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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 ] )
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 ...
Ambulatory blood pressure monitoring allows blood pressure to be intermittently monitored during sleep and is useful to determine whether the patient is a "dipper" or "non-dipper"—that is to say, whether or not blood pressure falls at night compared to daytime values.
A 2024 clinical guideline recommended an increase dietary fiber intake, [132] with a minimum of 28g/day for women and 38g/day for men diagnosed with hypertension. [ 133 ] Increasing dietary potassium has a potential benefit for lowering the risk of hypertension.
In the United Kingdom, the June 2006 "Hypertension: Management of Hypertension in Adults in Primary Care" [38] guideline of the National Institute for Health and Clinical Excellence, downgraded the role of beta-blockers due to their risk of provoking type 2 diabetes. [39]
Plates vi & vii of the Edwin Smith Papyrus (around the 17th century BC), among the earliest medical guidelines. A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.
Left ventricular hypertrophy. Hypertensive heart disease is the result of structural and functional adaptations [18] leading to left ventricular hypertrophy, [19] [20] [21] diastolic dysfunction, [18] [20] CHF (Congestive Heart Failure), abnormalities of blood flow due to atherosclerotic coronary artery disease [18] and microvascular disease, [10] [19] and cardiac arrhythmias. [19]
White coat hypertension (WHT), also known as white coat syndrome, is a form of labile hypertension [1] in which people exhibit a blood pressure level above the normal range in a clinical setting, although they do not exhibit it in other settings. [2] It is believed that the phenomenon is due to anxiety experienced during a clinic visit. [3]