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Historical reflections on hypertension
1Department of Special Programs, Mt. Sinai Medical Center of Cleveland, Ohio.
Insights
Hypertension, a major cardiovascular risk factor affecting 60 million Americans, accelerates atherosclerosis and leads to serious health issues. This article reviews its history, focusing on blood pressure measurement, treatment advancements, and the roles of the kidney and renin-angiotensin-aldosterone system.
Area of Science:
- Cardiology
- Nephrology
- Vascular Biology
Background:
- Hypertension is a significant risk factor for cardiovascular disease, impacting 60 million Americans.
- It accelerates atherosclerosis, leading to strokes, heart attacks, heart failure, renal failure, and peripheral vascular disease.
Observation:
- The first documented blood pressure measurement occurred in 1733.
- The article examines historical landmarks in hypertension research.
Findings:
- Recent pharmacologic approaches to hypertension treatment are discussed.
- The roles of the kidney and the renin-angiotensin-aldosterone system in hypertension are explored.
Implications:
- Understanding hypertension's history and pathophysiology is crucial for effective management.
- This review provides insights into current and historical treatment strategies for hypertension.
Abstract:
Sixty million Americans have hypertension, a major cardiovascular risk factor. Its presence accelerates the atherosclerotic process, producing strokes, heart attacks, heart failure, renal failure, and peripheral vascular disease. This article highlights the historical landmarks in the study of this disease from the first documented measurement of blood pressure in 1733, through the most recent pharmacologic approaches to treatment. In addition, the roles of the kidney and the renin-angiotensin-aldosterone system are examined.
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