Hypertension, management

Essential hypertension Management of essential hypertension. It can be used alone or in combination with other antihypertensive agents, especially thiazide-type diuretics. 

Williams B, Poulter NR, Brown MJ, Davis M, Mclimes GT, Potter JF et al. British Hypertension Society guidelines for hypertension management 2004 (BHS-IV) summary. BMJ 2004 328(7440) 634-40. 

Sam could determine if his state allows collaborative practice agreements. If so, he could develop a clinical service such as warfarin management, diabetes management, or hypertension management and bill these services using 1,500 billing codes. 

NICE (National Institute for Health and Clinical Excellence) (2006). Hypertension - management of hypertension in adults in primary care. Available at http //www.nice. org.uk/download.aspx o=cg034NICEguideline [Accessed 3 July 2008]. 

That s dramatic, especially in view of the current hypertension management guidelines used by physicians that point out that a 5-point reduction in systolic blood pressure can reduce mortality substantially and reduce the risk of stroke by 14 percent and the incidence of coronary heart disease by 9 percent. 

Hypertension Management Guide for Doctors, 2004, Heart Foundation of Australia. Journal of the American Medical Association, May 14,2003. 

Grimm RH Jr, Cohen JD, Smith WM, Falvo-Gerard L, Neaton JD. Hypertension management in the Multiple Risk Factor Intervention Trial (MRFIT). Six-year intervention results for men in special intervention and usual care groups. Arch Intern Med 1985 145(7) 1191-9. 

Combined treatment is necessary in the long-term treatment of essential hypertension. (3-Blocker and diuretic properties in a same molecule would present a great interest for hypertension management. Few attempts to synthesize hybrid molecules by combining the structures of a (3-adrenorecep-tor antagonist and a diuretic were described (Figure 18.35). A hybrid sulfonamide was achieved by linking the (3-blocker propranolol derivative with the 2-chlorobenzene sulfonamide moiety of mefruside. ... 

Arauz-Pacheco C, Parrott MA, Raskin P. Hypertension management in adults with diabetes. Diabetes Care 2004 27(suppl l) S65-67. 

FIGURE 43-7. Hypertension management algorithm for patients with CKD. Dosage adjustments should be made every 2 to 4 weeks as needed. The dose of one agent should be maximized before another is added. Adapted from Bakris, with permission. 

Adapted from Williams, B., Poulter, N.R., Brown, M.J. et al. (2004) The BHS Working Party British Hypertension Society guidelines for hypertension management, 2004-BHS IV summary. 

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