow or prevent
hearl disease," he said. Resultj
ver€ published online bv the
Jomal of the Amedcm Med-

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