Clinical Case Database / Category: Clinical Care

Systolic hypertension

Publication details

Owen Lloyd Thomas, MBBCh, MRCGP, DOccMed
Foundation Years Journal, volume 5, issue 6, p.5 (123Doc Education, London, July 2011)


Systemic hypertension is very common amongst adults, and is a major risk factor for cardiovascular events. Isolated systolic hypertension is the most common variant in the elderly, making up sixty percent of the cases in this age group. This case demonstrates the assessment of a patient presenting with newly diagnosed isolated systolic hypertension; including a full history, examination, routine investigations and grading of cardiovascular risk. Management is based on a combination of lifestyle measures, in this case followed by drug treatment. For introduction of medication a step-wise algorithm is used, aiming to combine drugs in the most logical way to maximise the fall in blood pressure. Systemic hypertension requires lifelong follow up and the majority of patients will need combinations of medications to adequately treat the condition.

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Owen Lloyd Thomas, MBBCh, MRCGP, DOccMed

Brynhyfryd Surgery, Brynhyfryd Square


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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