See Also
1. Hypertension
Epidemiology
1. Most common type of Hypertension in adults
Criteria
1. Systolic Blood Pressure: >140 mmHg (previously >160)
2. Diastolic Blood Pressure: <90 mmHg
Complications: Cardiovascular Risk
1. General
  1. Systolic pressure predicts risk better than diastolic
  2. Wide Pulse Pressure best predicts cardiovascular risk
2. Adverse Effects
  1. Doubles all cause mortality
  2. Triples cardiovascular mortality
  3. Increases cardiovascular morbidity 2.5 fold
Management
1. Use lower antihypertensive dosages
2. First Choice Medication: Diuretic
  1. Even better benefit in Diabetes Mellitus with ISH
  2. Study of 4736 type II diabetics
    1. Lower Incidence of cardiac events
      1. Lower Incidence of Cerebrovascular Accidents
      2. Lower Incidence of Myocardial Infarction
    2. Reference
      1. Curb (1996) JAMA 276: 1886-92
3. Other Medications

Systolic hypertension (C0221155)
Concepts	Disease or Syndrome (T047)
SnomedCT	194759009, 56218007
English	Hypertension, systolic, SYSTOLIC HYPERTENSION, systolic hypertension (diagnosis), sys htn, sys hypertension, systolic htn, systolic hypertension, HYPERTENSION SYSTOLIC, Systolic hypertension, Systolic hypertension (disorder), Systolic Hypertension
Italian	Ipertensione sistolica
Japanese	収縮期高血圧, ｼｭｳｼｭｸｷｺｳｹﾂｱﾂ
Spanish	Systolic hypertension, hipertensión arterial sistólica (trastorno), hipertensión arterial sistólica, Hipertensión sistólica
Czech	Systolická hypertenze
Hungarian	Systolés hypertonia
Portuguese	Hipertensão sistólica
Dutch	systolische hypertensie
French	Hypertension systolique
German	Systolische Hypertonie
Sources	Derived from the NIH UMLS (Unified Medical Language System)

Family Practice Notebook

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Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 8/30/2009 and last published on 2/5/2012.

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