Hypertension: investigation, assessment and diagnosis
| Autor: | P F Semple, G T McInnes |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Vascular disease Secondary hypertension Physical examination Blood Pressure Determination General Medicine medicine.disease Essential hypertension Surgery Blood pressure Hypertension Renovascular Blood chemistry Risk Factors Internal medicine Hypertension Medicine Humans Family history business Medical History Taking Stroke Physical Examination |
| Zdroj: | British medical bulletin. 50(2) |
| ISSN: | 0007-1420 |
| Popis: | Patients with mild to moderate hypertension require only a simple schedule of investigations, especially if there is a history of stroke or hypertension in first degree relatives. Tests are necessary to profile other cardiovascular risk factors and to detect target organ damage with only limited screening for secondary hypertension. Careful history, physical examination, repeated blood pressure measurements over months and measurements of body mass index, random cholesterol, routine blood chemistry and urinalysis using impregnated paper strips are all that are required. More detailed investigations can be reserved for special groups such as those with peripheral vascular disease or abnormal renal function before or after treatment with angiotensin converting enzyme inhibitors or significant proteinuria or hypokalaemia. Patients with essential hypertension who are smokers with lipid abnormalities may go on to develop superimposed renovascular disease. Severe hypertension at any age and especially if there is a reliable negative family history also merits special consideration. Resistance to antihypertensive treatment is more often due to non-compliance or non-steroidal anti-inflammatory drug use or alcohol abuse than to underlying secondary causes. |
| Databáze: | OpenAIRE |
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