Document Detail


Blood pressure control 1 year after referral to a hypertension specialist.
MedLine Citation:
PMID:  24034654     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Hypertension is highly prevalent and remains poorly controlled. The purpose of this study was to evaluate blood pressure (BP) control in patients with uncontrolled hypertension 1 year after referral to a hypertension specialist. A retrospective chart review was performed on 158 patients evaluated by a single hypertension specialist between 2005 and 2010 at the Penn Hypertension Program. Patients were included if they had at least 1 year of follow-up and had baseline plasma renin activity and plasma aldosterone concentration measured. Drug regimens were adjusted with particular attention to results of renin-aldosterone profiling. Mean BP of the entire cohort decreased from 149/87 mm Hg to 129/78 mm Hg at 1 year (P<.0001), without a significant change in the number of antihypertensive medications. The authors observed that referral to a hypertension specialist was worthwhile and associated with a significant reduction in BP without an increase in the number of BP medications used at 1 year.
Authors:
Matthew G Denker; Danny B Haddad; Raymond R Townsend; Debbie L Cohen
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Publication Detail:
Type:  Journal Article     Date:  2013-06-17
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  15     ISSN:  1751-7176     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-09-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  624-9     Citation Subset:  IM    
Copyright Information:
©2013 Wiley Periodicals, Inc.
Affiliation:
Renal, Electrolyte and Hypertension Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
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