Tag Archives: Hypertension

Is Salt a Culprit or an Innocent Bystander in Hypertension? A Hypothesis Challenging the Ancient Paradigm

For decades the notion that an excessive consumption of salt (NaCl) leads to hypertension has persisted. However, this idea is based on opinion, not scientific proof. Despite this, every health organization, agency, and clinicians around the world have been advising salt restriction, especially to hypertensive patients. The present review article suggests that the consumption of […]

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doctor testing for blood pressure

Treatment-Resistant Hypertension and Outcomes Based on Randomized Treatment Group in ALLHAT

  Although hypertension guidelines define treatment-resistant hypertension as blood pressure uncontrolled by ≥3 antihypertensive medications, including a diuretic, it is unknown whether patient prognosis differs when a diuretic is included. Methods Participants in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) were randomly assigned to first-step therapy with chlorthalidone, amlodipine, or lisinopril. At a Year […]

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doctor testing for blood pressure

Longitudinal Patterns of Cardiorespiratory Fitness Predict the Development of Hypertension Among Men and Women

Most of the existing literature has linked a baseline cardiorespiratory fitness or change between baseline and one follow-up measurement of cardiorespiratory fitness to hypertension. The purpose of the study is to assess the association between longitudinal patterns of cardiorespiratory fitness changes with time and incident hypertension in adult men and women. Methods Participants were aged […]

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Joseph S. Alpert

How Can We Improve the Management of Patients with Hypertension?

Hypertension continues to be a major health problem in the United States, affecting more than 76 million US citizens. Despite marked improvement in detection and therapy of patients with hypertension over recent decades, substantial morbidity and mortality still occur, especially in the Southeastern United States. Hypertension detection programs are common throughout the country and can […]

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Unmasking a Hidden Cause of Persistent Facial Ulceration: The Relevancy of a Neurologic Examination

Upon presentation, the patient was afebrile and hypertensive to 199/81 mm Hg. Physical examination revealed prominent tender left-sided preauricular and submandibular lymphadenopathy and a linear crusted ulcer with jagged edges extending from the inferior aspect of the medial left eyebrow to the left nasolabial fold (Figure 1). Neurologic examination was notable for left-sided ptosis and miosis, […]

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