Management of Essential Hypertension

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isbn号码:9780879931087

This book is for physicians, medical students, nurses and pharma

cists involved in the care of hypertensive patients.

This hook is concerned only with treatment of essential hyperten

sion, not the general subject of hypertension. So it s mostly abou

drugs, including the uew ones -- prupranolol, elonidine, diazoxide

prazosin, nitroprusside, minoxidil, bethanidine, ete.

Two chapters are not drug oriented:

Chapter 1: Synopsis, and

Chapter XV: The Role of Diet (sodium restriction, salt

substitutes, and weight reduction).

Chapter I discusses the therapeutic approach. Should it be em

pirieal, or based on the hemodynamics, physiopatholngic and labora-

tory findings (including renin-profiling)? Chapter I is truly a synopsi

of the entire book. It describes how to treat hypertension: mild

noderate, severe, malignant, azotemie and hypertensive crises.

The format of each chapter, 11 through XlV, is quite similar

coutaining:

~ Introduction, background information about the drug.

~ When should the physician consider using this drug?

~ How effective is it? What percentage of patients respond?

With how much of a blood pressure reduction?

~ Absorption, metabolism, excretion. This section always

mentions how to modify dosage if there is concurrent renal

disease, or eoneurrent liver disease.

~ What are the e]inieally important drug interactions?

~ Forumlations -- Dosage -- Mechanism of Action -- Pre-

cautions- Contraindieations- Use in Pregnancy

~ Adverse Reactions;

(a) What is the nature of the side ef/ eets?

(b) What percentage ofpatieuts must discontinue the drug

because of noxious side effects ?