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Isolated Systolic Hypertension
- See Also
- Hypertension
- Epidemiology
- Most common type of Hypertension in adults
- Criteria
- Systolic Blood Pressure: >140 mmHg (previously >160)
- Diastolic Blood Pressure: <90 mmHg
- Complications: Cardiovascular Risk
- General
- Systolic pressure predicts risk better than diastolic
- Wide Pulse Pressure best predicts cardiovascular risk
- Adverse Effects
- Doubles all cause mortality
- Triples cardiovascular mortality
- Increases cardiovascular morbidity 2.5 fold
- Management
- Use lower antihypertensive dosages
- First Choice Medication: Diuretic
- Even better benefit in Diabetes Mellitus with ISH
- Study of 4736 type II diabetics
- Lower Incidence of cardiac events
- Lower Incidence of Cerebrovascular Accidents
- Lower Incidence of Myocardial Infarction
- Reference
- Curb (1996) JAMA 276:1886
- Other Medications
- Dihydropyridine Calcium Channel Blocker
- Long Acting Nitroglycerin
- ACE Inhibitor
- Labetalol
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