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White Coat Hypertension

Author: Giuseppe Mancia

Publisher: Springer

Published: 2014-10-31

Total Pages: 153

ISBN-13: 3319074105

This book addresses all aspects of white coat hypertension – the phenomenon of raised blood pressure in a medical setting yet not elsewhere – from its history to its pathophysiology, diagnosis and treatment. White coat hypertension is a common condition, accounting for 30–40% of the overall hypertensive population. While many studies have addressed this condition, controversy still exists over whether it causes an increased risk to sufferers and should be treated. In the volume neurogenic and non-neurogenic mechanisms are discussed and the significance of various predictive factors, evaluated. The association of white coat hypertension with dysmetabolic risk factors, new-onset diabetes and other conditions is carefully reviewed. Further chapters consider the occurrence of asymptomatic organ damage and cardiovascular outcomes in affected patients and helpful guidance is also provided on the controversial issue of when to treat and when not to treat. White Coat Hypertension is based largely on work done during the past 30 years by renowned researchers working in Milan, who have made key contributions in improving knowledge of the condition and whose work is well known across the world.

Mayo Clinic 5 Steps to Controlling High Blood Pressure

Author: Sheldon G. Sheps

Publisher: Rosetta Books

Published: 2015-12-04

Total Pages: 365

ISBN-13: 0795347782

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How to play a vital role in your own health and longevity: A handbook from“one of the most reliable, respected health resources that Americans have” (Publishers Weekly). This easy-to-use guide will help you understand the many issues related to high blood pressure and assist you in preventing it, managing it, and making essential treatment decisions. · Learn which single factor you can do the most about when it comes to influencing your blood pressure. This one step may be all it takes to lower your blood pressure and keep it under control. · How losing as little as 10 pounds may reduce your blood pressure to a healthier level—includes practical help for maintaining a healthier weight. · Discover a great alternative that may lower your blood pressure just about as much as medications—without the expense of prescriptions. · Why your blood pressure goes down if you make your heart stronger—and dozens of tips to realize this goal. · How to manage your sodium intake. · Information about medications for when changes in lifestyle aren't enough and more

Home Blood Pressure Monitoring

Author: George S. Stergiou

Publisher: Springer Nature

Published: 2019-10-31

Total Pages: 174

ISBN-13: 3030230651

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Hypertension remains a leading cause of disability and death worldwide. Self-monitoring of blood pressure by patients at home is currently recommended as a valuable tool for the diagnosis and management of hypertension. Unfortunately, in clinical practice, home blood pressure monitoring is often inadequately implemented, mostly due to the use of inaccurate devices and inappropriate methodologies. Thus, the potential of the method to improve the management of hypertension and cardiovascular disease prevention has not yet been exhausted. This volume presents the available evidence on home blood pressure monitoring, discusses its strengths and limitations, and presents strategies for its optimal implementation in clinical practice. Written by distinguished international experts, it offers a complete source of information and guide for practitioners and researchers dealing with the management of hypertension.

ABC of Hypertension

Author: D. Gareth Beevers

Publisher: John Wiley & Sons

Published: 2010-07-15

Total Pages: 89

ISBN-13: 1405171359

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Hypertension is a condition which affects millions of peopleworldwide and its treatment greatly reduces the risk of strokes andheart attacks. This fully revised and updated edition of the ABCof Hypertension is an established guide providing all thenon-specialist needs to know about the measurement of bloodpressure and the investigation and management of hypertensivepatients. This new edition provides comprehensively updated andrevised information on how and whom to treat. The ABC of Hypertension will prove invaluable to generalpractitioners who may be screening large numbers of patients forhypertension, as well as nurse practitioners, midwives and otherhealthcare professionals.

Examining White Coat Hypertension at a Free High Blood Pressure Clinic

Author: Megan Patricia Donohue

Publisher:

Published: 2011

Total Pages: 83

ISBN-13:

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Introduction: White coat hypertension is a phenomenon in which a patient's blood pressure in a clinic setting exceeds the patient's blood pressure in other settings. Studies suggest this occurs in anywhere from ten to thirty percent of patients. The identification of such is important as it may prevent unwarranted use of anti-hypertensive medications. Objectives: The main goal of this study was to quantify the prevalence of white coat hypertension at a free blood pressure clinic in Richmond, VA. The examination of blood pressure differences between clinic settings and other settings on a group and individual level was fundamental to this study. Further analyses were then included to examine risk factors associated with uncontrolled hypertension in attempt to develop a predictive model. Methods: Longitudinal data was collected from ambulatory blood pressure monitors of 16 patients from the Richmond Center for High Blood Pressure. This data was merged with data collected from retrospective chart reviews to obtain laboratory values for possible risk factors. Paired t-tests were used to examine differences between clinic and home measurements on a group level. The examination of individual agreement and regression analysis to develop a predictive model was also undertaken. Results: Twenty-five percent of subjects included in this study suffered from white coat hypertension. Overall, there was no difference between clinic and home blood pressure measurements on the group level. However, individual agreement was poor. Regression analysis showed high density lipoprotein was positively associated with and triglycerides were negatively associated with an increased percent of uncontrolled hypertension. Conclusion: White coat hypertension is a phenomenon that is present at the Richmond Center for High Blood Pressure. Recognition of this has the potential to be economically advantageous for the clinic. Due to a small sample size, results of this analysis are not considered predictive models. However, future research in this field would be served well to explore these preliminary findings with larger samples.

Prehypertension and Cardiometabolic Syndrome

Author: Reuven Zimlichman

Publisher: Springer

Published: 2018-12-06

Total Pages: 689

ISBN-13: 331975310X

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This book sheds new light on the management of patients with borderline cardiovascular risk factors in order to prevent their progression to end organ damage. The book stimulates discussion of this poorly understood condition and lays the groundwork for developing recommendations and guidelines. While the diagnostic and therapeutic approach to full-blown diabetes, hypertension, dyslipidemia and obesity is well defined, there is still a lack of clear understanding and guidelines as far as patients with borderline conditions – especially when multiple – are concerned. Moreover, end-organ damage depends on several factors, including genetic factors, making it difficult to predict its extent. As such, the gradual transition from a healthy subject to one with functional hemodynamic changes, and then one with structurally asymptomatic changes and lastly to overt disease needs further investigation. In order to address these knowledge gaps, the book covers a broad variety of topics, making it a valuable tool for identifying which asymptomatic subjects could profit from being appropriately screened and at what stage. Furthermore it offers insights into better treating these patients to prevent their progression to overt disease. The book appeals to cardiologists, primary care physicians and all those healthcare professional looking to optimize the management of these complex and often undiagnosed cases.

Black Man in a White Coat

Author: Damon Tweedy, M.D.

Publisher: Picador

Published: 2015-09-08

Total Pages: 302

ISBN-13: 1250044642

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A NEW YORK TIMES BESTSELLER • ONE OF TIME MAGAZINE'S TOP TEN NONFICTION BOOKS OF THE YEAR A LIBRARY JOURNAL BEST BOOK SELECTION • A BOOKLIST EDITORS' CHOICE BOOK SELECTION One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans When Damon Tweedy begins medical school,he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, "More common in blacks than in whites." Black Man in a White Coat examines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of many health problems in the black community. These issues take on greater meaning when Tweedy is himself diagnosed with a chronic disease far more common among black people. In this powerful, moving, and deeply empathic book, Tweedy explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care.

Diabetes and Hypertension

Author: Samy I. McFarlane

Publisher: Springer Science & Business Media

Published: 2012-10-19

Total Pages: 196

ISBN-13: 1603273573

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Diabetes and hypertension have evolved as two of the modern day epidemics affecting millions of people around the world. These two common co-morbidities lead to substantial increase in cardiovascular disease, the major cause of morbidity and mortality of adults around the world. In Diabetes and Hypertension: Evaluation and Management, a panel of renowned experts address a range of critical topics -- from basic concepts in evaluation and management of diabetes and hypertension, such as dietary interventions, to evaluation and management of secondary hypertension in clinical practice. Other chapters focus on high cardiovascular risk populations such as those with coronary heart disease, chronic kidney disease and minority patients. In addition, evolving concepts and new developments in the field are presented in other chapters, such as prevention of type 2 diabetes and the epidemic of sleep apnea and its implication for diabetes and hypertension evaluation and management. An important title covering two of the most troubling disorders of our time, Diabetes and Hypertension: Evaluation and Management will provide the busy practitioner with cutting edge knowledge in the field as well as practical information that can translate into better care provided to the high-risk population of diabetics and hypertensive patients.

Fast Facts: Hypertension

Author: Graham A. MacGregor

Publisher: Karger Medical and Scientific Publishers

Published: 2016-02-15

Total Pages: 98

ISBN-13: 1910797030

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Hypertension is the biggest cause of death and disability in the world, yet it remains underdiagnosed, undertreated and, in many cases, poorly controlled. As in the previous edition, 'Fast Facts: Hypertension' advises on: • accurate measurement of blood pressure and problems such as 'white-coat' hypertension • routine assessments for people with high blood pressure • other modifiable risk factors (smoking, high cholesterol levels etc.) • non-pharmacological measures (reducing salt, losing weight, increasing physical activity etc.) • rational and effective use of all drug treatments • identification of people with secondary hypertension • treatment of children, pregnant women, the elderly and patients with diabetes. Updates in this new edition include: • distinguishing between patients with primary (low renin) and secondary aldosteronism • greater use of home BP measurement in clinical decision-making • the latest thinking on BP treatment thresholds • new guidance on fourth-line therapy for resistant hypertension Sometimes dubbed 'the silent killer', hypertension rarely produces symptoms until it manifests as a heart attack or stroke, so early identification of the condition and appropriate management are vital. This practical readable refresher for every-day use supports better investigation and treatment of high blood pressure by primary care providers and better self-management by patients. Contents: • The dangers of raised blood pressure • Causes • Investigation • When to treat • How to treat • Special patient groups • Uncontrolled hypertension • Useful resources

Manual of Hypertension of the European Society of Hypertension, Third Edition

Author: Giuseppe Mancia

Publisher: CRC Press

Published: 2019-06-06

Total Pages: 650

ISBN-13: 0429583346

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The Manual of Hypertension of the European Society of Hypertension reflects emerging concepts that have the potential to impact diagnostic and therapeutic approaches to hypertension. Updating all material, this new edition also delves into a number of areas that have received heightened interest in recent years or have become a matter of debate due to the controversial interpretation of the available data. FEATURES Reflects emerging concepts impacting diagnostic and therapeutic approaches Explores background, history, epidemiology, and risk factors Describes pharmacological, nonpharmacological, and medical treatments Examines hypertension in special populations and treatment