Hypertension

Blood pressure management looks simple until it is done properly. This archive covers measurement technique and the case for out-of-office confirmation, phenotyping white coat and masked hypertension, the intensive treatment question raised by SPRINT, and the drug sequencing that actually achieves control: combination therapy early, single-pill regimens, and mineralocorticoid receptor antagonism for resistant disease. Secondary hypertension gets proper attention, particularly primary aldosteronism, renovascular disease, obstructive sleep apnoea and drug-induced elevation. Hypertensive emergency, perioperative management and pressure targets in specific comorbidities are also addressed. For systematic study, see our prevention and lifestyle course books and the cardiology books store.