Abstract
It is very likely that arterial hypertension occurs in the same proportion of patients with heart failure, as without it. In most cases this will be the patients with preserved or slightly reduced left ventricular systolic function.
The overall goal of treatment is to reduce the risk of cardiovascular events. All patients with chronic heart failure should also be the case of normal TK treated for at least dual combinations of antihypertensive drugs, and angiotensin I-converting enzyme inhibitors or their intolerance AT1 receptor blockers and betablockers.
Generally, it is not known that these two groups of drugs have synergistic effect in decreasing blood pressure. Logically, the first step in the detection of hypertension should be addition of a diuretic to this combination therapy.
Based on clinical studies, the second step should be adding mineralocorticoid receptor antagonists.