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OVERVIEW: SYSTEMIC HYPERTENSION

In the National Health and Nutrition Survey through 2016, about 80% of people with hypertension are aware of the diagnosis and 75% are receiving treatment, but hypertension is controlled in only 52% of those affected.

APPROACH TO HYPERTENSION: SYSTEMIC HYPERTENSION

Hand squeezing exercises three times a week can lower systolic blood pressure by 6 mm Hg. The protocol comprises four repeats of 2 minutes at 30% of maximum force (using a handheld dynamometer) with 1- to 3-minute rest intervals between squeezes.

DRUG THERAPY: CURRENT ANTIHYPERTENSIVE AGENTS

The side effects of many antihypertensive medications are more pronounced in women than men, including ACE inhibitor-associated cough and hyponatremia and hypokalemia in response to diuretics.

Blood pressure treatment goals should be individualized in the very elderly.

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