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?
Ferdinand
Keith C
KC
Association of Black Cardiologists, Atlanta, GA 30349, USA. kcferdmd@aol.com
Pacini
Ross S
RS
D018450:Disease Progression; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000517:prevention & control*; D008019:Life Style; D009749:Nutrition Surveys; D012307:Risk Factors