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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 authors' clinical recommendations.
A 70-year-old woman with a long-standing history of hypertension comes for follow-up. Her medications include atenolol (100 mg daily), hydrochlorothiazide (12.5 mg daily), lisinopril (40 mg daily), and ibuprofen (400 mg twice daily for osteoarthritis). She does not smoke or drink alcohol. Her body-mass index (the weight in kilograms divided by the square of the height in meters) is 32. Her systolic
The Clinical Problem
Strategies and Evidence
Diagnosis
Adherence to Treatment
Interfering or Exogenous Substances
Evaluation of Secondary Hypertension
Treatment
Guidelines
Areas of Uncertainty
Summary and Recommendations
Source Information
From the Section of Cardiovascular Medicine and the Cardiovascular Disease Prevention Center, Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn.
Address reprint requests to Dr. Moser at the Section of Cardiovascular Medicine, Yale University School of Medicine, Box 208017, 333 Cedar St., New Haven, CT 06520.
Related Letters:
Resistant or Difficult-to-Control Hypertension
Chandran P., Moser M., Setaro J.
Extract |
Full Text |
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N Engl J Med 2006;
355:1934, Nov 2, 2006.
Correspondence
This article has been cited by other articles:
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