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When Guidelines Cause Hypertension

The 2017 ACC/AHA Hypertension Guidelines1 lowered the threshold for diagnosing hypertension from a blood pressure of ≥140/90 mm Hg to ≥130/80 mm Hg. In the United States, this effectively increases the number of adults diagnosed as “hypertensive” from 72 to 103 million.2 It has been stated that “by reclassifying people formerly considered to have pre-hypertension as having hypertension, […]

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Optimal Systolic Blood Pressure Target in Resistant and Non-Resistant Hypertension

Prior studies suggest benefits of blood pressure lowering on cardiovascular risk may be attenuated in patients with resistant hypertension compared with the general hypertensive population, but prospective data are lacking. Methods We assessed intensive (<120 mm Hg) versus standard (<140 mm Hg) systolic blood pressure targets on adverse outcome risk according to baseline resistant hypertension […]

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Dairy Consumption and 24-Hour Blood Pressure in Older Adults with Hypertension (video)

The aim was to examine the association between habitual consumption of dairy products and 24-hour ambulatory blood pressure monitoring among older adults with hypertension. Methods We conducted an analysis of 715 community-living hypertensive adults age ≥60. Habitual dairy consumption was assessed with a validated diet history. Blood pressure was recorded by 24-hour ambulatory blood pressure […]

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Development and Preliminary Feasibility of an Automated Hypertension Self-Management System

Uncontrolled hypertension constitutes a significant challenge throughout the world. Blood pressure measurement by patients is informative for both patients and providers but is rarely performed systematically, thereby reducing its utility. Mobile phones can be used to efficiently prompt individuals to measure blood pressure and automate data management while avoiding technology barriers to widespread adoption. Presented […]

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A computed tomography scan with contrast revealed no pulmonary emboli, multiple small pulmonary nodules, a hyperinflated right lung crossing the midline, and patchy opacity of the left lower lung, consistent with atelectasis. A = anterior; P = posterior.

Dueling Lungs: The Progression of Swyer-James Syndrome

Severe pulmonary hypertension led us to recommend surgery in the face of progressive Swyer-James syndrome. Presentation A 50-year-old African American woman presented to the Emergency Department with worsening pain over her left flank, chest, and back. The pain had been getting worse, especially in the morning, over the previous couple days and was described as […]

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The History of the Salt Wars

The “Salt–Blood Pressure Hypothesis” states that an increase in the intake of salt leads to an increased in blood pressure and subsequently increases the risk for cardiovascular events, which has been a point of contention for decades. This article covers the history and some of the key players pertaining to “The Salt Wars” during the […]

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