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Hypertension

Statin approved for primary CVD prevention

February 09, 2010

FDA approval was based on the JUPITER study, which evaluated Crestor in a previously unstudied population.

Asthma and obesity—a complex relationship

Rosemary Frei, MSc August 31, 2009

In addition to being on the rise, asthma and obesity have other features in common. Will treatment for one condition also alleviate the other?

Too little sleep boosts BP in some patients

August 12, 2009

Lack of sleep may be at the root of hypertension in some middle-aged patients

When patients' BP just won't come down

Carl Sherman July 07, 2009

A wide-ranging evaluation is required to identify the multifactorial causes of resistant hypertension. Treatment goes beyond the usual antihypertensives.

Cocoa aids cardiovascular health

Sherril Sego, MSN, FNP April 17, 2009

Consumed in moderation, the right type of chocolate may do more than satisfy a craving--it can also improve cerebral blood flow and lower blood pressure.

Reviewing beta blockers for hypertension

Brian S. Alper, MD, MSPH March 13, 2009

A Cochrane review concluded that beta blockers are not indicated as first-line therapy for hypertension. Other reviews similarly questioned the drugs' usefulness as antihypertensives.

"You can go home or go to the ED"

Ann W. Latner, JD March 02, 2009

When an NP gives a patient a choice, is she responsible for the effects of his untreated stroke?

Comorbidities slow MS diagnosis

February 09, 2009

Chronic conditions, such as obesity, diabetes, high BP, or high cholesterol, seem to delay multiple sclerosis (MS) diagnoses.

Why does amlodipine lead to edema?

February 09, 2009

I am unable to find a valid explanation for the edema that develops with amlodipine. Is the cause vascular distension, vessel permeability, or renal hemodynamics? Many patients experience weight gain. Could it be an antidiuretic effect? Is the edema harmful?

Rising home BP measurements in a hypertensive woman

Kenneth E. Korber, PA, PhD(c) December 08, 2008

Our patient's hypertension had been under moderate control for two decades. What was causing her BP to rise now?

Ambulatory BP betters office reads for CV risk

Delicia Yard November 25, 2008

A recent report found that office BP has no value in predicting cardiovascular (CV) morbidity and mortality in patients with resistant hypertension. Higher ambulatory measurements, however, are good indicators of these outcomes, according to the same report.

Assessing pulmonary arterial hypertension

Susan Steinbis, RN, MSN, NP November 10, 2008

You will want your patients to consult a specialist to slow progression of this debilitating disease. Here's what you should know before you refer.

BP-lowering calcium channel blocker

November 10, 2008

Cleviprex

Combined BP regimen cuts death rates 40%

November 10, 2008

Supplementing diuretic hypertension therapy with a drug that conserves potassium sharply reduces fatal heart attacks and sudden cardiac death...

High BP in a compliant diabetic?

November 03, 2008

Titrating antihypertensive meds

November 03, 2008

Updating the latest in hypertension therapy

Rod Richie, MD November 03, 2008

Most patients have no symptoms of hypertension until they suffer a major event. Here is a guide to help diagnose and manage this "silent killer."

"Normal" ACR warrants a second look

October 29, 2008

Women with high but normal albumin/creatinine ratios (ACRs) are much more likely to develop hypertension than women with lower ACRs...

Trial integrates depression and BP treatment

August 28, 2008

An integrated approach to hypertension and depression treatment yielded significantly better results for both conditions in a recent six-week pilot study. Patients in the integrated-care arm showed fewer...

Can BP Therapy Worsen Hyperglycemia?

August 26, 2008

Will using a diuretic with hydrochlorothiazide in a patient with hypertension and type 2 diabetes contribute to worsening of his hyperglycemia?

Divergent BPs at Home and the Office

August 25, 2008

If you record a high BP in the office, but the patient says it is normal at home, should the dosage of his antihypertensive medication be adjusted? Is 24-hour monitoring of...

Race-specific hypertension treatment

July 30, 2008

An obese 48-year-old African American woman was sent from the emergency department for follow-up of newly diagnosed asymptomatic hypertension (BP 226/130 mm Hg). She was started on lisinopril/hydrochlorothiazide (Zestoretic) 40/25 mg daily and clonidine 0.2 mg b.i.d. The patient has Wolff-Parkinson-White syndrome and...