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Patient CareCase StudiesSevere Circadian Hypertension in a Young Man

Severe Circadian Hypertension in a Young Man

circadianA 19-year-old white man with no prior health problems presented at an employment physical examination with markedly elevated blood pressures of 234/132 mm Hg. The primary doctor initiated treatment with the alpha-beta blocker, labetalol, 200 mg daily and amlodipine, 10 mg daily. The young man denied neurologic or cardiac symptoms and there was no history of drugs of abuse or use of tobacco or alcohol. His family history was unremarkable for secondary forms of hypertension or cardiovascular disease.

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— — Patrick Campbell, MD, Kanwar P. Singh, MD, Gregory Schuchard, MD, Koyal Jain, MD, William B. White, MD

This article originally appeared in October 2011 issue of The American Journal of Medicine.

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