Part of the Treatment in Clinical Medicine book series (TC MEDICINE)


Our attitude to hypertension has changed dramatically in the past 30 years. This has been reflected in terms of investigation, in terms of medical and surgical management and in the development of hypertension as a speciality. While hypertension developed initially as a hospital-orientated problem, the trend now is towards “shared care” or general practitioner management. The search for aetiology of primary (also known as idiopathic and misleadingly as “essential”) hypertension previously dominated the assessment of patients. Hypertensive patients — young or old, male or female — underwent a battery of investigations such as intravenous pyelography, radio-isotope renography and at times aortography. Complex biochemical investigations were also included. Investigation is now more selective. It is extremely complex when necessary, but overall has become simpler. The need for treatment can be based on general criteria:
  1. Stage 1:

    Raised blood pressure. No organ involvement. Consider therapy.

  2. Stage 2:

    Raised blood pressure. Organ involvement (e.g. LV hypertrophy). Treatment indicated.

  3. Stage 3:

    Raised blood pressure. Organ failure or damage (e.g. cardiomegaly, blood urea raised). Treatment mandatory.



Blood Pressure Cardiac Output Blood Pressure Control Diastolic Pressure Peripheral Resistance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  1. 1.Royal InfirmaryGlasgowScotland, UK
  2. 2.Stobhill General HospitalGlasgowScotland, UK

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