Systemic Hypertension: Diagnostic Implications
Systemic hypertension is an extremely common condition that affects 10% to 25% of adult Americans. It is even more common in black Americans and in the elderly. As many as 58,000,000 Americans have hypertension (1988 Joint National Committee, 1988). Through its effects in increasing the risk of stroke, heart attacks, congestive heart failure, renal failure, ruptured intracranial aneurysm, dissecting aortic aneurysm, and retinopathy, it is a leading cause of death and disability. In the absence of complications, it is usually asymptomatic; thus, periodic screening examinations are important to its detection.
KeywordsOsteoporosis Adenoma Cortisol Norepinephrine Cardiomyopathy
Unable to display preview. Download preview PDF.
- Bookstein JJ, Abrams HL, Buenger RE, et al. Radiologic aspects of renovascular hypertension. Part 1: Aims and methods of the Radiology Study Group. Part 2: The role of urography in unilateral renovascular disease. JAMA. 1972; 220: 1218, 1225.Google Scholar
- Dawber TR. The Framingham Study. The Epidemiology of Atherosclerotic Disease. Cambridge, MA: Harvard University Press; 1980.Google Scholar
- Frohlich ED, Grim C, Labarthe DR, et al. Recommendations for human blood pressure determination by sphygmomanometers. Hypertension. 1988; 11: 209A.Google Scholar
- Health and Public Policy Committee, American College of Physicians, Philadelphia, PA. Automated ambulatory blood pressure monitoring. Ann Intern Med. 1986; 104: 275.Google Scholar
- Kaplan NM . Systemic hypertension: mechanisms and diagnosis. In Braunwald E, ed. Heart Disease. A Textbook of Cardiovascular Medicine. 2d ed. Philadelphia, PA: WB Saunders; 1984: 849 – 901.Google Scholar
- The 1988 Report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1988; 148: 1023.Google Scholar