Document Detail

Borderline hypertension.
MedLine Citation:
PMID:  10423097     Owner:  NLM     Status:  MEDLINE    
Borderline hypertension is a widespread condition and because of its large prevalence, it has a major impact on the cardiovascular mortality of the population. A modest elevation of blood pressure in borderline hypertension is closely associated with multiple rheologic, hemodynamic, humoral and metabolic abnormalities. Many of these abnormalities, independently of the blood pressure, increase the coronary risk in patients with borderline hypertension. There is no sufficient evidence in the literature to propose a well structured algorithm of management and treatment of borderline hypertension. Establishing a reliable baseline blood pressure (by ambulatory or home blood pressure monitoring) is the first step in the management of borderline hypertension. One year of intensive nonpharmacologic treatment is recommended as the first therapeutic modality. If this fails to decrease the blood pressure, pharmacologic treatment with small doses of antihypertensive medication is recommended in patients with dyslipidemia or in patients whose out of office blood pressure remains elevated.
S Julius
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical and experimental hypertension (New York, N.Y. : 1993)     Volume:  21     ISSN:  1064-1963     ISO Abbreviation:  Clin. Exp. Hypertens.     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-12-01     Completed Date:  1999-12-01     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9305929     Medline TA:  Clin Exp Hypertens     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  741-7     Citation Subset:  IM    
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, 48109-0356, USA.
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MeSH Terms
Cardiovascular Diseases / mortality,  prevention & control*
Disease Management
Hypertension / diagnosis*,  epidemiology,  mortality,  therapy
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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