Hypertension

Cocoa can decrease blood pressure

January 11, 2010

Cocoa products such as dark chocolate and cocoa-containing beverages can lower blood pressure, a recent meta-analysis confirms.
 

Gout drug prevents BP jump in men

December 17, 2009

Allopurinol, which is used to lower uric acid levels to counteract gout, may also reduce BP that has been raised by a diet high in fructose, the only common sugar currently known to increase uric acid levels.
 

Guidelines: How to treat resistant hypertension

By Carl Sherman May 21, 2009

In its first Scientific Statement to focus on this issue, the American Heart Association stresses the need for evaluation that spreads a broad net to identify contributing and secondary causes and treatment options that go beyond the usual antihypertensives.
 

Cleviprex

February 05, 2009

An IV calcium channel blocker to reduce BP from The Medicines Company
 

Ambulatory BP betters office reads for CV risk

By Delicia Yard November 26, 2008

A recent report found that office BP has no value in predicting cardiovascular (CV) morbidity and mortality in patients with resistant hypertension. Higher ambulatory measurements, however, are good indicators of these outcomes, according to the same report.
 

Secondary heart failure

October 08, 2008

As physicians, we need to remind ourselves that congestive heart failure (CHF) is not a diagnosis but rather a complex of symptoms with one or more of five major causes: myocardial ischemia, valvular heart disease, chronic hypertension, arrhythmias, or cardiomyopathy. Thus, if a patient has symptoms of CHF, the diagnosis would be CHF secondary to one of those five causes.
 

TITRATING ANTIHYPERTENSIVE MEDS

Question raised by Bhavana Japi, MD, New Hyde Park, N.Y. and answered by Samuel J. Mann, MD September 18, 2008

How soon after starting a patient on an antihypertensive medication should its effects be reviewed and the dosage adjusted?
 

DIVERGENT BPs AT HOME AND THE OFFICE

Question raised by Bhavana Japi, MD, New Hyde Park, N.Y. and answered by Samuel J. Mann, MD July 01, 2008

If you record a high BP in the office, but the patient says it is normal at home, should the dosage of his antihypertensive medication be adjusted? Is 24-hour monitoring of BP useful?
 

A complex case of shortness of breath

Question by J. Delyaei, MD, Santa Clara, Calif., and answered by R.S. Tharratt, MD, MPVM March 24, 2008

A 90-year-old man with a five-year history of chronic obstructive pulmonary disease complains of worsening shortness of breath for the past several months. When he lies down, he feels fine, but when he stands up, he feels unwell. He denies chest pain. His medical history includes...
 

Diuretic for gout patients?

February 20, 2008

Since hydrochlorothiazide can increase the risk of attacks in patients with gout, what diuretic is safe and effective for these patients?
 

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