Clinical QuickieCardiac
Hypertension Management
A high office BP is data — treatment decisions require confirmation, context, and risk.
Confirm the pattern
Repeat proper measurements and use home or ambulatory data when appropriate to distinguish sustained, white-coat, and masked hypertension.
Look for contributors
NSAIDs, stimulants, decongestants, steroids, OCPs, alcohol, sleep apnea, kidney disease, endocrine causes, pain, and adherence all matter.
Choose therapy around the patient
Comorbid CKD/albuminuria, CAD, HF, diabetes, pregnancy potential, electrolytes, and orthostasis influence medication selection.
Separate chronic management from emergency
Severe BP elevation without acute target-organ injury is not the same syndrome as hypertensive emergency.
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