218 pages | 35 B/W Illus.
Given current trends toward obesity, sedentary lifestyles, and poor diets, hypertension is increasingly becoming a disease of the young as well as the elderly, affecting about 1 billion people worldwide. Many patients, especially the younger ones, would prefer alternative treatments. While natural remedies have been used for much longer than pharmaceutical-based treatments, few Western physicians are trained in alternative treatments of hypertension. Written by a dual board-certified nephrologist and internist as well as a Harvard-trained doctor of chemistry, Integrative Treatment of Hypertension: A Clinical and Mechanistic Approach offers an alternative approach to treating hypertension, providing sound mechanisms of action and practical implementation advice.
The author meticulously analyzes the efficacy of treatments based on data from respected medical journals. The book begins with an introduction to the subject and explains the mechanisms of blood pressure and hypertension, describes common causes of hypertension, and reviews standard medications and their side effects. The author examines alternative methods of treatment, emphasizing mechanisms of action, similarities to standard medications, and practical recommendations for employing these methods.
Chapters cover dietary factors in treating hypertension, alternative yet common diets, the efficacy of nonconsumptive methods of treatment, and descriptions of natural supplements in treating hypertension. The book also addresses blood pressure goals and categorizes each standard and alternative method of treatment, suggesting ways of implementing an integrative approach to hypertension treatment. A useful companion to any health care provider, this book presents a unique work that fills a niche within the medical community.
Diagnosis of hypertension
Measuring blood pressure
Principles of hypertension
Sympathetic nervous system and blood pressure
Arterial stiffness and endothelial dysfunction
Common causes of hypertension
Stress, white-coat hypertension, and white-coat effect
Obstructive sleep apnea
Nonsteroidal anti-inflammatory drugs
Blood pressure medications
Calcium channel blockers
Renin–angiotensin system blockade
Central alpha agonists
U.S. Department of Agriculture (USDA) food patterns
Dietary Approaches to Stop Hypertension (DASH) eating plan
Atkins diet (very low-carbohydrate diet)
South Beach diet (low-carbohydrate diet)
Physical activity, relaxation techniques, and acupuncture
Dietary (nonpharmaceutical) supplements
Garlic (allium sativum)
Chocolate (cocoa, cacao)
Red wine (alcohol, resveratrol, and quercetin)
Taurine (2-aminoethanesulfonic acid)
Alpha-lipoic acid (1,2-dithiolane-3-pentanoic acid)
Blood pressure goals
Approach to treating hypertension
Appendix A: Antihypertensive methods
Appendix B: Antihypertensive dosing
Appendix C: Blood pressure goals and special populations