The Rational Clinical Examination
David L. Simel, Drummond Rennie
Hypertension
David L. Simel, Ben Stern, Sheri Keitz
Make the Diagnosis: Hypertension
Topics Discussed:
criterion standard comparisons (diagnostic tests), hypertension, make the diagnosis, prior probability
Excerpt:
"Approximately 25% of all US adults have hypertension. The
prevalence is much greater at older ages. The JNC-VII review observed
that a normotensive 55-year-old individual has a 90% lifetime
risk of developing hypertension. More than half of patients aged
60 to 69 years have hypertension, with the estimate increasing to
75% by age 70 years...."
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