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Definition of high blood pressure
What to do in case of hypertension?
For a better understanding of blood pressure The follow-up of a high blood pressure
High blood pressure damage High blood pressure and special cases
Why does high blood pressure exist? The self-measurement of blood pressure
How to measure high blood pressure? About Us
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VI - What to do in case of a high blood pressure

6.1 - First of all, to eliminate a false high blood pressure
6.2 - To eliminate an obvious cause responsible for a high blood pressure
6.3 - To start a treatment without drug: life style modifications
6.4 - According to the circumstances, to treat by using drugs
6.5 - Anti-hypertensive therapy
6.6 - Why does the doctor prescribe a given anti-hypertensive drug and not another? The choice of the first treatment.


6.1 - First of all, to eliminate a false high blood pressure


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Indeed, certain people get a false high blood pressure for several reasons: the size of the cuff, which could be too small compared to the circumference of the arm, or the conditions of measurement of the blood pressure are not good (period of stress, absence of rest before the measurement of arterial pressure).

Under these conditions, a more precise evaluation of the blood pressure is necessary, by practicing for instance an ambulatory blood pressure monitoring for 24 hours. The absence of a high blood pressure during this examination, whereas there is a high blood pressure during the measurement in the physician’s office, defines an arterial hypertension called " white-coat hypertension ". This one does not require any treatment and is often met in stressed subjects, usually young.

File last reviewed on : 18 dec 2011
 

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