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.