Special Situations in the Management of Hypertension
The modern physician is charged with integrating the art and science of medicine by extrapolating the results of physiologic studies and clinical trials to individual patients. Indeed, it could be argued that every clinical encounter is a “special situation” that deserves “special consideration.” Nonetheless, there are clearly circumstances in which the usual rubrics that are used in diagnosis and treatment must be modified. This is particularly true when the patient falls into the extremes in terms of demographic groups (eg, childhood or old age), when blood pressure (BP) is particularly high (eg, hypertensive emergencies), or when BP measurement is accomplished using techniques other than the indirect sphygmomanometric determinations in the physician’s office. This chapter attempts to address some of these special situations.
KeywordsHigh Blood Pressure Ambulatory Blood Pressure Ambulatory Blood Pressure Monitoring Systolic Hypertension Home Blood Pressure
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