Jun 1, 2003 Issue
Automated Ambulatory Blood Pressure Monitoring: Clinical Utility in the Family Practice Setting [Article]

Although the percentage of patients who are treated for hypertension has increased, the percentage of those who demonstrate control of blood pressure has declined. As a result of this trend, clinicians may increasingly rely on ambulatory blood pressure monitoring to improve the diagnosis and treatme...

Jan 1, 2003 Issue
Diagnosing Secondary Hypertension [Article]

Secondary hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Only about 5 to 10 percent of hypertension cases are thought to result from secondary causes. The ABCDE mnemonic can be used to help determine a secondary cause of hypertension: ...

Oct 1, 2002 Issue
Controlling Hypertension in Patients with Diabetes [Article]

Hypertension and diabetes mellitus are common diseases in the United States. Patients with diabetes have a much higher rate of hypertension than would be expected in the general population. Regardless of the antihypertensive agent used, a reduction in blood pressure helps to prevent diabetic complic...

Aug 1, 2002 Issue
Using ACE Inhibitors Appropriately [Article]

When first introduced in 1981, angiotensin-converting enzyme (ACE) inhibitors were indicated only for treatment of refractory hypertension. Since then, they have been shown to reduce morbidity or mortality in congestive heart failure, myocardial infarction, diabetes mellitus, chronic renal insuffici...

Aug 1, 2002 Issue
Managing Hypertension in Athletes and Physically Active Patients [Article]

Athletes and other physically active patients should be screened for hypertension and given appropriate therapy if needed. Mild hypertension should be treated with non-pharmacologic measures for six months. If blood pressure control is adequate, lifestyle modifications are continued. If control is i...

Jul 15, 2001 Issue
NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians [Article]

The National High Blood Pressure Education Program's Working Group on High Blood Pressure in Pregnancy recently issued a report implicating hypertension as a complication in 6 to 8 percent of pregnancies. Hypertension in pregnancy is related to one of four conditions: (1) chronic hypertension that p...

May 15, 2000 Issue
Combination Antihypertensive Drugs: Recommendations for Use [Article]

The recommendation for first-line therapy for hypertension remains a beta blocker or diuretic given in a low dosage. A target blood pressure of less than 140/90 mm Hg is achieved in about 50 percent of patients treated with monotherapy; two or more agents from different pharmacologic classes are oft...

Sep 15, 1999 Issue
Angiotensin II Receptor Antagonists in the Treatment of Hypertension [Article]

The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-VI) includes recommendations for the assessment of overall cardiovascular risk and the need for active antihypertensive drug therapy. Once the decision to initiate antihyp...

Jul 01, 1999 Issue
A Rational Approach to the Treatment of Hypertension in Special Populations [Article]

Hypertension in blacks is usually characterized by low renin, expanded volume and sensitivity to salt. Diuretics are the preferred initial therapy, but response to calcium channel antagonists is also good. The blood pressure response to monotherapy with beta blockers or angiotensin-converting enzyme...

Jun 1, 1999 Issue
Angiotensin-II Receptor Antagonists: Their Place in Therapy [Article]

Angiotensin-II receptor antagonists (or blockers) are a newer class of antihypertensive agents. These drugs are selective for angiotensin II (type 1 receptor); unlike angiotensin-converting enzyme inhibitors, they do not inhibit bradykinin metabolism or enhance prostaglandin synthesis. Angiotensin-I...

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