Diuretic drugs.

Disclaimer: The medical research is vast. While this is a great track. This column has reported an interesting study in the peer review medical journals to members. But caution is. Not all the studies are accurate, truthful. It's a hundred percent correct. Medical knowledge and belief as of today, may be accepted. The new knowledge. In front it is clear knowledge. Faith in this as well.


Diuretics reduce heart failure in patients with high blood pressure more than ACEI and a calcium blocker.
Davis BR, Piller LB, Cutler JA, et al. Role of diuretics in the prevention of heart failure: the antihypertensive and lipid-lowering treatment to prevent heart attack trial. Circulation 2006; 113:2201-10.

This study compared patients ACEI, diuretic, calcium blocker, in patients with high blood pressure and reduce the risk of heart failure (heart failure).



This work is known. Antihypertensive and Lipid Lowering Trial (ALLHAT) is a rando-mized controlled trial performed in many countries including USA, Canada or Puerto Rico and the virgin island studies in patients with hypertension stage 1 and 2 were 33,357 people aged> = 55. year

Patients who did not participate in the study is. I had a heart attack before or ventricular ejection <35% of drug trials. chlorothalidone 12.5-25 mg / day, amlodipine 2.5-10 mg / day or lisinopril 10-4 mg / day to maintain target blood pressure <140/90 mm Hg. the use of these drugs. This is not the result of step 2 (atenolol, reserpine, clonidine), and hydralazine added to Step 3 if necessary. The indicators. Heart failure to be admitted to hospital or death.

The results showed that in the first year of the drug lisinopril and amlodipine have a heart. The group has failed over. chlorothalidone 2.08 and 2.22 times respectively. It follows more than a year found that the risk reduction in the risk of heart failure amlodopine by higher use. chlorothalidone 1.22 times those of the lisinopril. chlorthalidone. Significantly.

In the first year that the diuretic, the risk of heart failure less than a calcium blocker and ACEI. Results of this study is to confirm that a diuretic drug used to treat high blood pressure as well. The calcium blocker with water retention in the body. It is not surprising that a higher rate of heart failure are at higher risk of ACEI than diuretics are not sure what caused the accident or not. However, the treatment of high blood pressure medication, often more than one parallel and one parallel to the stand, but it is a diuretic.

Eat more fish waste.
Mozaffarian D. Rimm EB. Fish intake, contaminants, and human health: evaluating the risks and the benfits. JAMA 2006; 296:1885-99.

One has to notice that the fish has omega-3 fats are beneficial in preventing coronary heart disease. But today's toxic environment, fish are not as dioxin, polychlorinated biphenyl (PCBs) and mercury, making sure not to eat fish or not. A review of randomized controlled trial studies support that eating fish. The fish are fat n-3 fatty acid (eicosapentaenoic, EPA and docosahexaenoic, DHA) consumption by EPA or DHA at 250 mg / day (because the fat is retained in the cell membrane for a week. So just eat about 1,500 mg / week is enough. Which is equivalent to eating salmon or other fish that are high in fat, about 6 ounces per week) reduces the risk. Following the death of a heart attack and stroke by up to one in three (36 percent) or the equivalent effect of the drug statin.



I see the effects of mercury. When mercury gets into the body. Although mercury is toxic to the nervous system in adults have symptoms. But the amount of mercury in fish is minimal and not yet clear whether the loss of brain function. The concern is that in pregnant women. Mercury can be toxic to the nervous system. Of the unborn child. But a study in the U.S. have not found the child in the mother fish clearly. For dioxin and PCB compounds are found in meat, milk and vegetables, which were not found in fish than in other types of things. The mortality rate of heart disease in people who do not eat fish with higher cancer mortality rates in people who eat fish if the fish (like salmon) not more than 6 ounces per week. In addition to helping prevent heart disease and stroke, but also reduces the risk of cancer.

In conclusion, in people eating fish is good. Fatty fish in the prevention of heart disease than the negative effects of toxic substances. In pregnant women should be careful in eating fish with low mercury to 12 ounces per week of fatty fish is sufficient.