The Hypertension Consultant Detection and treatment of hypertension are the most important interventions, for adult medicine, that are available to prevent mortality and morbidity due to cardiovascular and renal diseases. This conclusion is invariably supported by the findings of an abundance of randomized clinical trials. Despite these facts, population-based surveys clearly demonstrate that hypertension is [...]
Hypertensive emergencies and urgencies need prompt diagnosis and management because they may potentiate organ dysfunction and even lead to death if not appropriately treated. The goal of initial treatment in these patients is to obtain a safe and controlled reduction in blood pressure (blood pressure) to a more physiologic, noncritical level, but not necessarily to [...]
Because of widespread treatment of systemic hypertension, true refractory hypertension is somewhat unusual in the current management of hypertensive disorders. A majority of patients with uncomplicated primary hypertension respond to one or two drugs. Hypertension is considered refractory if the blood pressure cannot be reduced below 140/90 mmHg in patients who are compliant with an [...]
