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Hypertension and Hypertensive Heart Disease,  An Issue of Cardiology Clinics - E-Book

Hypertension and Hypertensive Heart Disease, An Issue of Cardiology Clinics - E-Book

George A. Mensah

(2010)

Additional Information

Book Details

Abstract

Hypertensive heart disease, the number one cause of death associated with hypertension, refers to coronary artery disease, heart failure, and enlargement of the heart that occurs because of high blood pressure. This issue summarizes the current state-of-the-art in diagnosing, treating, and preventing this potentially fatal disease so that cardiologists can offer the best current treatment to their patients.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents v
Cardiology Clinics ix
Foreword xi
Preface Hypertension and Hypertensive Heart Disease xiii
Chapter 1. Pathogenesis and Clinical Physiology of Hypertension 545
THE PHYSIOLOGY OF NORMAL BP CONTROL 545
PATHOPHYSIOLOGIC STATES OF CHRONIC BP INCREASE 550
PATHOGENESIS OF PRIMARY HYPERTENSION 550
THE ROLE OF GENES 550
THE ROLE OF ENVIRONMENT 550
THE SNS 551
THE RAAS 553
VASCULAR REMODELING, HYPERTROPHY, AND INCREASED PERIPHERAL RESISTANCE 553
HYPERINSULINEMIA AND INSULIN RESISTANCE 554
THE KIDNEY AND PRIMARY HYPERTENSION 554
A UNIFYING PATHWAY FOR THE DEVELOPMENT OF HYPERTENSION 554
IMPLICATIONS FOR CLINICAL MANAGEMENT OF HYPERTENSION 556
SUMMARY 556
REFERENCES 556
Chapter 2. Prehypertension: An Opportunity for a New Public Health Paradigm 561
CLINICAL EPIDEMIOLOGY OF PREHYPERTENSION 562
CLINICAL EPIDEMIOLOGY AND TREATMENT CONSIDERATIONS IN STAGE 2 PREHYPERTENSION 564
SUMMARY 567
REFERENCES 567
Chapter 3. Principles and Techniques of Blood Pressure Measurement 571
BASIC TECHNIQUES OF BLOOD PRESSURE MEASUREMENT 571
HOW SHOULD DIFFERENT BLOOD PRESSURE MEASUREMENT TECHNIQUES BE USED? 580
SUMMARY 582
REFERENCES 583
Chapter 4. Initial Clinical Encounter with the Patient with Established Hypertension 587
THE INITIAL COMPREHENSIVE EVALUATION 588
BP CLASSIFICATION AND STAGING OF HYPERTENSION 588
INITIAL LABORATORY TESTS 590
ASSESSMENT OF GLOBAL CV RISK 591
IMPORTANCE OF HL, SELF-MONITORING, AND LIFESTYLE CHANGES 592
SUMMARY 593
REFERENCES 593
Chapter 5. Management of High Blood Pressure in Children and Adolescents 597
DIAGNOSIS OF HYPERTENSION 597
OBESITY-RELATED HYPERTENSION 599
PHARMACOLOGIC TREATMENT OF CHILDHOOD HYPERTENSION 601
REFERENCES 605
Chapter 6. Treatment and Control of High Blood Pressure in Adults 609
CLASSIFICATION OF BP LEVELS AND STAGING OF HYPERTENSION IN ADULTS 609
DEFINITION AND RISK ASSESSMENT FOR TREATMENT PLANNING IN HYPERTENSION 610
LIFESTYLE MODIFICATIONS FOR THE PREVENTION AND CONTROL OF HIGH BP 610
SPECTRUM OF ORAL ANTIHYPERTENSIVE DRUGS AND CHOICE OF INITIAL THERAPY 610
THE ALGORITHM FOR HYPERTENSION TREATMENT AND FOLLOW-UP 614
STRATEGIES FOR DRUG SELECTION BEYOND THE INITIAL THERAPY 616
IMPORTANCE OF ADDRESSING ADVERSE DRUG EVENTS 617
ANTIHYPERTENSIVE THERAPY IN SPECIFIC POPULATIONS 618
EMERGING TREATMENT OF HYPERTENSION 619
SUMMARY 620
REFERENCES 620
Chapter 7. Hypertension in Special Populations: Chronic Kidney Disease, Organ Transplant Recipients, Pregnancy, Autonomic Dysfunction, Racial and Ethnic Populations 623
HYPERTENSION AND CHRONIC KIDNEY DISEASE 623
HYPERTENSION AND ORGAN TRANSPLANTATION 625
HYPERTENSION IN PREGNANCY 626
BARORECEPTOR DYSFUNCTION AND FAILURE AND HYPERTENSION 630
HYPERTENSION IN AFRICAN AMERICANS 632
REFERENCES 635
Chapter 8. Resistant Hypertension, Secondary Hypertension, and Hypertensive Crises: Diagnostic Evaluation and Treatment 639
SECONDARY HYPERTENSION 639
RESISTANT HYPERTENSION 642
HYPERTENSIVE CRISES 650
SUMMARY 650
REFERENCES 651
Chapter 9. Patient Self- Management Support: Novel Strategies in Hypertension and Heart Disease 655
WHAT IS SELF-MANAGEMENT OF HYPERTENSION AND CVD? 655
WHAT ARE THE GOALS OF EFFECTIVE SELF-MANAGEMENT? 656
HOW DOES SELF-MANAGEMENT FIT INTO THE LARGER CONTEXT OF THE HEALTH SYSTEM? 657
WHAT ARE THE EFFECTIVE COMPONENTS OF SELF-MANAGEMENT SUPPORT? 657
WHERE DOES SELF-MANAGEMENT SUPPORT OCCUR? 658
WHO DELIVERS SELF-MANAGEMENT SUPPORT? 659
WHAT IS THE EVIDENCE SUPPORTING SELF-MANAGEMENT INTERVENTIONS? 660
SUMMARY 660
REFERENCES 661
Chapter 10. The Role of Diets, Food, and Nutrients in the Prevention and Control of Hypertension and Prehypertension 665
DEFINITIONS AND CLASSIFICATIONS 665
DIET, FOODS, AND NUTRIENTS 666
ROLE OF VARIOUS DIETARY PATTERNS 667
ROLE OF MACRONUTRIENTS 670
ROLE OF MICRONUTRIENTS 672
ROLE OF CALORIES 672
ROLE OF DIETITIANS ON THE TREATMENT AND CARE TEAM 672
ROLE OF THE FOOD SYSTEM, INCLUDING FOOD MANUFACTURERS AND RESTAURANTS, IN ADDRESSING DIETARY SODIUM INTAKE 673
SUMMARY 673
REFERENCES 673
Chapter 11. Prevention, Diagnosis, and Treatment of Hypertensive Heart Disease 675
DEFINITION 675
PATHOPHYSIOLOGY 675
EPIDEMIOLOGY 676
DIAGNOSTIC EVALUATION 676
PREVENTION AND TREATMENT 680
SUMMARY 685
REFERENCES 686
Index 693