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Previous Volume 348:610-617 February 13, 2003 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Editorial by Frohlich, E. D. Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 50-year-old black American has a blood pressure of 160/110 mm Hg on repeated measurements. He is 9 kg (20 lb) overweight, has a family history of hypertension, and smokes one pack of cigarettes daily. How should this patient be evaluated and treated?

The Clinical Problem

Hypertension (systolic pressure 140 mm Hg or diastolic pressure 90 mm Hg) is present in one in four adults . . . [Full Text of this Article]

Strategies and Evidence

Evaluation

Treatment

            Lifestyle Modifications

            Treatment Goal for Blood Pressure

            Choice of Antihypertensive Drugs

            Other Considerations in the Choice of Therapy

            Combination Therapy

Guidelines

Areas of Uncertainty

Conclusions and Recommendations

Source Information

From Weill Medical College of Cornell University and the Lang Research Center, New York Hospital Medical Center of Queens — both in New York.

Related Letters:

Initial Treatment of Hypertension
Porat G., Berend K., August P.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:1090-1091, Sep 11, 2003. Correspondence

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