In Practice Series Sern Lim MB BCh MD MRCP, Specialist Registrar in Cardiology and General Medicine, West Midlands Deanery £18.95,  978-1-85315-659-5,  128pp,  Paperback,  September 2006

The Ulster Medical Journal
"There is practical guidance for initial and further investigations, with comprehensive information about the interpretation of results and steering towards certain differential diagnoses. This, above all, makes this book a valuable resource for anyone treating hypertension"

First edition Highly Commended in the Primary Healthcare category, BMA Medical Book Competition 2003

This new revised and updated edition provides practical, up-to-date summaries on how to manage clinical hypertension in everyday practice. In addition to providing an overview of its epidemiology and pathophysiology, the book also contains focused reviews on various therapies and how to lower blood pressure through lifestyle changes. Specialist patient groups and hypertension during pregnancy are also discussed.

Clinical hypertension, commonly known as 'high blood pressure', is a highly prevalent condition and is a major risk factor in cardiovascular disease. Hypertension has few symptoms and many patients will be unaware that they have the condition until complications occur. These complications include cerebrovascular disease, heart disease, peripheral vascular disease, renal failure and retinopathy – target organ damage. The benefit of treating systemic hypertension is now well established and it is now no longer a question of ‘do we treat?” but ‘who and how should we treat?’

Clinical Hypertension in Practice will be of great value to general practitioners, hospital doctors and nurses working in cardiology, obstetrics and general practice, as well as to undergraduate and postgraduate students of medicine and pharmacy.

Contents:
Epidemiology:
Blood pressure and cardiovascular risk
Prevalence of hypertension
Aetiology of hypertension
Hypertension and the menopause

Pathophysiology:
Cardiac output and peripheral resistance
Renin–angiotensin system
Autonomic nervous system
Hypercoagulability
Endothelial dysfunction
Other factors
Intrauterine influences

Target organ damage:
Cerebrovascular disease
Heart
Large vessel arterial disease
Kidney and renal failure
Retinopathy
Hypertension in the context of overall risk

Clinical assessment:
Investigation for all hypertensive patients
Investigation for selected patients
Blood pressure measurement

Treatment:
Thresholds for starting antihypertensive therapy
Non-pharmacological management
Pharmacological management
Resistant hypertension
A summary of the 2004 British Hypertension Society guidelines

Hypertension in special patient groups:
Diabetes
Coronary artery disease
Cardiac failure
Hypertension following a stroke
Hypertension in the elderly
Renal disease
Peripheral vascular disease:
Ethnic groups
Hyperlipidaemia
Oral contraceptives and hypertension
Hormone replacement therapy (HRT)
Anaesthesia and surgery
Hypertension in children
Metabolic syndrome

Hypertension in pregnancy:
An introduction to hypertension in pregnancy
Classification of hypertension in pregnancy
Pre-existing essential hypertension
Secondary hypertension in pregnancy
Pregnancy-induced hypertension
Pre-eclampsia
Eclampsia
Choice of antihypertensive therapy in pregnancy
Further pregnancy

Hypertensive urgencies and emergencies:
Epidemiology
Pathophysiology
Clinical features
Physical signs
Early management
Summary

Other Titles in the In Practice Series
RSM Press Primary Care Titles
RSM Press Cardiovascular Medicine Titles

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