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Case study: A.R. is a healthy 30-year-old man who recently obtained health insurance through his new job. His last physical examination was more than 10 years ago. Because you are a friend and a family physician, he asks you whether he should have his blood pressure checked.
Jun 15, 2009 Issue
Screening for High Blood Pressure: Reaffirmation Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) recommends screening for high blood pressure in adults 18 years and older.
High blood pressure is often difficult to control. Resistant hypertension is blood pressure above goal despite adherence to a combination of at least three antihypertensive medications of different classes, optimally dosed and usually including a diuretic. The approach to blood pressure that is appa...
Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of angiotensin-conv...
The American Heart Association (AHA) Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention have released guidelines on the management of hypertension in adults with or at risk of coronary artery disease (CAD).
The National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy has defined four categories of hypertension in pregnancy: chronic hypertension, gestational hypertension, preeclampsia, and preeclampsia superimposed on chronic hypertension. A maternal blood pressur...
Combination therapy of hypertension with separate agents or a fixed-dose combination pill offers the potential to lower blood pressure more quickly, obtain target blood pressure, and decrease adverse effects. Antihypertensive agents from different classes may offset adverse reactions from each other...
The American College of Chest Physicians (ACCP) has updated its 2004 guidelines with evidence-based treatment recommendations for the management of pulmonary arterial hypertension (PAH).
Nov 1, 2007 Issue
Are Beta Blockers Effective First-line Treatments for Hypertension? [Cochrane for Clinicians]
Current evidence does not support the use of beta blockers as initial therapy for hypertension.
Aliskiren provides a new pharmacologic approach to treating hypertension; however, short-term studies have not identified a unique role. It is more expensive than commonly used first-line diuretics, and long-term safety has not been demonstrated.