Jul 1, 2013 Issue
Pharmacotherapy for Mild Hypertension [Cochrane for Clinicians]

Pharmacologic treatment of mild hypertension for up to five years does not reduce coronary events, stroke, or mortality compared with placebo.

Apr 1, 2013 Issue
Effect of Cocoa on Blood Pressure [Cochrane for Clinicians]

Consuming 50 g of cocoa daily will lower blood pressure 2 to 3 mm Hg on average in adults with hypertension. Evidence of improved patient-oriented outcomes does not exist.

Jul 15, 2012 Issue
The "ARB-MI Paradox": Real or a Fluke? [AFP Journal Club]

The Journal Club authors discuss what factors make this meta-analysis, designed to determine whether the ARB-MI paradox is real or a statistical fluke, successful.

Apr 1, 2012 Issue
High Blood Pressure in Children and Adolescents [Article]

High blood pressure in children and adolescents is a growing health problem that is often overlooked by physicians. Normal blood pressure values for children and adolescents are based on age, sex, and height, and are available in standardized tables. Prehypertension is defined as a blood pressure in...

Dec 15, 2010 Issue
Diagnosis of Secondary Hypertension: An Age-Based Approach [Article]

Secondary hypertension is a type of hypertension with an underlying, potentially correctable cause. A secondary etiology may be suggested by symptoms (e.g., flushing and sweating suggestive of pheochromocytoma), examina- tion findings (e.g., a renal bruit suggestive of renal artery stenosis), or lab...

Nov 15, 2010 Issue
AAP Updates Policy Statement on Athletic Participation by Children and Adolescents with Systemic Hypertension [Practice Guidelines]

The most common cardiovascular condition in competitive athletes is hypertension. The American Academy of Pediatrics (AAP) updated its policy statement using new recommendations made in the 2005 36th Bethesda Conference guidelines; the 2004 Fourth Report on the Diagnosis, Evaluation, and Treatment o...

Jun 1, 2010 Issue
First-Line Treatment for Hypertension [Cochrane for Clinicians]

In comparing the effects of thiazide diuretics, beta blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers (CCBs) with placebo, thiazide diuretics lowered mortality and morbidity from stroke, heart attack, and heart failure more than beta blockers.1 ACE inhibitors an...

Apr 1, 2010 Issue
Blood Pressure Treatment Targets for Uncomplicated Hypertension [Cochrane for Clinicians]

To date, there is no evidence to support treating patients with uncomplicated hypertension to blood pressure goals lower than the standard blood pressure target of less than or equal to 140 to 160/90 to 100 mm Hg. In randomized controlled trials, patients treated to lower blood pressure targets did ...

Feb 15, 2010 Issue
Evaluation and Treatment of Severe Asymptomatic Hypertension [Article]

Poorly controlled hypertension is a common finding in the outpatient setting. When patients present with severely elevated blood pressure (i.e., systolic blood pressure of 180 mm Hg or greater, or diastolic blood pressure of 110 mm Hg or greater), physicians need to differentiate hypertensive emerge...

Aug 1, 2009 Issue
Radiologic Evaluation of Suspected Renovascular Hypertension [Article]

More than 72 million Americans have hypertension, and the majority of these persons have essential hypertension. However, a significant subset has a secondary cause. The most common cause of secondary hypertension is renal vascular hypertension, of which renal artery stenosis is the leading patholog...

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