Lipids in hypertensive patients.

Hypertension and hyperlipidemia are common and powerful risk factors for cardiovascular disease. Although they may coexist in the same individual by chance, the syndrome of insulin resistance is the common mechanism in many individuals, in whom there is a specific lipoprotein profile of small, dense, low-density lipoprotein particles, reduced plasma high-density lipoprotein cholesterol levels, and increased plasma triglycerides. This lipoprotein profile may be exacerbated by diuretics or beta-blockers. Initial management of the insulin resistance syndrome is by weight loss and dietary measures. Optimum antihypertensive and lipid-lowering drug strategy remains to be established.