DIAGNOSIS AND TREATMENT OF HYPERTENSION

TABLE OF CONTENTS
Introduction 9
Classification of blood pressure levels for adults (JNC-V) 10
Classification of hypertension by blood pressure level (WHO) 12
Classification of high blood pressure stages for adults 13
Manifestations of target-organ disease 14
Classification of high blood pressure stages (WHO) 15
Recommendations for follow-up (JNC-V) 16
Measurement of blood pressure 17
Recommendations for blood pressure determination 21
Types of hypertension 23
Medical history 25
Physical examination 27
Laboratory tests and diagnostic procedures 28
Guides for evaluating the secondary causes of hypertension 29
Lowering of blood pressure - how much is necessary? 30
Treatment algorithm (JNC-V) 31
Non-pharmacological therapy of hypertension 32
Pharmacological treatment of hypertension 38
Thresholds for drug treatment of hypertension with reference to systolic blood pressure   39
Thresholds for drug treatment of hypertension with reference to diastolic blood pressure   40
Thiazides 41
Loop diuretics 44
Potassium sparing diuretics 45
Adrenergic inhibitors: beta-blockers 47
Adrenergic inhibitors: alpha-beta blockers 57
Adrenergic inhibitors: alpha-blockers 58
ACE inhibitors 59
Calcium antagonists 62
Supplemental antihypertensive agents 65
Adverse drug effects 68
How to individualize antihypertensive therapy 69
Selection of antihypertensive therapy 71
Rational combinations of antihypertensive agents 72
Treatment of hypertensive crises 73
Parenteral drugs for treatment of hypertensive emergency 75
How to improve patient adherence to antihypertensive therapy? 77
Bibliography 78
List of slides 80
  © V. Kryzhanivsky, 1994

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