Hypertension is a major medical problem, almost certainly the most common chronic disease in the urban world, one afflicting at least 20-25% of patients seen in any practitioner's office. Research into the control of blood pressure and the pathogenesis of hypertension is progressing rapidly, and a wide range of treatment choices is now available. In Hypertension Medicine, Michael Weber, MD, and a panel of distinguished authorities provide a comprehensive practical survey focusing on the key issues that determine the who, when, and how of hypertension management. Emphasis is given to the practical issues of management: how to select treatments that optimize results for even the most difficult-to-treat hypertensive patient and what to do to solve the major concomitant problems. Also examined in detail are the principal underlying mechanisms of hypertension, particularly those that help explain treatment choices, as well as the best techniques for successfully evaluating patients before treatment.
Authoritative and eminently readable, Hypertension Medicine constitutes a highly practical account of the challenging issues faced daily by family physicians, internists, and general practitioners in the evaluation and optimal management of hypertension.

Klappentext

Michael Weber, MD, and a panel of distinguished authorities provide a comprehensive practical survey focusing on the key issues that determine the who, when, and how of hypertension management. Emphasis is given to the practical issues of management: how to select treatments that optimize results for even the most difficult-to-treat hypertensive patient, and what to do about the major concomitant problems. Examined in detail are the principal underlying mechanisms of hypertension, particularly those that help explain treatment choices, as well as the best techniques for successfully evaluating patients before treatment. Authoritative and eminently readable, Hypertension Medicine constitutes a highly practical account of the challenging issues faced daily by family physicians, internists, and general practitioners in the evaluation and optimal management of hypertension.

Inhalt

Part I. Background Issues In Hypertension. Studies Justifying the Use of Treatment to Prevent Cardiovascular Events, Henry R. Black. Effects of Aging on Blood Pressure, Vincent DeQuattro. Effects of Race on Blood Pressure, John M. Flack. Genetics in Hypertension, Joel M. Neutel and David H. G. Smith. Sodium and Other Dietary Factors, Myron H. Weinberger. The Role of Stress in the Development of Hypertension, Thomas G. Pickering. Neuroendocrine Factors: Role of the Sympathetic Nervous and Renin Angiotensin Systems, Stevo Julius. Left Ventricular Hypertrophy and Diastolic Dysfunction, George A. Mansoor and William B. White. Role of the Endothelium in Hypertension, Ellis R. Levin. Part II. Diagnosis and Special Tests. Systolic, Diastolic, Mean or Pulse Pressure: Which is the Best Predictor of Hypertensive Cardiovascular Risk?, Stanley S. Franklin. Manual Blood Pressure Measurement-Still the Gold Standard: Why & How to Measure Blood Pressure the Old Fashioned Way, Carlene M. Grim and Clarence E. Grim. Initial Routine Tests for the Diagnosis and Risk Satisfaction of the Patient with Hypertension, Tudor Vagonescu and Robert A. Phillips. When to Suspect Secondary Hypertension, Donald G. Vidt. Evaluation of Renal Function and Proteinuria, Ira W. Reiser and Jerome G. Porush. Ambulatory Blood Pressure Monitoring, David H. G. Smith. Arterial Compliance in Hypertension, G. E. McVeigh and Li LanYoon. Part III. Principles of Treatment. Starting Hypertension Treatment: Setting Targets, Michael A. Weber. Choosing the First Agent, Matthew R. Weir. Managing an Inadequate Response to the First Agent: Changing Doses or Drugs, Adding Drugs, L. Michael Prisant. The Rationale of Low Dose Combination Therapy in Cardiovascular Risk Management, Joel M. Neutel and David H. G. Smith. How to Monitor Progress in Hypertensive Patients, Ehud Grossman. Problems of Treatment Compliance and Polypharmacy, Gordon S. Stokes and Philip A. Atkin. Should Treatment Differ in African-American and Caucasian Patients?, W. Dallas Hall. Measuring the Benefits of Antihypertensive Treatment, Michael A. Weber. Part IV. Major Antihypertensive Drug Classes. Diuretics in Hypertension Therapy, James R. Sowers, Joel M. Neutel, and Matthew R. Weir. b-Adrenergic Blocker Treatment of Hypertension: Pharmacodynamics and Guide to Patient Selection, Jon D. Blumenfeld. Calcium Antagonists, Franz H. Messerli, Jayant Dey, and Zanbin Feng. Angiotensin-Converting Enzyme Inhibitors, Irene Gavras and Haralambos Gavras. The Angiotensin II Receptor Blockers, Michael A. Weber. Selective a1 - Blockers, Joseph L. Izzo, Jr. Centrally Acting Antihypertensive Drugs, Mark Houston. Part V. Solving Problems in Hypertension Management. The National Health and Nutrition Examination Survey (NHANES) III: How Are We Doing with Blood Pressure Control?, David A. Calhoun and Suzanne Oparil. Lipid Abnormalities and Hypertension, Thomas D. Giles. Diabetes and Hypertension, Kurt M. R. Sowers and James R. Sowers. Treatment of Hypertensive Patients with Chronic Renal Insufficiency, Samuel Spitalewitz and Jerome G. Porush. Treating Angina Pectoris in Hypertension, Hal L. Chadow and Joel A. Strom. Hypertension and its Treatment in Concomitant Conditions: Degenerative Joint Disease, Depression, Alzheimer's Disease, and Parkinson's Disease, Domenic A. Sica. Cognitive Disorders and Dementia in Hypertension: Implications for Treatment, Lena Kilander. Refractory Hypertension, C. Venkata S. Ram. Hypertensive Emergencies, Dilek K. Sowers. Referring to Hypertension Experts: The Hypertension Consultant, Lawrence R. Krakoff.