Detection, Evaluation and Treatment of Hypertension

Clinton Pong, MD

Tufts/CHA Family Medicine, Fellow

October 2014

DETECTION

Ambulatory Blood-Pressure Monitor.

Pickering TG et al. N Engl J Med 2006;354:2368-2374.

Pickering TG et al. N Engl J Med 2006;354:2368-2374.

EVALUATION

Recommended Evaluation of Patients with Hypertension.

Moser M, Setaro JF. N Engl J Med 2006;355:385-392.

Moser M, Setaro JF. N Engl J Med 2006;355:385-392.

Moser M, Setaro JF. N Engl J Med 2006;355:385-392.

Secondary Causes of Resistant Hypertension.

Moser M, Setaro JF. N Engl J Med 2006;355:385-392.

TREATMENTTherapeutic Lifestyle Changes “TLC” and medications

Lifestyle Modifications to Prevent or Manage Hypertension.

August P. N Engl J Med 2003;348:610-617.

Molecular Mechanisms Implicated in the Retention of Sodium and Loss of Potassium by the Kidneys in Primary Hypertension.

Adrogué HJ, Madias NE. N Engl J Med 2007;356:1966-1978.

Molecular Pathways Implicated in the Generation of Increased Arterial and Arteriolar Smooth-Muscle Tone by an Excess of Sodium and a Deficit of Potassium in Primary Hypertension.

Adrogué HJ, Madias NE. N Engl J Med 2007;356:1966-1978.

Sites of Diuretic Action in the Nephron.

Ernst ME, Moser M. N Engl J Med 2009;361:2153-2164.

Indications for the Use of Antihypertensive Drugs, Contraindications, and Side Effects.

August P. N Engl J Med 2003;348:610-617.

James, P.A., et al. (2014) 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA. Published online December 18, 2013. doi:10.1001/jama.2013.284427 

NHLBI. (2003) JNC7 Reference Card. NIH Publication No. 03-5231 http://www.nhlbi.nih.gov/files/docs/guidelines/phycard.pdf