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Clinical Practice
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Volume 355:385-392 July 27, 2006 Number 4
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Resistant or Difficult-to-Control Hypertension
Marvin Moser, M.D., and John F. Setaro, M.D.

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

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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 . . . [Full Text of this Article]

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 | PDF  
N Engl J Med 2006; 355:1934, Nov 2, 2006. Correspondence

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