By D. Gareth Beevers, Gregory Y. H. Lip, Eoin T. O'Brien
High blood pressure is a which impacts thousands of individuals world wide and its therapy vastly reduces the danger of strokes and center assaults. This absolutely revised and up to date version of the ABC of high blood pressure is a longtime advisor offering all of the non-specialist must find out about the dimension of blood strain and the research and administration of hypertensive sufferers. This re-creation presents comprehensively up-to-date and revised details on how and whom to regard.
The ABC of high blood pressure will turn out precious to basic practitioners who can be screening huge numbers of sufferers for high blood pressure, in addition to nurse practitioners, midwives and different healthcare execs.
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Extra info for ABC of Hypertension
Elderly patients Feasibility of self-measurement in elderly patients may be influenced by physical and intellectual limitations and the complexity of the chosen device. Studies in elderly people have shown that automatic equipment is more precise and easier to use than semi-automatic equipment. Follow-up As in the general population, blood pressures recorded by self-measurement are lower than conventional blood pressures. Self-measurement may be useful for the diagnosis of white coat responders and to monitor the effect of antihypertensive drugs.
The frequency of repeat ambulatory blood pressure measurement must be guided by the response to treatment, the stability of blood pressure control, and the overall cardiovascular risk profile. Where the risk for cardiovascular complications is high, the frequency is more than justified by the need for tight blood pressure control, whereas when the risk is low, less frequent measurement is needed. Self-measurement of blood pressure may be combined with ambulatory blood pressure measurement to reduce the frequency of the latter.
A b c d Retinal features in two patients with malignant phase hypertension: grade III (top) and grade IV retinopathy (bottom). Reproduced from Lip GY, et al. qxd 11/6/06 11:08 AM Page 40 7 Investigation in patients with hypertension G Y H Lip, D G Beevers Routine investigations Investigations are needed in all patients with hypertension to detect any underlying cause (for example, to exclude secondary hypertension), assess for the consequences of hypertension (target organ damage), and test for other cardiovascular risk factors.
ABC of Hypertension by D. Gareth Beevers, Gregory Y. H. Lip, Eoin T. O'Brien