title: Hypertension - the difficult decisions.
abstract: BACKGROUND
  Although management of hypertension is a daily activity of primary care practitioners, it remains one of the most demanding areas of medicine. Reasons for this include the imprecision of blood pressure measurement, the complexity of assessing cardiovascular risk, and the need to use multiple agents to control blood pressure.
  
  
  OBJECTIVE
  This article discusses clinical scenarios that force clinicians to make decisions about blood pressure measurement techniques and methods of treatment.
  
  
  CONCLUSIONS
  We consider ambulatory compared to office based blood pressure measurement, the types of clinical scenarios in which ambulatory blood pressure monitoring is likely to be beneficial, what to consider when there is nocturnal elevated blood pressure, and the assessment and management of resistant hypertension.
authors.affiliation: University of Melbourne and Director of General Medicine and clinical pharmacologist, Blood Pressure Clinic, Austin Health, Melbourne, Victoria. christopher.o’callaghan@austin.org.au
authors.forename: Christopher James
authors.initials: CJ
authors.lastname: O'Callaghan
authors.forename: Min Yin
authors.initials: MY
authors.lastname: Goh
authors.forename: Pei
authors.initials: P
authors.lastname: Rong
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001795:Blood Pressure Determination / Q000379:methods; D018660:Blood Pressure Monitoring, Ambulatory; D003661:Decision Support Techniques; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000628:therapy; D018570:Risk Assessment; D016896:Treatment Outcome
chemical_list: D000959:Antihypertensive Agents