New evidence confirms risks associated with prehypertension and benefits of therapeutic lifestyle changes in management.
TJ is a 57-year-old female high school biology teacher who presents for a routine checkup. She has a strong family history of heart disease and wants to ensure that she does everything possible to keep her risk low. TJ is postmenopausal and stopped hormone replacement therapy 3 years ago. Physical examination is unremarkable other than the fact that the patient is overweight, with a body mass index of 29.2 kg/m2, and her blood pressure (BP) is 132/84 mm Hg. Her fasting plasma glucose level is 103 mg/dL, high-density lipoprotein cholesterol level 38 mg/dL, and triglyceride level 165 mg/dL. Based on her BP and concurrent cardiometabolic syndrome, what do you tell her about the risks associated with her BP, and how do you approach her management?
Association of Black Cardiologists, Atlanta, GA 30349, USA. kcferdmd@aol.com
Keith C
KC
Ferdinand
Ross S
RS
Pacini
D018450:Disease Progression; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000517:prevention & control*; D008019:Life Style; D009749:Nutrition Surveys; D012307:Risk Factors