Full Description
The treatment of hypertension is now evolving into a decision-making process of ever greater complexity. Not only has the range of drugs available increased but so too has our knowledge of the diversity of individual patients' responsiveness to therapy, and the need to tailor their treatment with reference to a wide variety of additional factors. In order to provide effective patient care, the clinician needs to be aware of all the options available, but also of the evidence supporting their use and the extent to which that evidence justifies the choices made. In this volume, leading authorities in their fields draw on the available evidence to provide answers to a series of key clinical questions facing the clinician treating hypertension. These include questions of definition; who do we treat, and when? Should we treat pre-hypertension? How does the choice of therapy change in the presence of comorbidities such as obesity, ischemic heart disease, left ventricular hypertrophy, diabetes or cerebrovascular disease? What is the optimal treatment of women in pregnancy? The book provides answers to these and many other questions, as the authors present an expert analysis of the available evidence and offer authoritative recommendations for treatment planning. In each chapter, tables highlight evidence from a variety of sources, and every chapter concludes with a series of key practice points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. For any clinician concerned with the care of the hypertensive patient, this volume will be a valuable aid to treatment planning and long term management.
Contents
How low should you treat blood pressure?; Are lifestyle modifications a successful means for controlling blood pressure over the long term?; Are salt and potassium in the diet important for the long-term control of blood pressure?; What is the optimal management of obesity-related hypertension?; What is the optimal management of renal vascular hypertension?; Regimen-based pharmacotherapy for controlling cardiovascular risk in patients with high blood pressure: what is optimal?; What is the optimal management of patients with resistant hypertension due to aldosterone excess?; Should pre-hypertension be treated?; What are the optimal treatment goals for older patients with isolated systolic hypertension?; What Is the optimal treatment of hypertension in minority populations?; Treatment of hypertension in patients with ischemic heart disease; Management of patients with left ventricular hypertrophy; Treatment of hypertensive patients with left ventricular systolic dysfunction; Treatment of hypertension with cerebrovascular disease: what is the evidence?; What is the optimal treatment of blood pressure for patients with chronic kidney disease and/or albuminuria?; What is the optimal treatment of high blood pressure in patients with abnormal glucose tolerance or diabetes?; What is the optimal treatment of hypertension in women and in pregnancy?
