Hypertension
A C l i n i ca l G u i d e
C . V e n k ata S . R a m
, HYPERTENSION:
A CLINICAL GUIDE
C. Venkata S. Ram MD, MACP, FACC, FASH
Texas Blood Pressure Institute
Dallas Nephrology Associates
University of Texas Southwestern Medical School
Dallas, Texas, USA
and
Apollo Institute for Blood Pressure Management
Apollo Hospitals
Hyderabad, India
,CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2014 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20131118
International Standard Book Number-13: 978-1-4822-4045-0 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable
data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be
made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal
to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use
by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their
knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid
advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly
urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This
book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of
the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers
have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to
publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any
future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any elec-
tronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information
storage or retrieval system, without written permission from the publishers.
For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact
the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that pro-
vides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of
payment has been arranged.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation
without intent to infringe.
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
, Contents
Preface 5
Acknowledgements 6
Abbreviations 7
Chapter 1: Introduction to hypertension 9
Chapter 2: Diagnosis and evaluation of hypertension 19
Chapter 3: Primary or secondary hypertension 27
Chapter 4: Non-pharmacological treatment of hypertension 39
Chapter 5: Management of hypertension 45
Chapter 6: Hypertensive emergencies and urgencies 57
Chapter 7: Hypertension in pregnancy 71
Chapter 8: Hypertension and renal disease 83
Chapter 9: Renovascular hypertension 93
Chapter 10: Primary aldosteronism 103
Chapter 11: Pheochromocytoma 111
Further reading 121
Index 133
A C l i n i ca l G u i d e
C . V e n k ata S . R a m
, HYPERTENSION:
A CLINICAL GUIDE
C. Venkata S. Ram MD, MACP, FACC, FASH
Texas Blood Pressure Institute
Dallas Nephrology Associates
University of Texas Southwestern Medical School
Dallas, Texas, USA
and
Apollo Institute for Blood Pressure Management
Apollo Hospitals
Hyderabad, India
,CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2014 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20131118
International Standard Book Number-13: 978-1-4822-4045-0 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable
data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be
made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal
to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use
by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their
knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid
advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly
urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This
book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of
the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers
have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to
publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any
future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any elec-
tronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information
storage or retrieval system, without written permission from the publishers.
For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact
the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that pro-
vides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of
payment has been arranged.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation
without intent to infringe.
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
, Contents
Preface 5
Acknowledgements 6
Abbreviations 7
Chapter 1: Introduction to hypertension 9
Chapter 2: Diagnosis and evaluation of hypertension 19
Chapter 3: Primary or secondary hypertension 27
Chapter 4: Non-pharmacological treatment of hypertension 39
Chapter 5: Management of hypertension 45
Chapter 6: Hypertensive emergencies and urgencies 57
Chapter 7: Hypertension in pregnancy 71
Chapter 8: Hypertension and renal disease 83
Chapter 9: Renovascular hypertension 93
Chapter 10: Primary aldosteronism 103
Chapter 11: Pheochromocytoma 111
Further reading 121
Index 133