From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
At the Medicine Grand Rounds held in May 1997, Suzanne Oparil, MD, discussed
the evaluation and management of a 42-year-old African American man with poorly
controlled hypertension, first diagnosed 14 years previously.1
With blood pressures as high as 180/130 mm Hg since 1995, he had received
sporadic care. At the time of the Rounds, he was obese, sedentary, hypertensive,
and stressed by a difficult home and work environment, but insured through
a commercial managed care program. An exercise tolerance test showed left
ventricular hypertrophy and mild global hypokinesis, but there was no physical
or laboratory evidence for other end-organ disease.
Delbanco TL, Daley J, Hartman EE. A 42-Year-Old Man With Hypertension, 1 Year Later. JAMA. 1998;279(24):1998. doi:10.1001/jama.279.24.1998