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Published on: September 26, 2018
Hypertension and the vascular patient
1Mote Vascular Foundation, Sarasota, FL 34323, USA. Rsamson@veinsandarteries.com
Insights
Vascular surgeons should actively manage hypertension, as uncontrolled blood pressure causes cardiovascular mortality. Understanding hypertension treatment empowers surgeons to improve patient outcomes and medication adherence.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Hypertension Management
Background:
- Uncontrolled hypertension is a major cause of cardiovascular mortality and morbidity.
- Vascular surgeons often encounter patients with elevated blood pressure but are less involved in medical management.
- Renovascular causes of hypertension are treated by vascular surgeons, but broader management is often overlooked.
Purpose of the Study:
- To provide vascular surgeons with an overview of primary hypertension definitions and treatments.
- To equip vascular surgeons with knowledge to actively manage hypertension in their patients.
- To highlight the impact of surgeon reinforcement on patient medication compliance.
Main Methods:
- Review of modern definitions of primary hypertension.
- Overview of current treatment strategies for hypertension.
- Discussion on the role of vascular surgeons in hypertension management.
Main Results:
- Positive reinforcement from vascular surgeons can improve patient adherence to blood pressure medications.
- Some antihypertensive medications offer secondary benefits, such as reducing diabetes incidence.
- Vascular surgeons require a foundational understanding of hypertension to manage this comorbidity.
Conclusions:
- Vascular surgeons can play a more active role in managing patient hypertension.
- Improved understanding of hypertension treatment can enhance patient outcomes.
- Active involvement in hypertension management aligns with modern vascular surgery's comprehensive patient care goals.
Abstract:
Hypertension is intricately entwined in vascular pathology and morbidity and uncontrolled blood pressure is a leading cause of cardiovascular mortality. Unfortunately, many patients will present to the vascular surgeon with uncontrolled blood pressure elevation and yet, although vascular surgeons have been involved in treating the renovascular etiology, they seldom become actively involved in the medical management of hypertension. However, positive reinforcement by the vascular surgeon about the benefits of blood pressure control may significantly impact the patient's willingness to comply with medications. Some of these medications may also have secondary benefits such as reducing the incidence of diabetes. Accordingly modern vascular surgeons, who want to do more for their patients, need to have a basic understanding of hypertension and its treatment. This manuscript provides an overview of the modern definitions and treatment methods for primary hypertension that should provide the vascular surgeon with sufficient information to play an active role in the management of this co-morbid condition.
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