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...

Jun 15, 2009 Issue
Screening for High Blood Pressure [Putting Prevention into Practice]

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.

May 15, 2009 Issue
Evaluation and Management of the Patient with Difficult-to-Control or Resistant Hypertension [Article]

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...

Dec 1, 2008 Issue
Pharmacologic Management of Hypertension in Patients with Diabetes [Article]

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...

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