ITEMS IN AFP WITH KEYWORD:

Hypertension

Apr 15, 2017 Issue
Severe Asymptomatic Hypertension: Evaluation and Treatment [Article]

Severely elevated blood pressure without symptoms of target organ injury can often be managed in the outpatient setting. A gradual lowering of blood pressure over several days to weeks is recommended over aggressive reduction.


Nov 1, 2016 Issue
Hypertensive Urgency Not Really an Urgent Problem [POEMs]

It seems that rapid treatment of patients with hypertensive urgency is unsuccessful and unnecessary. In this study of almost 60,000 patients, 80% did not have controlled blood pressure (less than 140/90 mm Hg) after one month of treatment, including patients who were hospitalized. On the other hand,...


Oct 15, 2016 Issue
ACE Inhibitors or ARBs to Prevent CKD in Patients with Microalbuminuria [FPIN's Clinical Inquiries]

ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.


Jul 1, 2016 Issue
Blood Pressure Goal of 140 to 150 mm Hg Is Best for Patients with Diabetes [POEMs]

Although most recent practice guidelines have relaxed the blood pressure goals for patients with diabetes, there are still a few holdouts that suggest aggressive treatment. This analysis shows that the ideal range for hypertension control in patients with diabetes is between 140 and 150 mm Hg; highe...


Jun 15, 2016 Issue
Meta-Analysis: Intensive BP Control Decreases Major CV Events and Stroke, but Not MI, Heart Failure, or Mortality [POEMs]

Patients with hypertension who are treated intensively are less likely to have major cardiovascular events, stroke, or progression of albuminuria or retinopathy than those treated less intensively, but intensive lowering had no meaningful effect on myocardial infarctions, heart failure, or mortality.


Apr 1, 2016 Issue
AHA/ATS Release Guidelines on the Diagnosis and Treatment of Pediatric Pulmonary Hypertension [Practice Guidelines]

These guidelines from the American Heart Association (AHA) and the American Thoracic Society (ATS) address evaluation and treatment of pediatric pulmonary hypertension, including diagnosis, pharmacotherapy, and outpatient treatment recommendations.


Mar 15, 2016 Issue
Screening for High Blood Pressure in Adults [Putting Prevention into Practice]

A 55-year-old black man presents for a blood pressure evaluation. He is trying to be more physically active and health conscious but has not seen a physician for five years. He takes no medications, has no concerns, and his physical examination findings are unremarkable. According to the blood press...


Mar 15, 2016 Issue
Systolic BP of 120 Instead of 140 in High-Risk Older Patients Without Diabetes Leads to Significant Benefits and Some Harms [POEMs]

In this group of older patients (mean age = 68 years) who do not have diabetes but are at high risk of cardiovascular disease, a more aggressive systolic BP target of 120 mm Hg instead of 140 mm Hg led to benefits (lower all-cause mortality, lower cardiovascular mortality, less heart failure), but a...


Feb 15, 2016 Issue
Screening for High Blood Pressure in Adults: Recommendation Statement [U.S. Preventive Services Task Force]

The USPSTF recommends screening for high blood pressure in adults aged 18 years or older.


Jan 15, 2016 Issue
Hypertensive Disorders of Pregnancy [Article]

Learn how to tell if elevated blood pressure during pregnancy is chronic hypertension, gestational hypertension, or preeclampsia; how to manage each of these conditions; and when labor should be induced.


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