TY - CHAP M1 - Book, Section TI - DIAGNOSIS AND TREATMENT OF HYPERTENSION A1 - Krakoff, Lawrence R. A2 - Fuster, Valentin A2 - Harrington, Robert A. A2 - Narula, Jagat A2 - Eapen, Zubin J. Y1 - 2017 N1 - T2 - Hurst's The Heart, 14e AB - SummaryThis chapter discusses the diagnosis and treatment of patients with hypertension. Hypertension is usually a silent disorder, and initially identified during a regular clinical check-up or assessment for nonemergent symptoms. The importance of out-of-office (either 24h ambulatory or home) blood pressure (BP) measurement for accurate prognosis is becoming increasingly apparent. Despite improved detection rates, research indicates that hypertension is likely to remain a considerable challenge for the prevention of cardiovascular disease over the next few decades. With use of effective available treatments, however, reductions in this risk factor could have more impact on the prevention of premature cardiovascular death over the next decade than reductions of other common risk factors. Effective treatment involves lifestyle changes as well as prescription of antihypertensive medications (see accompanying Hurst's Central Illustration). Multiple pharmacotherapies exist over an array of drug classes. Most hypertensive individuals require treatments from two or three drug classes to effectively control their blood pressure. Interventional modalities, such as renal denervation and baroreflex activation therapy, are being investigated for use in patients with hypertension that is resistant to drug therapy. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/12 UR - accessmedicine.mhmedical.com/content.aspx?aid=1191186415 ER -