Hypertension Clinical Case Studies

Hypertension Clinical Case Studies-11
Recently, Green et al evaluated whether providing hypertensive patients access to members of their healthcare team online, along with home BP monitoring would improve BP control without in-person clinic visits.

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There is an increasing awareness of comorbid conditions frequently associated with idiopathic pulmonary fibrosis (IPF), including emphysema, cardiovascular disease, thromboembolic disease, and obstructive sleep apnoea.

Recent retrospective data suggest that 21 to 33% of patients with IPF may have co-existing emphysema [1–3].

CFPE is a distinct but under-recognized and common syndrome with a characteristic presentation.

Further studies are needed to ascertain the etiology, morbidity, and mortality of CPEF with or without PH, and to evaluate novel management options.

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Combined idiopathic pulmonary fibrosis (IPF) with pulmonary emphysema (CPFE) is a syndrome with a characteristic presentation of upper lobe emphysema and lower lobe fibrosis.By continuing to use this site, you consent to the use of cookies.We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services.New literature Supports the Use of Pharmacist Monitoring of Hypertension Control Hypertension (HTN), defined as having a systolic BP (SBP) 90 mm Hg, affected approximately 73 million Americans in 2005, and nearly 1 in 3 adults in the United States has HTN.It is the most common contributor to cardiovascular disease and its complications include stroke, myocardial infarction (MI), heart failure and kidney failure.JJ is a 70 year old patient with hypertension (HTN) and hyperlipidemia.He has difficulty remembering to take his blood pressure (BP) medication because his BP doesn't really bother him. This HMO has a number of different care management, case management, and disease management programs, particularly for their older members.The association of emphysema with IPF has been termed the combined pulmonary fibrosis and emphysema (CPFE) syndrome [4, 5] to account for the characteristic clinical, functional, imaging, and outcome features.Characteristics of patients with CPFE syndrome include male predominance, tobacco smoking, severe dyspnoea, subnormal spirometry findings, severely impaired transfer capacity for carbon monoxide [4, 6, 7], hypoxemia upon exercise, high frequency of paraseptal emphysema, and a high probability (30–50%) of severe pulmonary hypertension (PH) impacting upon an already poor prognosis [2, 4].However, very limited evidence is available regarding the management of patients with PH in the CPFE syndrome.A 63 year-old man presented in 2006 with dyspnoea on exertion (New York Heart Association (NYHA) functional class II).


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