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Evaluation and Management of the Patient with Hypertension

Robert Luke-2001-01-01
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TL;DRAbstract

The primary care physician plays the key role in the detection, assessment, and treatment of essential (primary) hypertension. Screening is cost-effective. Ninety percent of all hypertension is primary; 5% to 10% is secondary. Secondary hypertension mainly results from renal or renovascular disease. Clinical features identify a minority of patients for work-up for these and other causes. High normal blood pressures and mild hypertension respond well to nonpharmacologic measures, such as dietary modifications and exercise. Pharmacologie intervention is lifelong. Most patients can now be treated with a single daily dose of a single drug with no or minimal side effects.

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The primary care physician plays the key role in the detection, assessment, and treatment of essential (primary) hypertension. Screening is cost-effective. Ninety percent of all hypertension is primary; 5% to 10% is secondary. Secondary hypertension mainly results from renal or renovascular disease. Clinical features identify a minority of patients for work-up for these and other causes. High normal blood pressures and mild hypertension respond well to nonpharmacologic measures, such as dietary modifications and exercise. Pharmacologie intervention is lifelong. Most patients can now be treated with a single daily dose of a single drug with no or minimal side effects.

Keywords

MedicineRenovascular hypertensionSecondary hypertensionPrimary careBlood pressureIntervention (counseling)Intensive care medicineDisease

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