ABC of Hypertension

High blood pressure is a common chronic medical problem encountered in primary care, yet it is commonly under diagnosed. ABC of Hypertension is a long established, practical guide to the investigation, treatment and management of hypertensive patients. This sixth edition:

• Provides practical guidance on measurement of blood pressure and the investigation and management of hypertensive patients
• Explains new developments in measurement and automated measurement of blood pressure and
• Updates coverage on treatment of the elderly and explains of the implications of recent trials
• Incorporates current British Hypertension Society and NICE guidelines

Preface vi

1 The prevalence and causes of hypertension 1
Gregory Y H Lip, D Gareth Beevers

2 Hypertension and vascular risk 10
Gregory Y H Lip, D Gareth Beevers

3 Pathophysiology of hypertension 20
Gregory Y H Lip, D Gareth Beevers

4 Blood pressure measurement, 27
Eoin O’Brien

Part 1: Factors influencing all techniques of blood pressure measurement, 27

Part 2: Conventional blood pressure measurement, 33

Part 3: Ambulatory blood pressure measurement, 38

Part 4: Self-blood pressure measurement, 43

5 Screening and management in primary care, 47
Gregory Y H Lip, D Gareth Beevers

6 Clinical assessment of patients with hypertension, 53
Gregory Y H Lip, D Gareth Beevers

7 Investigation in patients with hypertension, 57
Gregory Y H Lip, D Gareth Beevers

8 Non-pharmacological treatment of hypertension, 63
Gregory Y H Lip, D Gareth Beevers

9 The pharmacological treatment of hypertension and endovascular renal sympathetic denervation, 68
Gregory Y H Lip, D Gareth Beevers

10 Hypertension in patients with cardiovascular disease, 81
Gregory Y H Lip, D Gareth Beevers

11 Special groups; diabetes mellitus, renal disease, renal artery stenosis and connective tissue diseases, 87
Gregory Y H Lip, D Gareth Beevers

12 Ethnicity, age and hypertension, 93
Gregory Y H Lip, D Gareth Beevers

13 Hypertension, pregnancy and the oral contraceptives, 98
Gregory Y H Lip, D Gareth Beevers

Index, 108

"The book is clearly written. There is an overview to each chapter. Subheadings are widely used to make it easy to find specific topics and there is a good index. The text is illustrated with diagrams, flowcharts and graphs. The last of these is appropriate to the current topic which is data rich." (Reference Reviews 2016)

D Gareth Beevers, Professor of Medicine, University Department of Medicine, City Hospital, Birmingham, UK.

Gregory YH Lip, Professor of Haemostasis Thrombosis and Vascular Sciences, University of Aston, Birmingham, UK.

Eoin O'Brien, Professor of Molecular Pharmacology, Conway Institute of Biomolecular and Biomedical Research, University College, Dublin, Ireland.

High blood pressure is now recognised as the major cause of morbidity and mortality across the world. It is the commonest chronic medical problem encountered in primary care, yet it is often diagnosed incorrectly and ineffectively treated. The ABC of Hypertension is a long established, practical guide to the investigation, treatment and management of hypertensive patients.

This new sixth edition provides practical guidance on measurement of blood pressure and the investigation and management of hypertensive patients. It explains new developments in the automated measurement of blood pressure, with emphasis on out-of-office blood pressure measurement, and it stresses the importance of 24 hour blood pressure monitoring.

Fully up to date with current British Hypertension Society (BHS) and NICE guidelines, it also includes improved coverage on the assessment and treatment of elderly patients and explains of the implications of recent trials.

From a respected, expert author team, ABC of Hypertension is a valuable resource for general practitioners, family physicians, junior doctors, medical and nursing students, practice nurses and primary healthcare professionals. It is also an important reference for all primary care health professionals involved in screening large numbers of patients for hypertension.