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Guidelines on the choice of agents and how best to step up treatment for various subgroups in hypertension (high blood pressure) have changed over time and differ between countries. A Comparison of International Guidelines on Goal Blood Pressure and Initial Therapy for Adults With Hypertension (adapted from JNC 8 guidelines [ 1 ] )
In 2017, with the American guidelines' change in definition for hypertension, 46% of people in the United States are affected. [6] African-American adults in the United States have among the highest rates of hypertension in the world at 44%. [163] Differences in hypertension rates are multifactorial and under study. [164]
Guidelines for treating resistant hypertension have been published in the UK [45] and US. [46] It has been proposed that a proportion of resistant hypertension may be the result of chronic high activity of the autonomic nervous system, known as "neurogenic hypertension". [47] Low adherence to treatment is an important cause of resistant ...
For mild blood pressure elevation, consensus guidelines call for medically supervised lifestyle changes and observation before recommending initiation of drug therapy. However, according to the American Hypertension Association, evidence of sustained damage to the body may be present even prior to observed elevation of blood pressure.
The paper shows that Black Americans having descended from the slave trade have largely retained the allele associated with equatorial populations, have higher sodium retention than other populations in America (including black people who later emigrated to America after the slave trade had ended), and have correspondingly higher hypertensive ...
Essential hypertension (also called primary hypertension, or idiopathic hypertension) is a form of hypertension without an identifiable physiologic cause. [1] [2] It is the most common type affecting 85% of those with high blood pressure. [3] [4] The remaining 15% is accounted for by various causes of secondary hypertension. [3]
Richard Stanley Cooper (born June 7, 1945) [1] is an American cardiologist and epidemiologist who is Chair of the Department of Public Health Sciences at Loyola University Chicago's Stritch School of Medicine. He is known for researching hypertension and other cardiac diseases in individuals of African ancestry. [2]
A minimum systolic value can be roughly estimated by palpation, most often used in emergency situations, but should be used with caution. [10] It has been estimated that, using 50% percentiles, carotid, femoral and radial pulses are present in patients with a systolic blood pressure > 70 mmHg, carotid and femoral pulses alone in patients with systolic blood pressure of > 50 mmHg, and only a ...