Integrative Treatment of Hypertension: A Clinical and Mechanistic Approach, 1st Edition (Paperback) book cover

Integrative Treatment of Hypertension

A Clinical and Mechanistic Approach, 1st Edition

By Joel A. Blush

CRC Press

218 pages | 35 B/W Illus.

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Description

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.

Table of Contents

Diagnosis of hypertension

Measuring blood pressure

References

Principles of hypertension

Sympathetic nervous system and blood pressure

Arterial stiffness and endothelial dysfunction

Renin–angiotensin–aldosterone system

Salt sensitivity

Renin profiling

References

Common causes of hypertension

Stress, white-coat hypertension, and white-coat effect

Oral contraceptives

Obstructive sleep apnea

Thyroid disease

Obesity

Alcohol

Smoking

Caffeine

Nonsteroidal anti-inflammatory drugs

Cocaine abuse

References

Blood pressure medications

Diuretics

Calcium channel blockers

Alpha blockers

Direct vasodilators

Renin–angiotensin system blockade

Central alpha agonists

References

Nutrition

Micronutrients

Macronutrients

References

Diets

U.S. Department of Agriculture (USDA) food patterns

Dietary Approaches to Stop Hypertension (DASH) eating plan

Mediterranean diet

Paleolithic diet

Atkins diet (very low-carbohydrate diet)

South Beach diet (low-carbohydrate diet)

References

Physical activity, relaxation techniques, and acupuncture

Physical activity

Relaxation therapy

Acupuncture

References

Dietary (nonpharmaceutical) supplements

L-arginine

Coenzyme Q10

Garlic (allium sativum)

Polyphenols

Soy protein

Chocolate (cocoa, cacao)

Tea

Red wine (alcohol, resveratrol, and quercetin)

Taurine (2-aminoethanesulfonic acid)

Alpha-lipoic acid (1,2-dithiolane-3-pentanoic acid)

References

Treating hypertension

Blood pressure goals

Approach to treating hypertension

References

Appendix A: Antihypertensive methods

Appendix B: Antihypertensive dosing

Appendix C: Blood pressure goals and special populations

Index

About the Author

Joel A. Blush, M.D., Ph.D., is a practicing dual board-certified nephrologist and internist in a large community-based practice. He has a particular interest in the mechanisms of blood pressure regulation and in the treatment of hypertension, having academic responsibilities in teaching nephrology in affiliated university hospitals. He was awarded degrees in chemistry, achieving master’s and doctorate degrees from Harvard University. He attended medical school at Albert Einstein College of Medicine, followed by residency training in internal medicine at Montefiore Medical Center and fellowship training in nephrology at Albert Einstein College of Medicine.

Dr. Blush is well published with many journal articles in chemistry, physics, and medicine, and has received several academic and research awards in these fields. With deference to his scientific training, he also has a strong interest in natural and alternative treatments of disease. Since his time as a medical student, he has pursued its study spending time in the Amazon rain forest taking courses in alternative medicine and botanical drug use. Dr. Blush brings to his practice a mixed scientific/medical and alternative/holistic approach to treating disease, specifically hypertension, and has successfully integrated this in the treatment of many patients.

Subject Categories

BISAC Subject Codes/Headings:
MED004000
MEDICAL / Alternative Medicine
MED010000
MEDICAL / Cardiology
MED060000
MEDICAL / Nutrition
TEC012000
TECHNOLOGY & ENGINEERING / Food Science