AccessMedicine | Systemic Hypertension: Introduction

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CURRENT Medical Diagnosis & Treatment 2013

Systemic Hypertension: Introduction

Topics Discussed: blood pressure determination; hypertension.

Excerpt:" Sixty-six million Americans have elevated blood pressure (systolic blood pressure

140 mm Hg or diastolic blood pressure

90 mm Hg); of these, 72% are aware of their diagnosis, but only 61% are receiving treatment and only 35% are under control using a threshold criterion of 140/90 mm Hg. The prevalence of hypertension increases with age and is more common in blacks than in whites. The mortality rates for stroke and coronary heart disease, two of the major complications of hypertension, have declined by 50–60% over the past three decades but have recently leveled off. The number of patients with end-stage kidney disease and heart failure—two other conditions in which hypertension plays a major causative role—continues to rise. ..."

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