Table of Contents
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Introduction |
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About this Book |
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Conventions Used in
this Book |
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What You’re not to
Read |
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Foolish Assumptions |
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How this Book is
Organized |
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Part I |
Understanding High Blood Pressure |
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Part II |
Considering the Medical Consequences |
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Part III |
Treating (or Preventing) High Blood
Pressure |
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Part IV |
Taking Care of Special Populations |
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Part V |
The Part of Tens |
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Appendix |
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Icons Used in this
Book |
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Where to Go from Here |
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PART I |
UNDERSTANDING HIGH BLOOD PRESSURE |
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Chapter 1 |
Introducing High Blood Pressure |
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Understanding Your
Cardiovascular System |
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Measuring Your Pressure
and Understanding the Measurement |
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Looking at the Risk
Factors for High Blood Pressure |
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Focusing on the
Consequences of High Blood Pressure |
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Lowering High Blood
Pressure with Different Treatments |
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Protecting Children,
Pregnant Women, and the Elderly |
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Staying Informed |
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Chapter 2 |
Detecting High Blood Pressure |
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Focusing on Blood
Pressure Gauge Fundamentals |
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Taking Your Blood
Pressure Correctly |
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Avoiding an
Inaccurate |
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Steering Clear of
Equipment Problems |
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Sidestepping Faulty
Observation and Patient Problems |
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Understanding the
Numbers |
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Clarifying What
Qualifies as “High Blood Pressure” |
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Checking Out the
Updated “Classification of Blood Pressure for Adults” |
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Lowering Blood
Pressure Too Much |
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Recognizing the
White Coat Effect and Other Causes of Variable |
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Taking Your Blood
Pressure at Home |
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Taking an Ambulatory
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Getting the Right
Assessment |
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Assessing Your
History |
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Evaluating Your
Physical Exam |
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Using Lab Tests |
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Chapter 3 |
Determining Whether You’re at Risk |
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Clarifying What You can’t
Control |
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Looking at the
Global Picture |
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Accounting for the
Contribution of Your Genes |
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Estimating the
Effects of Ethnicity |
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Focusing on Gender |
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Rising in Stages
with Age |
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Preventing High Blood
Pressure with Lifestyle Changes |
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Reducing Tension |
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Controlling Your
Weight |
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Using Less Salt |
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Cutting Out Smoking
and Excessive Drinking |
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Chapter 4 |
Dealing with Secondary High Blood Pressure |
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Finding Secondary
High Blood Pressure Early |
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Evaluating the Role
of Your Kidneys in Secondary High Blood Pressure |
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Discovering Damaged
Kidney Tissue |
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Handling Blocked
Kidney Arteries |
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Discovering Hormone-Secreting
Tumors that Elevate Blood Pressure |
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Finding an
Epinephrine-Producing Tumor |
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Detecting a Tumor
that Produces Aldosterone |
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Managing Cushing’s
Syndrome |
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Recognizing a Genetic
Disease as the Cause for High Blood Pressure |
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Checking Out Other
Causes of Secondary High Blood Pressure |
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Coarctation of the Aorta |
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Too Much or Too
Little Thyroid Hormone |
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Acromegaly |
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Sleep Apnea |
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Brain Tumor |
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Burns |
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PART II |
CONSIDERING THE MEDICAL CONSEQUENCES |
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Chapter 5 |
Defending Your Heart |
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Introducing the
Mighty Pump |
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Blocking Blood Flow
to the Heart Muscle |
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Examining Arteriosclerosis |
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Managing Stable
Heart Pain |
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Treating a Heart
Attack |
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Developing Heart
Failure |
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Noticing the
Telltale Signs |
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Understanding What
the Doctor Looks For |
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Treating Heart
Failure |
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Avoiding the Risk
Factors |
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Curbing High
Cholesterol |
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Cutting Tobacco Use |
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Controlling Diabetes |
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Stepping Up Physical
Activity |
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Chapter 6 |
Shielding Your Kidneys |
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Examining the Role of
Your Kidneys |
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Focusing on the
Filtering Function |
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Understanding Other
Kidney Functions |
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Damaging the Kidney |
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Managing Malignant
High Blood Pressure |
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Coping with
End-Stage Renal Disease |
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Lifesaving Dialysis |
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Kidney
Transplantation |
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Chapter 7 |
Protecting Your Brain |
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Understanding the
Causes of Brain Attacks |
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Atherosclerosis |
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Cerebralem Bolus |
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Brain Hemorrhage |
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Avoiding Brain
Attacks by Reducing High Blood Pressure |
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Surveying Additional
Predisposing Conditions |
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The Hand You’re
Dealt: Uncontrolled Factors |
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The Hand You Play:
Risk Factors You Control |
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Working Some Miracles
with Preventive Drugs |
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Moving Fast When You
See Symptoms of a Brain Attack |
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Capturing Brain
Function on Film |
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Multiplying the
Treatments for Brain Attacks |
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Making Your Way Back
Through Rehabilitation |
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Regaining Movement
Following a Brain Attack |
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Checking Out
Rehabilitation Locations |
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Meeting
Rehabilitation Specialists |
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Finding Help After a
Brain Attack |
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PART III |
TREATING (OR PREVENTING) HIGH BLOOD PRESSURE |
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Chapter 8 |
Developing a Successful Treatment Plan |
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Achieving Your
Treatment Goal |
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Outlining Lifestyle
Modifications |
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Altering Your
Lifestyle for the Better |
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Using Laughter to
Lower Blood Pressure |
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Chapter 9 |
Choosing Foods that Lower High Blood Pressure |
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DASHing Down Your Blood
Pressure |
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Leading Up to DASH |
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Proving the Value of
DASH |
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Getting with the
Program |
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Reducing Salt as You
DASH |
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Reducing Your Weight
to Lower Blood Pressure |
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Calculating Your
Ideal Weight |
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Determining Your
Daily Caloric Needs |
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Adjusting Your DASH
Diet |
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Trying Other Diets |
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Using Outside Help |
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Chapter 10 |
Keeping Salt Out of Your Diet |
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Makings the
Connection Between Salt and High Blood Pressure |
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Proving the
Salt-Blood Pressure Connection |
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Examining Early
Experiments |
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Considering
Chloride’s Effects on Blood Pressure |
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Reviewing Recent
Studies |
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Determining Whether
You’re Salt Sensitive |
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Lowering Your Salt
Intake |
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Buying Low-Salt Foods |
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Avoiding High-Salt
Foods |
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Going on a Low-Salt
Diet |
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Chapter 11 |
Avoiding Tobacco, Alcohol, and Caffeine |
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Playing with Fire:
Tobacco and High Blood Pressure |
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Examining the Extent
of the Problem |
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Putting One Foot in
the Grave |
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Combating Secondhand
Smoke |
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Turning a Cheek to
Smokeless Tobacco |
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Giving Up Tobacco:
All Wins, No Losses |
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Kicking the Habit |
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Tapping into
Resources |
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Relating Alcohol to
High Blood Pressure |
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Surveying the
Symptoms of Alcoholism |
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Looking at Who’s
Drinking |
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Understanding
Alcohol’s Medical Consequences |
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Undergoing Treatment |
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Locating Useful
Resources |
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Getting High of
Caffeine |
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Knowing How Much is
Too Much |
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Considering Caffeine’s
Health Consequences |
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Recognizing the
Gains in Giving Up Caffeine |
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Avoiding the Beans,
Chocolate, and Soda |
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Using Resources |
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Chapter 12 |
Lowering Blood Pressure with Exercise |
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Understanding the Benefits
of Physical Activity |
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Preparing for
Exercise |
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Checking Your
Physical Condition |
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Choosing Exercises |
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Getting the Right
Equipment |
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Knowing the Right
Levels of Exercise |
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Exercising to Lose Weight |
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Exercising for
Strength |
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Upper-Body Exercises |
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Leg-Strengthening
Exercises |
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Lowering Your Blood
Pressure with Alternative Therapies |
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Yoga |
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Meditation |
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Hypnosis |
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Biofeedback |
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Chapter 13 |
Adding Drug Therapy |
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Establishing Drug
Characteristics |
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How Effective is it? |
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How Much can it
Lower Blood Pressure as Compared to Another Drug? |
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Do Drugs that Lower Blood
Pressure to the Same Extent have the Same Effect on Disease and Death? |
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Presenting the
Classes of Drugs |
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Diuretics |
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Thiazide and Thiazidelike Diuretic Group |
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Potassium-Sparing Diuretics |
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Aldosterone-Antagonist Diuretics |
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Diuretic Combinations |
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High Blood Pressure
for Dummies, 2nd Edition |
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Drugs that Act on
the Nervous System |
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Methyldopa |
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Clonidine, Guanabenz, and Guanfacine |
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Beta-Adrenergic
Receptor Blockers |
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Alpha-1 Adrenergic
Receptor Antagonists |
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Vasodilators |
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Hydralazine |
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Minoxidil |
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Calcium Channel
Blocking Agents |
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Verapamil and Diltiazem |
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Other Calcium
Channel Blockers |
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Angiotensin-Converting Enzyme
Inhibitors |
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Angiotensin II Receptor Blockers |
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Choosing a Drug |
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Treating
Uncomplicated High Blood Pressure |
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Treating Complicated
High Blood Pressure |
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Moving Ahead When
the First Choice Fails |
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Making Sure You Take
Your Medicine |
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Recognizing Drug
Side Effects |
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Identifying Brand
Names |
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PART IV |
TAKING CARE OF SPECIAL POPULATIONS |
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Chapter 14 |
Helping the Elderly |
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Evaluating Mental
Ability |
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Assessing Blood
Pressure |
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Dealing with
Essential High Blood Pressure |
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Considering
Secondary High Blood Pressure |
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Examining the Meds
that Elevate Bloods Pressure in the Elderly |
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Improving Nutrition
to Lower Blood Pressure |
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Assessing Diet |
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Following the DASH
Diet |
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Reducing Salt Intake |
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Changing the
Lifestyle to Lower Blood Pressure |
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Taking Drugs to
Lower Blood Pressure |
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Primary Drug
Therapy: Thiazide Diuretic |
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Second Choice: Beta Blocker |
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Third-Choice Drugs |
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Special Situations |
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Avoiding Dangerous
Falls in Blood Pressure |
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Chapter 15 |
Handling High Blood Pressure in Children |
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Measuring Blood
Pressure Correctly |
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Using Doppler Ultrasound
on Tiny Arms |
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Selecting the Proper
Cuff Size |
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Using Proper
Technique |
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Interpreting the
Results of the Measurement |
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Considering the
Causes of Elevated Blood Pressure |
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Surveying Hereditary
Influences |
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Factoring in Weight |
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Resulting from
Disease |
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Pinpointing the
Cause of Your Child’s Elevated Blood Pressure |
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Noting Key Points in
the Child’s History |
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Uncovering Clues During
the Physical Examination |
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Getting Help from
the Laboratory |
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Beginning Treatment
with Lifestyle Changes |
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Advising Your Child
About Strenuous Exercise |
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Using Drug Therapy |
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Chapter 16 |
Treating High Blood Pressure in Women |
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Understanding How a
Woman’s Blood Pressure Responds to Pregnancy |
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Recognizing What
Causes High Blood Pressure During Pregnancy |
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Chronic High Blood
Pressure |
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Preeclampsia |
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Preeclampsia on Top of Chronic
High Blood Pressure |
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Gestational High
Blood Pressure |
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Dealing with High
Blood Pressure After Delivery |
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Using Female Hormone
Treatment in the Presence of High Blood Pressure |
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Hormones for Oral
Contraception |
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Hormones for
Estrogen Replacement |
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PART V |
THE PART OF TENS |
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Chapter 17 |
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Making Sure You have
High Blood Pressure |
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Determining Whether
You have Secondary High Blood Pressure |
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Adopting the DASH
Diet |
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Losing Weight By
Reducing Kilocalorie Intake |
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Reducing Salt in
Your Diet |
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Giving Up Tobacco
and Excess Alcohol |
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Starting an Exercise
Program |
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Enhancing Your
Treatment with Mind-Body Techniques |
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Using Drugs to Lower
Blood Pressure |
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Avoiding Drugs that
Raise Blood Pressure |
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Chapter 18 |
Ten (or so) Myths About High Blood Pressure |
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High Blood Pressure
is an Inevitable Result of Aging |
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The Treatment is
Worse than the Disease |
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You Must Restrict
Your Life Because You have High Blood Pressure |
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You Need Treatment Only
for a High Diastolic Blood Pressure |
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High Blood Pressure
Means Pills for the Rest of Your Life |
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You can Give up
Treatment After a Heart or Brain Attack |
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You can Avoid
Exercise Because of High Blood Pressure |
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If You Feel Fine,
You can Skip Your Blood Pressure Medications |
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High Blood Pressure
can’t be Controlled |
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Treatment is Limited
to Nervous, Anxious People |
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The Elderly don’t
Need to be Treated |
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High Blood Pressure is
Less Dangerous in Women |
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Chapter 19 |
Ten New
Discoveries About High Blood Pressure |
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Gauging the Effect
of Lowering Blood Pressure |
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Realizing that Prehypertension isn’t Benign |
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Predicting (and Preventing)
High Blood Pressure |
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Predicting Adult
High Blood Pressure by Measuring Childhood Blood Pressure |
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Determining Whether
All Stroke Patients have High Blood Pressure |
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Evaluating the
Effect of Job Strain |
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Knowing Whether
Alcohol is Good or Bad if You have High Blood Pressure |
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Using Gastric Bypass
to Lower Weight and Blood Pressure |
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Checking Whether
Your Blood Pressure Drug Affects Diabetes |
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Considering the Significance
of the ALLHAT Study |
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Appendix |
Resources
for the Latest Information |
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National Heart,
Lung, and Blood Institute |
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American Society of
Hypertension |
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National Kidney
Foundation |
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National |
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American Heart and
Stroke Associations |
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American Heart
Association |
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American Stroke
Association |
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National Stroke
Association |
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MedlinePlus |
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PubMed |
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The Mayo Clinic |
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Lifeclinic Health Management
Systems |
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Other Sites |
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Index |
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