A 45 years old man with a family history of

cardiovascular disease, after a routine blood pressure

check had a blood pressure of 180/110. Several
repeated BP checks con rmed these pressures. No
cause was found for the hypertension although the
patient smoked 40 cigarettes a day and was considered
to be obese.
1. The patient felt perfectly well and asked why he
should be worried about his blood pressure.what
would be your advice.
2.Is there any life style change that need to consider ?
why
3. What antihypertensive drug might you consider for
initial.
therapy? State their mechanism of action
4.After 2 months his blood pressure is still not
changed much.according to what you knowledge in
pharmacology and health in general what would be the
reason for medication failure?, explained brie y.
5. Would you recommend a follow up by a specialist?




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