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By D. Gareth Beevers, Gregory Y. H. Lip, Eoin T. O'Brien

ISBN-10: 140513061X

ISBN-13: 9781405130615

ISBN-10: 1405171359

ISBN-13: 9781405171359

High blood pressure is a which impacts thousands of individuals all over the world and its therapy drastically reduces the chance of strokes and middle assaults. This totally revised and up-to-date variation of the ABC of high blood pressure is a longtime consultant supplying all of the non-specialist must find out about the size of blood strain and the research and administration of hypertensive sufferers. This re-creation offers comprehensively up-to-date and revised details on how and whom to regard.

The ABC of high blood pressure will end up valuable to common 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

Example text

Important reductions in death rates for coronary heart disease and stroke have been seen since the late 1970s. Despite this, the United Kingdom has rates that are still among the highest in Western Europe. Death rates are higher in Scotland than the south of England, in manual workers than in nonmanual workers, and in certain ethnic groups. Although mortality from heart disease is falling rapidly, the morbidity associated with heart and circulatory disease is not decreasing. 16 million women. A general practitioner with a list of 2000 patients is estimated to have about 400 consultations each year for about 200 patients with hypertension.

It may be possible to identify at least some of these patients by self-measurement, although ambulatory blood pressure is the preferred technique. In the evaluation of patients with resistant hypertension but no signs of target organ damage, the first step might be to use self-measurement; if the levels of blood pressure are low, measurement of ambulatory blood pressure may then be indicated to confirm the degree of control. Predicting outcome Self-measurement may offer some advantage over measurement of conventional blood pressure in predicting cardiovascular outcome in hypertension, but data are extremely limited and the results of ongoing trials are awaited.

For example, aortic regurgitation results in a soft blowing early diastolic murmur, which is associated with a wide pulse pressure (“collapsing pulse”) and isolated systolic hypertension. One rare vascular cause of hypertension is suggested by the presence of a loud systolic murmur across the chest and back, with delayed femoral pulses and a difference in blood pressure recorded in the arms and legs as a result of coarctation of the aorta. The femoral pulses should be checked for radiofemoral delay in all patients with newly diagnosed hypertension.

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ABC of Hypertension by D. Gareth Beevers, Gregory Y. H. Lip, Eoin T. O'Brien


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