Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics / Edition 1

Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics / Edition 1

by William B. White
     
 

Although elderly hypertensive patients are the subjects of the largest body of outcomes trial data, as a group they are not getting the maximum benefit from antihypertensive medications. In Hypertension in the Elderly, a panel of leading academic physicians comprehensively reviews all aspects of this problem using the most current clinical data. Topics range from… See more details below

Overview

Although elderly hypertensive patients are the subjects of the largest body of outcomes trial data, as a group they are not getting the maximum benefit from antihypertensive medications. In Hypertension in the Elderly, a panel of leading academic physicians comprehensively reviews all aspects of this problem using the most current clinical data. Topics range from basic concepts, epidemiology and trials, and evaluation and management, to pharmacological treatment, special populations, and adherence, all presented with an emphasis on the optimal management of patients. The authors examine in detail the mechanisms of hypertension in the elderly, particularly age-related changes in vascular stiffness, and methodically review the lifestyle and outcomes trials that were conducted in older persons. The problems of clinical evaluation, secondary hypertension, and target organ damage are also fully addressed, and a practical approach is provided for correctly determining blood pressure, one of the most important tasks in evaluating an older patient. Extensive discussions of pharmacological therapy detail the role of individual drug classes, including diuretics and [beta]-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, calcium antagonists, [alpha]-I blockers, and combination drug therapies. Additional chapters focus on special populations, such as African Americans, patients with diabetes, and patients with arthritis, as well as on the clinician's role in improving therapeutic adherence in older patients.

Features: Standard reference on the diagnosis and treatment of hypertension in the elderly, Full use of the most current clinical data available,Extensive discussion of all the major pharmacological therapies, Treatment guidelines for African Americans and patients with diabetes and arthritis, Help in improving therapeutic adherence in older patients.

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Product Details

ISBN-13:
9780896038400
Publisher:
Springer-Verlag New York, LLC
Publication date:
11/28/2000
Series:
Contemporary Cardiology Series
Pages:
328
Product dimensions:
6.20(w) x 9.20(h) x 0.90(d)

Table of Contents

Foreword
Preface
Contributors
Pt. ITechniques for Out-of-Office Blood Pressure Monitoring
1Self-Monitoring of Blood Pressure3
2Evaluation of Journals, Diaries, and Indexes of Worksite and Environmental Stress29
3Electronic Activity Recording in Cardiovascular Disease45
4Ambulatory Monitoring of the Blood Pressure: Devices, Analysis, and Clinical Utility57
Pt. IIConcepts in the Circadian Variation of Cardiovascular Disease
5Circadian Rhythm and Environmental Determinants of Blood Pressure Regulation in Normal and Hypertensive Conditions79
6Circadian Variation of the Blood Pressure in the Population at Large139
7Importance of Heart Rate in Determining Cardiovascular Risk159
8Sodium, Potassium, the Sympathetic Nervous System, and the Renin-Angiotensin System: Impact on the Circadian Variability in Blood Pressure171
9Prognostic Value of Ambulatory Blood Pressure Monitoring191
10Circadian Rhythm of Myocardial Infarction and Sudden Cardiac Death219
11Seasonal, Weekly, and Circadian Variability of Ischemic and Hemorrhagic Stroke243
Pt. IIITwenty-Four-Hour Blood Pressure Monitoring and Therapy
12Cardiovascular Chronobiology and Chronopharmacology: Importance of Timing of Dosing255
13Advances in Ambulatory Blood Pressure Monitoring for the Evaluation of Antihypertensive Therapy in Research and Practice273
Index299

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