Research Topics
| P VerdecchiaSummaryCountry: Italy Publications
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Publications
[Obesity and hypertension]Paolo Verdecchia
Unità di Ricerca Clinica Cardiologia Preventiva, SC di Cardiologia, Ospedale S Maria della Misericordia, Perugia
G Ital Cardiol (Rome) 9:54S-59S. 2008..Thus, weight reduction should be maintained in the long term to elicit a sustained and effective antihypertensive efficacy...
Antihypertensive drugs and coronary artery disease : evidence from controlled trialsPaolo Verdecchia
Dipartimento Malattie Cardiovascolari, Ospedale R Silvestrini, Località Ponte della Pietra, 06100, Perugia, Italy
High Blood Press Cardiovasc Prev 12:119-24. 2005....
Beyond blood pressure: evidence for cardiovascular, cerebrovascular, and renal protective effects of renin-angiotensin system blockersPaolo Verdecchia
Department of Medicine, Hospital of Assisi, Via Valentin Muller, 106081 Assisi PG, Italy
Ther Adv Cardiovasc Dis 6:81-91. 2012..This review considers the rationale and evidence for benefits of RAS blockade beyond BP lowering, and highlights the differences between ARBs and ACEIs, and between agents within these drug classes...
Day-night dip and early-morning surge in blood pressure in hypertension: prognostic implicationsPaolo Verdecchia
Struttura Complessa di Medicina, Ospedale di Assisi, Assisi, Italy
Hypertension 60:34-42. 2012..In these subjects, a blunted morning BP surge was an independent predictor of cardiovascular events, whereas an excessive BP surge did not portend an increased risk of events...
Blood pressure and other determinants of new-onset atrial fibrillation in patients at high cardiovascular risk in the Ongoing Telmisartan Alone and in Combination With Ramipril Global Endpoint Trial/Telmisartan Randomized AssessmeNt Study in ACE iNtoleranPaolo Verdecchia
Department of Medicine, Hospital of Assisi, Assisi, Italy
J Hypertens 30:1004-14. 2012....
Regression of left ventricular hypertrophy and prevention of stroke in hypertensive subjectsPaolo Verdecchia
Struttura Complessa di Cardiologia, Hospital R Silvestrini, Perugia, Italy
Am J Hypertens 19:493-9. 2006..The relationship between serial LVH changes and risk of stroke has never been investigated in a mixed population of hypertensive subjects with and without LVH...
Ambulatory blood pressure monitoring and prognosis in the management of essential hypertensionPaolo Verdecchia
Department of Cardiovascular Disease, University of Perugia, Hospital R Silvestrini, Localita S Andrea Delle Fratte, Italy
Expert Rev Cardiovasc Ther 1:79-89. 2003..Based on available evidence, an operational flow-chart in order to interpret results of ambulatory blood pressure for a better management of these subjects is suggested...
Adverse prognostic significance of new diabetes in treated hypertensive subjectsPaolo Verdecchia
Dipartimento Malattie Cardiovascolari, Universita di Perugia, Ospedale R Silvestrini S Andrea delle Fratte 06122 Perugia, Italy
Hypertension 43:963-9. 2004..In treated hypertensive subjects, occurrence of new diabetes portends a risk for subsequent cardiovascular disease that is not dissimilar from that of previously known diabetes...
Safety and efficacy of the oral direct renin inhibitor aliskiren in elderly patients with hypertensionPaolo Verdecchia
Department of Cardiology, Hospital S Maria della Misericordia, Perugia, Italy
Blood Press 16:381-91. 2007..To evaluate the efficacy, safety and tolerability of aliskiren in elderly patients (> or =65 years old) with essential hypertension...
Validation of the A&D UA-774 (UA-767Plus) device for self-measurement of blood pressurePaolo Verdecchia
Department of Cardiology, R Silvestrini Hospital, Perugia, Italy
Blood Press Monit 9:225-9. 2004..To determine the accuracy of the UA-774 (UA-767Plus) blood pressure monitor developed by the A&D Company...
[Beta-blockers and arterial hypertension. Evidence-based medicine or excessive perseverance?]Paolo Verdecchia
Struttura Complessa di Cardiologia, Ospedale S Maria della Misericordia e Università degli Studi di Perugia, Perugia
G Ital Cardiol (Rome) 8:552-8. 2007..The present review addresses facts and theories related to the actual concern on the role of beta-blockers in the modern management of hypertensive patients...
The clinical significance of white-coat and masked hypertensionPaolo Verdecchia
Hospital S Maria della Misericordia, Clinical Research Unit Preventive Cardiology, Department of Internal Medicine, University of Perugia, Piazzale G Menghini, Perugia, Italy
Blood Press Monit 12:387-9. 2007..Severity of target organ damage and incidence of major cardiovascular events are greater in patients with MH than in patients whose BP is normal both inside and outside the doctor's office...
Clinical usefulness of ambulatory blood pressure monitoringPaolo Verdecchia
Department of Cardiovascular Disease, University of Perugia, Hospital R Silvestrini, Localita S Andrea Delle Fratte, Perugia, Italy
J Am Soc Nephrol 15:S30-3. 2004..On the basis of available evidence, an operational flowchart is suggested to interpret results of ABP for better treatment of patients with elevated BP...
Changes in cardiovascular risk by reduction of left ventricular mass in hypertension: a meta-analysisPaolo Verdecchia
Department of Cardiovascular Disease, Hospital R Silvestrini, Perugia, Italy
Am J Hypertens 16:895-9. 2003..The aim of this meta-analysis was to evaluate the prognostic impact of LV hypertrophy regression in hypertension...
Left ventricular mass and cardiovascular morbidity in essential hypertension: the MAVI studyP Verdecchia
ANMCO Research Center, Via La Marmora, 36, Firenze, Italy
J Am Coll Cardiol 38:1829-35. 2001..This study investigated the prognostic value of left ventricular (LV) mass at echocardiography in uncomplicated subjects with essential hypertension...
Is the definition of daytime and nighttime blood pressure prognostically relevant?Paolo Verdecchia
Hospital S Maria della Misericordia, Clinical Research Unit Preventive Cardiology, University of Perugia, Piazzale G Menghini, Perugia, Italy
Blood Press Monit 13:153-5. 2008..In a recent guidelines document of the European Society of Hypertension, there is no clear position in favor of one definition over other...
Improved cardiovascular risk stratification by a simple ECG index in hypertensionPaolo Verdecchia
Dipartimento Malattie Cardiovascolari, Universita di Perugia, Ospedale R Silvestrini, S Andrea delle Fratte, 06122 Perugia, Italy
Am J Hypertens 16:646-52. 2003..0 mV in women or 2.4 mV in men, or both...
Should we prefer different drugs to treat hypertension in older and younger adults? Practical implications of clinical trials: European perspectivePaolo Verdecchia
Department of Cardiology, Clinical Research Unit Preventive Cardiology Hospital Santa Maria della Misericordia, Perugia, Italy
Pol Arch Med Wewn 118:513-6. 2008..Antihypertensive treatment should be embedded within the management of global cardiovascular risk, with the use of charts for stratifying risk based on additional risk factors, target organ damage or additional clinical conditions...
Regression of left ventricular hypertrophy and cardiovascular risk changes in hypertensive patientsPaolo Verdecchia
Department of Cardiovascular Diseases, R Silvestrini Hospital, Perugia, Italy
Ital Heart J 5:505-10. 2004..According to a recent meta-analysis, effective reversal of LVH is associated with a 59% lesser risk of subsequent adverse events as compared with the persistence or new development of LVH...
Prognostic value of lipoprotein fractions in essential hypertensionPaolo Verdecchia
Ospedale R Silvestrini, Dipartimento Malattie Cardiovascolari, Italy
Blood Press 13:295-303. 2004..To evaluate distribution and prognostic value of total cholesterol and lipoprotein fractions in essential hypertension...
Reversal of left ventricular hypertrophy: what have recent trials taught us?Paolo Verdecchia
Department of Cardiovascular Disease, Hospital R Silvestrini University of Perugia, Perugia, Italy
Am J Cardiovasc Drugs 4:369-78. 2004..However, extrapolation of the results of these studies in terms of class effects could be misleading and should be made with caution...
Validation of the A&D UA-705 device for self-measurement of blood pressure according to the British Hypertension Society protocolPaolo Verdecchia
Department of Cardiology, Hospital R Silvestrini, Perugia, Italy
Blood Press Monit 11:223-7. 2006..We tested the accuracy of the UA-705 blood pressure semi-automatic monitor...
Is the development of diabetes with antihypertensive therapy a problem?--ProPaolo Verdecchia
Struttura Complessa di Cardiologia, Ospedale R Silvestrini, Perugia, Italy
J Clin Hypertens (Greenwich) 8:120-6. 2006..The lowest effective dose of these drugs should be used, plasma glucose should be checked periodically, and concomitant lifestyle measures to prevent diabetes should be implemented with resolution...
Pre-clinical and clinical experience of telmisartan in cardiac remodellingP Verdecchia
Department of Cardiovascular Disease, Hospital R Silvestrini, University of Perugia, Perugia, Italy
J Int Med Res 33:12A-20A. 2005....
Does brachial pulse pressure predict coronary events?Paolo Verdecchia
Unita di Ricerca Clinica, Cardiologia Preventiva, Struttura Complessa di Cardiologia, Ospedale R Silvestrini, Perugia, Italy
Adv Cardiol 44:150-9. 2007..Some data suggest that a wide PP could also represent a direct and independent stimulus for progression of atherosclerosis...
Ambulatory blood pressure and cardiovascular outcome in relation to perceived sleep deprivationPaolo Verdecchia
Struttura Complessa di Cardiologia, Unità di Ricerca Clinica Cardiologia Preventiva, Ospedale S Maria della Misericordia, Universita di Perugia, Perugia, Italy
Hypertension 49:777-83. 2007..In conclusion, nighttime BP rises and loses its prognostic significance in the hypertensive subjects who perceive a sleep deprivation by >or=2 hours during overnight monitoring...
Do angiotensin II receptor blockers increase the risk of myocardial infarction?Paolo Verdecchia
Dipartimento Malattie Cardiovascolari, Ospedale R Silvestrini, 06100 Perugia, Italy
Eur Heart J 26:2381-6. 2005..The uncertainty surrounding safety of angiotensin receptor blockers (ARBs) increased after publication of experimental and clinical studies which suggested an excess risk of myocardial infarction (MI) in people treated with ARBs...
Angiotensin-converting enzyme inhibitors and calcium channel blockers for coronary heart disease and stroke preventionPaolo Verdecchia
Dipartimento Malattie Cardiovascolari, Hospital R Silvestrini, Localita S Andrea Delle Fratte, 06100, Perugia, Italy
Hypertension 46:386-92. 2005..However, over and beyond BP reduction, ACEIs appear superior to CCBs for prevention of CHD, whereas CCBs appear superior to ACEIs for prevention of stroke...
Echocardiographic left ventricular hypertrophy in hypertension: marker for future events or mediator of events?Paolo Verdecchia
Hospital S Maria della Misericordia, Division of Cardiology, Clinical Research Unit Preventive Cardiology, Perugia, Italy
Curr Opin Cardiol 22:329-34. 2007..To discuss the most relevant studies on the prognostic impact of echocardiographic left ventricular hypertrophy in hypertension...
New-onset diabetes in treated hypertensive patientsPaolo Verdecchia
Dipartimento di Malattie Cardiovascolari, Ospedale R Silvestrini, Localita S Andrea Delle Fratte, 06100 Perugia, Italy
Curr Hypertens Rep 7:174-9. 2005..The lowest effective dose should be used, and plasma glucose should be carefully monitored...
[Antihypertensive therapy and cardiovascular prevention. The role of angiotensin II receptor blockers]Paolo Verdecchia
SC di Cardiologia, Ospedale S Maria della Misericordia, Universita degli Studi di Perugia, Perugia
G Ital Cardiol (Rome) 8:491-7. 2007..Current indications and contraindications to the use of ARBs in patients with hypertension, heart failure, and diabetic nephropathy should be maintained and probably extended to the entire class of these drugs...
Asymptomatic left ventricular systolic dysfunction in essential hypertension: prevalence, determinants, and prognostic valuePaolo Verdecchia
Department of Cardiovascular Disease, R Silvestrini Hospital, Perugia, Italy
Hypertension 45:412-8. 2005..62x100 person years) events did not differ (all P=NS) between subjects with and without ALVSD. ALVSD is a potent and early marker of evolution toward severe CHF requiring hospitalization in subjects with essential hypertension...
Prognostic value of serial electrocardiographic voltage and repolarization changes in essential hypertension: the HEART Survey studyPaolo Verdecchia
Clinical Research Unit in Preventive Cardiology, Hospital S Maria della Misericordia, Perugia, Italy
Am J Hypertens 20:997-1004. 2007..The interpretation of serial electrocardiographic (ECG) changes in hypertensive subjects is uncertain. We tested the hypothesis that serial changes in repolarization and voltage are independent determinants of outcome...
Does the reduction in systolic blood pressure alone explain the regression of left ventricular hypertrophy?P Verdecchia
Department of Cardiovascular Disease, Hospital R Silvestrini, Perugia, Italy
J Hum Hypertens 18:S23-8. 2004..These data indicate that SBP is the principal determinant of LVH regression in hypertensive humans...
Hypertension and microalbuminuria: the new detrimental duoPaolo Verdecchia
Department of Cardiovascular Disease, Hospital R Silvestrini, Perugia, Italy
Blood Press 13:198-211. 2004..Determination of MAU is recommended in the initial work-up of subjects with primary hypertension...
Blood pressure reduction and renin-angiotensin system inhibition for prevention of congestive heart failure: a meta-analysisPaolo Verdecchia
Ospedale S Maria della Misericordia, Cardiologia, Perugia, Italy
Eur Heart J 30:679-88. 2009..It is unclear whether prevention of congestive heart failure (CHF) by drugs that inhibit the renin-angiotensin system (RAS) occurs over and beyond the reduction in blood pressure (BP) achieved by these drugs...
Atrial fibrillation in hypertension: predictors and outcomePaolo Verdecchia
Dipartimento Malattie Cardiovascolari, Ospedale Silvestrini Università di Perugia, Italy
Hypertension 41:218-23. 2003..Increased left atrial size predisposes to chronicization of atrial fibrillation...
When can the practicing physician suspect white coat hypertension? Statement from the Working Group on Blood Pressure Monitoring of the European Society of HypertensionPaolo Verdecchia
Dipartimento Malattie Cardiovascolari, Ospedale R Silvestrini, Perugia, Italy
Am J Hypertens 16:87-91. 2003
Angiotensin receptor blockers in hypertension. New insights from JapanPaolo Verdecchia
Struttura Complessa di Cardiologia, Unità di Ricerca Clinica Cardiologia Preventiva, Ospedale S Maria della Misericordia, Perugia, Italy
Hypertens Res 33:394-7. 2010..002). The protective effect on the dissecting aneurysm of aorta bordered statistical significance. These data reinforce the notion that the protective effect of angiotensin II inhibition is partly independent of BP reduction...
Long-term effects of losartan and enalapril, alone or with a diuretic, on ambulatory blood pressure and cardiac performance in hypertension: a case-control studyP Verdecchia
Ospedale Raffaello Silvestrini, Unità Operativa di Malattie Cardiovascolari, Perugia, Italy
Blood Press Monit 5:187-93. 2000..The long-term effects of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers on ambulatory blood pressure and cardiac performance have never been examined comparatively...
Influence of blood pressure reduction on composite cardiovascular endpoints in clinical trialsPaolo Verdecchia
Department of Cardiology, Hospital Santa Maria della Misericordia, Perugia, Italy
J Hypertens 28:1356-65. 2010..The use of a composite cardiovascular endpoint (CCEP) is frequent in clinical trials. However, the relation between the reduction in blood pressure (BP) and the risk of CCEP is poorly known...
Aliskiren versus ramipril in hypertensionPaolo Verdecchia
Department of Cardiology, Clinical Research Unit Preventive Cardiology, Hospital Santa Maria della Misericordia, 06156 Perugia, Italy
Ther Adv Cardiovasc Dis 4:193-200. 2010..These data provide further evidence that aliskiren monotherapy provides a sustained BP reduction over the 24 hours...
Calcium antagonists and cardiovascular risk in patients with hypertension and Type 2 diabetes mellitus: evidence from the PIUMA Study. Progetto Ipertensione Umbria Monitoraggio AmbulatorialeP Verdecchia
Unità Operativa di Malattie Cardiovascolari, Ospedale Regionale Raffaello Silvestrini, Perugia, Italy
Diabetes Nutr Metab 12:292-9. 1999....
Prognostic value of ambulatory blood pressure : current evidence and clinical implicationsP Verdecchia
Ospedale R Silvestrini, Dipartimento di Scienze Cardiologiche, Perugia PG, Italy
Hypertension 35:844-51. 2000..Intervention studies targeted at ABP are now needed...
Blood Pressure Monitoring. Task force III: Target-organ damage, morbidity and mortalityP Verdecchia
Dipartimento di Discipline Cardiovascolari, Ospedale R Silvestrini, Perugia, Italy
Blood Press Monit 4:303-17. 1999..Cardiovascular risk for subjects with normal ABP seems to be lower than that for those with abnormally high ABP. Long-term observational and intervention studies concerning subjects with white-coat hypertension are needed. (ABST..
Value of a simple echocardiographic linear predictor of left ventricular mass in systemic hypertensionP Verdecchia
Ospedale Generale Regionale Raffaello Silvestrini, Dipartimento Discipline Cardiovascolari, Perugia, Italy
Am J Cardiol 84:1209-14. 1999..The prognostic value of this measure does not differ from that of standard LV mass...
Circulating insulin and insulin growth factor-1 are independent determinants of left ventricular mass and geometry in essential hypertensionP Verdecchia
Ospedale Generale Regionale Raffaello Silvestrini, Unità Operativa di Malattie Cardiovascolari, Perugia, Italy
Circulation 100:1802-7. 1999..It is unclear whether insulin and insulin-like growth factor-1 (IGF-1) are independent determinants of left ventricular (LV) mass in essential hypertension...
White-coat hypertension in adults and childrenP Verdecchia
General Hospital R Silvestrini, Department of Cardiology, Ponte della Pietra, Perugia, Italy
Blood Press Monit 4:175-9. 1999..Authors of these longitudinal studies should also compare the response to drug treatment of these subjects with that to life-style-modification measures...
Angiotensin converting enzyme inhibitors and angiotensin receptor blockers in the treatment of hypertension: should they be used together?Paolo Verdecchia
Dipartimento di Medicina, Ospedale di Assisi, Assisi, Italy
Curr Vasc Pharmacol 8:742-6. 2010..However, patients with resistant hypertension, particularly if proteinuria coexists, could benefit from this combination, which however requires close monitoring for adverse events, including hyperkalemia and worsening renal function...
Telmisartan for the reduction of cardiovascular morbidity and mortalityPaolo Verdecchia
Unità Operativa Complessa di Medicina, Ospedale di Assisi, Via Valentin Muller, 06081 Assisi, Italy
Expert Rev Clin Pharmacol 4:151-61. 2011..Telmisartan is, therefore, the only ARB with a broad indication for CV risk reduction in patients with atherothrombotic disease or diabetes with end-organ damage...
Prognostic significance of serial changes in left ventricular mass in essential hypertensionP Verdecchia
Ospedale Generale Regionale Raffaello Silvestrini, Area Omogenea di Cardiologia e Medicina, Perugia, Italy
Circulation 97:48-54. 1998..The purpose of this study was to determine the relation between changes in LV mass during antihypertensive treatment and subsequent prognosis...
Prognostic value of midwall shortening fraction and its relation with left ventricular mass in systemic hypertensionP Verdecchia
Ospedale Generale Regionale Raffaello Silvestrini, Dipartimento di Discipline Cardiovascolari, Universita di Perugia, Itlay
Am J Cardiol 87:479-82, A7. 2001..There were 166 major cardiovascular events during follow-up and the prognostic value of the midwall shortening fraction did not remain significant after controlling for left ventricular mass...
Comparative assessment of angiotensin receptor blockers in different clinical settingsPaolo Verdecchia
Struttura Complessa di Cardiologia, Unità di Ricerca Clinica Cardiologia Preventiva, Ospedale S Maria della Misericordia, Perugia, Italy
Vasc Health Risk Manag 5:939-48. 2009..The present review provides a comparative assessment of the different ARBs in their efficacy on major clinical endpoints along the different steps of the cardiovascular disease continuum...
Original articles prognostic value of combined echocardiography and ambulatory blood pressure monitoring in hypertensive patients at low or medium cardiovascular riskP Verdecchia
University of Perugia, Italy
Ital Heart J 2:287-93. 2001..The clinical value of echocardiography and ambulatory blood pressure monitoring (ABPM) in hypertensive patients at low immediate risk of cardiovascular disease is still unknown...
The renin angiotensin system in the development of cardiovascular disease: role of aliskiren in risk reductionPaolo Verdecchia
Department of Cardiology, Clinical Research Unit Preventive Cardiology, Hospital Santa Maria della Misericordia, and Fondazione Umbra Cuore e Ipertensione AUCI Onlus, Perugia, Italy
Vasc Health Risk Manag 4:971-81. 2008..Hypertension is an approved indication for this drug, which is also promising for the treatment of heart failure. The efficacy of this drug in reducing major clinical events is being tested in large ongoing clinical trials...
[Systolic, diastolic and pulse pressure: prognostic implications]P Verdecchia
Cardiologia e Fisiopatologia Cardiovascolare, Universita degli Studi, Perugia
Ital Heart J Suppl 2:369-74. 2001..On the other hand, the latter are better predicted by the mean BP. The effects of antihypertensive drugs and drug combinations on the mean BP and pulse pressure, and the potential prognostic implications, deserve further evaluation...
The voltage of R wave in lead aVL improves risk stratification in hypertensive patients without ECG left ventricular hypertrophyPaolo Verdecchia
Department of Cardiology, Clinical Research Unit Preventive Cardiology, Hospital S Maria della Misericordia, Cardiologia, PiazzaleG Menghini, Perugia 06132, Italy
J Hypertens 27:1697-704. 2009..We tested the hypothesis that the voltages of QRS on ECG improve risk stratification in hypertensive patients without left ventricular hypertrophy on ECG...
Reference values for ambulatory blood pressure and self-measured blood pressure based on prospective outcome dataP Verdecchia
Blood Press Monit 6:323-7. 2001..An average 24 h pulse pressure of over 53 mmHg identifies subjects with a raised cardiovascular risk...
Risk of cardiovascular disease in relation to achieved office and ambulatory blood pressure control in treated hypertensive subjectsPaolo Verdecchia
Università di Perugia ed Ospedale R Silvestrini, Dipartimento di Malattie Cardiovascolari, Italy
J Am Coll Cardiol 39:878-85. 2002..We investigated the prognostic impact of 24-h blood pressure control in treated hypertensive subjects...
[Cardiac failure in hypertensive cardiopathy]P Verdecchia
Dipartimento di Scienze Cardiologiche, Ospedale R Silvestrini, Perugia
Ital Heart J 1:72-7. 2000..These patients appear to be at increased risk of major cardiovascular events including heart failure...
Usual versus tight control of systolic blood pressure in non-diabetic patients with hypertension (Cardio-Sis): an open-label randomised trialPaolo Verdecchia
Division of Cardiology, Hospital S Maria della Misericordia, Perugia, Italy
Lancet 374:525-33. 2009..We tested the hypothesis that tight control compared with usual control of systolic blood pressure would be beneficial in such patients...
Effects of telmisartan, ramipril, and their combination on left ventricular hypertrophy in individuals at high vascular risk in the Ongoing Telmisartan Alone and in Combination With Ramipril Global End Point Trial and the Telmisartan Randomized AssessmentPaolo Verdecchia
McMaster University, Population Health Research Institute, 237 Barton St E, Hamilton, ON L8L2X2 Canada
Circulation 120:1380-9. 2009..Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers reduce left ventricular hypertrophy (LVH). The effect of these drugs on LVH in high-risk patients without heart failure is unknown...
Left ventricular hypertrophy as an independent predictor of acute cerebrovascular events in essential hypertensionP Verdecchia
Dipartimento Malattie Cardiovascolari, Universita di Perugia, Ospedale Silvestrini, Perugia, Italy
Circulation 104:2039-44. 2001..It is uncertain whether left ventricular hypertrophy (LVH) confers an increased risk for cerebrovascular disease in apparently healthy patients with essential hypertension...
Using out of office blood pressure monitoring in the management of hypertensionP Verdecchia
Cardiologia e Fisiopatologia Cardiovascolare, Universita di Perugia, Policlinico Monteluce, Via Brunamonti 51, 06122 Perugia PG, Italy
Curr Hypertens Rep 3:400-5. 2001..ABPM may be valuable for refining cardiovascular risk stratification in untreated subjects with office hypertension, as well as those with resistant hypertension...
Independent predictors of isolated clinic ('white-coat') hypertensionP Verdecchia
Cardiologia e Fisiopatologia Cardiovascolare and Medicina Interna, Universiá di Perugia, Italy
J Hypertens 19:1015-20. 2001..However, the pre-test probability of ICH based on the distribution of its independent predictors has not yet been estimated in hypertensive subjects with mildly elevated blood pressure...
Different prognostic impact of 24-hour mean blood pressure and pulse pressure on stroke and coronary artery disease in essential hypertensionP Verdecchia
Cardiologia e Fisiopatologia Cardiovascolare, Medicina Interna, Angiologia e Malattie da Arteriosclerosi, Dipartimento di Medicina Interna, University of Perugia, Perugia, Italy
Circulation 103:2579-84. 2001..We tested the hypothesis that the steady and pulsatile components of blood pressure (BP) exert a different influence on coronary artery disease and stroke in subjects with hypertension...
Left ventricular mass and systolic dysfunction in essential hypertensionG Schillaci
Unit of Internal Medicine, Angiology and Arteriosclerosis, University of Perugia, Italy
J Hum Hypertens 16:117-22. 2002..LV hypertrophy is a determinant of subclinical LV dysfunction independently of the concomitant changes in chamber geometry...
Choice of ACE inhibitor combinations in hypertensive patients with type 2 diabetes: update after recent clinical trialsGianpaolo Reboldi
1Department of internal Medicine University of Perugia, Perugia, Italy
Vasc Health Risk Manag 5:411-27. 2009..The present review will focus on different ACE inhibitor combinations in the treatment of patients with type 2 diabetes mellitus and hypertension, in the light of recent clinical trials, including GUARD and ACCOMPLISH...
Prevalent influence of systolic over pulse pressure on left ventricular mass in essential hypertensionP Verdecchia
Cardiologia e Fisiopatologia Cardiovascolare, , Perugia, Italy
Eur Heart J 23:658-65. 2002..CONCLUSIONS: The association between pulse pressure and left ventricular mass is explained by systolic blood pressure, which is the main pressure determinant of left ventricular mass in essential hypertension...
Telmisartan, ramipril, or both in patients at high risk for vascular eventsSalim Yusuf
Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada
N Engl J Med 358:1547-59. 2008..We compared the ACE inhibitor ramipril, the ARB telmisartan, and the combination of the two drugs in patients with vascular disease or high-risk diabetes...
Exploring the optimal combination therapy in hypertensive patients with diabetes mellitusGianpaolo Reboldi
Department of Internal Medicine, University of Perugia, Via E dal Pozzo, 06126 Perugia, Italy
Expert Rev Cardiovasc Ther 7:1349-61. 2009..The present review explores the potential for an 'optimal' combination therapy in patients with diabetes mellitus and hypertension, in view of recent experimental and clinical evidence...
Gender, day-night blood pressure changes, and left ventricular mass in essential hypertension. Dippers and peakersP Verdecchia
, Ospedale Generale Regionale R. Silvestrini, Perugia, Italy
Am J Hypertens 8:193-6. 1995..Daytime hypertension, either associated or not with a blunted nocturnal fall in BP, may be a sufficient determinant of LV wall thickening in men...
Angiotensin II receptor blockers and myocardial infarction: an updated analysis of randomized clinical trialsMassimo Volpe
Division of Cardiology, II Faculty of Medicine, University of Rome La Sapienza, Sant Andrea Hospital, Rome, Italy
J Hypertens 27:941-6. 2009..To evaluate the effects of treatments based on angiotensin II receptor blockers (ARBs) on the risk of myocardial infarction (MI), cardiovascular and all-cause death, as compared with conventional treatment or placebo...
High-density lipoprotein cholesterol and left ventricular hypertrophy in essential hypertensionG Schillaci
Unit of Internal Medicine, Angiology and Arteriosclerosis, Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy
J Hypertens 19:2265-70. 2001..This study examines the possible relation between blood lipids and LV mass in hypertension...
Adverse prognostic value of a blunted circadian rhythm of heart rate in essential hypertensionP Verdecchia
Area Omogenea di Cardiologia e Medicina, Ospedale Regionale Raffaello Silvestrini, Perugia, Italy
J Hypertens 16:1335-43. 1998..Previous studies revealed a direct association between resting heart rate and risk of mortality in essential hypertension. However, resting heart rate is a highly variable measure since it is affected by the alerting reaction to the visit...
Prognostic value of a new electrocardiographic method for diagnosis of left ventricular hypertrophy in essential hypertensionP Verdecchia
Area Omogenea di Cardiologia e Medicina, Ospedale R Silvestrini, Perugia, Italy
J Am Coll Cardiol 31:383-90. 1998....
Ambulatory pulse pressure: a potent predictor of total cardiovascular risk in hypertensionP Verdecchia
Unità Operativa di Malattie Cardiovascolari, Ospedale Regionale Raffaello Silvestrini, Perugia, Italy
Hypertension 32:983-8. 1998..We conclude that ambulatory PP is a potent risk marker in essential hypertension. CV morbidity is more closely predicted by ambulatory than by office PP even after control for multiple risk factors...
Arterial wall thickening at different sites and its association with left ventricular hypertrophy in newly diagnosed essential hypertensionG Vaudo
Sezione di Medicina Interna, Angiologia e Malattie da Arteriosclerosi, University of Perugia, and the Azienda Ospedaliera di Perugia, Italy
Am J Hypertens 13:324-31. 2000..In summary, in the early stages of hypertension arterial wall thickening appears to be a diffuse process, which occurs in parallel at the carotid and femoral level and shows a positive association with LV hypertrophy...
The optimal blood pressure target for patients with coronary artery diseasePaolo Verdecchia
Struttura Complessa di Cardiologia, Unità di Ricerca Clinica Cardiologia Preventiva, Ospedale S Maria della Misericordia, Perugia, Italy
Curr Cardiol Rep 12:302-6. 2010..The optimal BP target for patients with CAD remains undefined. A reasonable target appears to be in the range of 130-140/80-90 mm Hg. Any further reduction may be safe, but not much productive from a prognostic standpoint...
Hypertrophy at ECG and its regression during treatment survey (HEART survey). Rationale, design and baseline characteristics of patientsPaolo Verdecchia
ANMCO Research Center, Florence, Italy
Ital Heart J 4:479-83. 2003..The aim of this study was to determine the prognostic value of baseline ECG LVH and its serial changes in a large cohort of hypertensive patients...
Impact of blood pressure variability on cardiac and cerebrovascular complications in hypertensionPaolo Verdecchia
Clinical Research Unit Preventive Cardiology, Hospital R Silvestrini, Perugia, Italy
Am J Hypertens 20:154-61. 2007..The independent prognostic value of daytime and night-time blood pressure (BP) variability estimated by noninvasive 24-h BP monitoring is unclear...
Assessment of the optimal daily dose of valsartan in patients with hypertension, heart failure, or bothPaolo Verdecchia
Department of Cardiovascular Disease, Hospital R Silvestrini, University of Perugia, S Andrea delle Fratte, 06122 Perugia, Italy
Clin Ther 26:460-72. 2004..Therefore, it is necessary to determine the ARB dosages that optimize the efficacy/tolerability ratio...
Short- and long-term incidence of stroke in white-coat hypertensionPaolo Verdecchia
Dipartimento Malattie Cardiovascolari, Ospedale R Silvestrini, Perugia, Italy
Hypertension 45:203-8. 2005..In conclusion, WCH was not associated with a definitely increased risk of stroke during the total follow-up period. However, WCH might not be a benign condition for stroke in the long term...
Methods of measurements: home and ambulatory blood pressure monitoringGianfranco Parati
Department of Cardiology, S Luca Hospital, Istituto Auxologico Italiano, Milan, Italy
Blood Press Monit 15:100-5. 2010..This study is aimed at briefly summarizing a few important issues in this context, and at emphasizing the work done by Tom Pickering in this field, as a tribute to his unique contributions to medical science and patient care...
High-normal serum creatinine concentration is a predictor of cardiovascular risk in essential hypertensionG Schillaci
Unit of Internal Medicine, Angiology, and Arteriosclerosis, Department of Clinical and Experimental Medicine, University of Perugia Medical School via Brunamonti, 51, 06122 Perugia, Italy
Arch Intern Med 161:886-91. 2001..However, the possibility that creatinine values within the reference range might contribute to stratification of cardiovascular risk in essential hypertension has never been tested...
Subclinical left ventricular dysfunction in systemic hypertension and the role of 24-hour blood pressureG Schillaci
Dipartimento di Cardiologia, Ospedale R Silvestrini, Perugia, Italy
Am J Cardiol 86:509-13. 2000..45 vs -0.16, p <0.001). Thus, an increased 24-hour BP load may chronically lead to depressed myocardial function in systemic hypertension in the absence of clinically overt heart disease...
White coat hypertension and white coat effect. Similarities and differencesP Verdecchia
Ospedale Generale Regionale R. Silvestrini, Area Omogenea di Cardiologia e Medicina, Perugia, Italy
Am J Hypertens 8:790-8. 1995..001).(abstract truncated at 250 words)..
Meta-Analysis of effectiveness or lack thereof of angiotensin-converting enzyme inhibitors for prevention of heart failure in patients with systemic hypertensionFabio Angeli
Department of Cardiovascular Disease, Hospital R. Silvestrini, Perugia, Italy
Am J Cardiol 93:240-3. 2004..Thus, the hypothesis that ACE inhibitors are superior to other antihypertensive drugs for prevention of CHF in hypertension remains unproven...
Prognostic significance of left ventricular diastolic dysfunction in essential hypertensionGiuseppe Schillaci
Unit of Internal Medicine, Angiology and Arteriosclerosis, University of Perugia, Perugia, Italy
J Am Coll Cardiol 39:2005-11. 2002..We sought to assess the prognostic value of alterations in left ventricular (LV) diastolic function in patients with essential hypertension...
Comparison between angiotensin-converting enzyme inhibitors and angiotensin receptor blockers on the risk of myocardial infarction, stroke and death: a meta-analysisGianpaolo Reboldi
Department of Internal Medicine, University of Perugia, Italy
J Hypertens 26:1282-9. 2008..To compare the effects of angiotensin II receptor blockers and angiotensin-converting enzyme inhibitors on the risk of myocardial infarction, stroke, cardiovascular mortality and total mortality...
Masked hypertension: evaluation, prognosis, and treatmentFabio Angeli
Department of Cardiology, Clinical Research Unit Preventive Cardiology, Hospital S Maria della Misericordia, Perugia, Italy
Am J Hypertens 23:941-8. 2010..MH should be searched for in subjects who appear to be more likely to have this condition. Antihypertensive treatment is envisaged in these subjects, although the associated outcome benefits are still undetermined...
White-coat hypertension in adultsFabio Angeli
Department of Cardiovascular Disease, Hospital R. Silvestrini, Perugia, Italy
Blood Press Monit 10:301-5. 2005..suggest a treatment based on life-style measures in the low-risk stratum of patients with white-coat hypertension under the conditions of correct definition, absence of comorbid conditions and target-organ damage, and adequate follow-up..
Comparison of electrocardiographic criteria for diagnosis of left ventricular hypertrophy in hypertension: the MAVI studyP Verdecchia
Department of Cardiology, Hospital R Silvestrini, Perugia, Italy
Ital Heart J 1:207-15. 2000..In a large population of subjects with hypertension we tested some standard ECG criteria in their sensitivity and specificity for LV hypertrophy. LV mass at echocardiography was the reference standard...
Defining normal ambulatory blood pressure in relation to target organ damage and prognosisP Verdecchia
Hypertension Unit, General Hospital R. Silvestrini, Perugia PG, Italy
Am J Hypertens 6:207S-210S. 1993..abstract truncated at 250 words)..
Change in cardiovascular risk profile by echocardiography in low- or medium-risk hypertensionGiuseppe Schillaci
Unit of Internal Medicine, Angiology and Arteriosclerosis, University of Perugia, Perugia, Italy
J Hypertens 20:1519-25. 2002....
Neutrophil count for the identification of postmenopausal hypertensive women at increased cardiovascular riskFabio Angeli
Department of Cardiology and Clinical Research Unit Preventive Cardiology, Hospital S Maria della Misericordia, Perugia, and Department of Cardiovascular Pathophysiology, University of Perugia, Perugia and Department of Internal Medicine, University of Perugia, Perugia, Italy
Obstet Gynecol 115:695-703. 2010..We tested the independent prognostic value of total white blood cell and neutrophil counts for cardiovascular events in hypertensive postmenopausal women...
Microalbuminuria and hypertensionG Reboldi
Department of Internal Medicine, University of Perugia, Perugia, Italy
Minerva Med 96:261-75. 2005....
Day-to-day variability of electrocardiographic diagnosis of left ventricular hypertrophy in hypertensive patients. Influence of electrode placementFabio Angeli
Clinical Research Unit Preventive Cardiology, Department of Cardiovascular Diseases, R Silvestrini Hospital, Perugia, Italy
J Cardiovasc Med (Hagerstown) 7:812-6. 2006....
Association between periodontal disease and left ventricle mass in essential hypertensionFabio Angeli
Dipartimento Malattie Cardiovascolari, Università degli Studi di Perugia and Ospedale R Silvestrini, Perugia, Italy
Hypertension 41:488-92. 2003..Periodontal evaluation might contribute to refine cardiovascular risk assessment in hypertensive subjects...
Validation of the A&D wrist-cuff UB-511 (UB-512) device for self-measurement of blood pressureFabio Angeli
Clinic Research Unit, Preventive Cardiology, Department of Cardiology, R Silvestrini Hospital, Perugia, Italy
Blood Press Monit 11:349-54. 2006..To determine the accuracy of the A&D UB-511 (UB-512) oscillometric wrist-cuff device for self-measurement of blood pressure, the only difference between the two devices being the size of storage memory...
ß-Blockers reduce mortality in patients undergoing high-risk non-cardiac surgeryFabio Angeli
Department of Cardiology, Clinical Research Unit Preventive Cardiology, Hospital Santa Maria della Misericordia, Perugia, Italy
Am J Cardiovasc Drugs 10:247-59. 2010..However, randomized clinical trials specifically designed to evaluate the effects of beta-blockers on mortality in patients undergoing non-cardiac surgery have yielded conflicting results...
