Chapter

Essential hypertension

Joseph Cheriyan, Carmel M. McEniery and Ian B. Wilkinson

in Hypertension

Published on behalf of Oxford University Press

ISBN: 9780199229550
Published online October 2011 | e-ISBN: 9780191726040 | DOI: http://dx.doi.org/10.1093/med/9780199229550.003.02

Series: Oxford Specialist Handbooks

Essential hypertension

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Background

Prevalence and incidence - Isolated systolic hypertension - Systolic/diastolic hypertension - Isolated diastolic hypertension

Assessment

History - Examination - Blood pressure measurement - Assessing end-organ damage - Investigations in hypertension

Biochemistry

Basic biochemistry - Renin and aldosterone - Dipstick urinalysis

Physiological measurements

Electrocardiography - Home blood pressure - 24-hour ambulatory blood pressure monitoring - Echocardiography

Management

Prognosis and risk stratification

Non-pharmacological management

Non-pharmacological management: background - Salt - Dietary intervention, weight loss, and exercise - Alcohol - Other methods

Pharmacological management

Pharmacological management: background - Compliance - Stepped care versus combination therapy - Targets and evidence basis - Treatment algorithms - Resistant hypertension - Hypertensive emergencies

Chapter.  11848 words.  Illustrated.

Subjects: Clinical Medicine

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