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Virginia Commonwealth University
Cardiology in Primary Care; Hypertension; Patient Management; Neurological Disease; Isolated Systolic Hypertension; Mild Diastolic Hypertension; Therapy; Coronary Artery Disease
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Management Of The Difficult Hypertensive Patient, A. Jarrell Raper
Management Of The Difficult Hypertensive Patient, A. Jarrell Raper
MCV/Q, Medical College of Virginia Quarterly
Hypertension, while usually easily handled, can in certain patients present difficult problems in management. A history of stroke sometimes creates doubt as to the advisability of lowering the blood pressure as this might reduce flow to the brain, causing the patient to have another stroke. It is recognized that severe hypertensives clearly do better if they are treated, but the mild-to-moderate hypertensive patient with a history of stoke is a more difficult problem, and uncertainty about proper management has been so great that a large multicenter clinical trial – randomized, double-blind, and placebo-controlled – of 452 patients was done by …