Hepatitis B Virus (HBV)

Category: Blood pressure

TREATMENT OF DIFFICULT-TO-CONTROL BLOOD PRESSURE: DISCUSSION

We demonstrated that a multidisciplinary clinic for difficult-to-control blood pressure can be successful in a public health setting serving a disadvantaged minority population. Our success rate over 6 months of 58% compares favorably to the success rate (64%) in a private setting that serves primarily well-educated, Caucasian patients. The fact that eleven subjects of fifty […]

TREATMENT OF DIFFICULT-TO-CONTROL BLOOD PRESSURE: RESULTS

The characteristics of the first fifty patients enrolled in the clinic are described in Table 1. The typical patient was a 60-year-old diabetic African-American woman with a history of hypertension for 18 years taking 4 different antihypertensive medications, including a diuretic, calcium-channel blocker, alpha-blocker, and ACE-inhibitor. Of the fifty patients, 33 (66%) were female and […]

TREATMENT OF DIFFICULT-TO-CONTROL BLOOD PRESSURE: METHODS

A multidisciplinary hypertension clinic was established in the summer of 2000 to treat patients with difficult-to-control hypertension within the Cook County ambulatory health care network. The team of providers included three general internists, a nurse health educator, pharmacist, and dietician. Eligible patients with difficult-to-control hypertension were defined as having blood pressure persistently greater than 140 […]

TREATMENT OF DIFFICULT-TO-CONTROL BLOOD PRESSURE

INTRODUCTION The treatment of difficult-to-control hypertension in disadvantaged populations—poor, urban, or ethnically diverse—is a challenge that few individual practitioners or institutions have successfully addressed. This is a public health issue of significant importance, as uncontrolled hypertension leads to increased health care expenditures as well as higher rates of morbidity and mortality. The high prevalence of […]

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