Abstract

The number of people with hypertension continues to rise in the UK and worldwide, placing enormous social, economical and health burden on the sufferers, their dependants and statutory health care providers. Disorders of the cardiovascular and renal systems are primary sources of hypertension. In the early stages of hypertension, the British Hypertension Society and the National Institute of Health and Clinical Excellence (NICE) advise lifestyle changes in order to arrest progression to more severe hypertension and avoid more serious complications. They propose a drug algorithm, in addition to the lifestyle changes, for the safe and effective management of antihypertensive medication. Specialist nurses appropriately trained in drug prescribing and working in hypertension nurse-led clinics could be an effective alternative to conventional approaches in the management of patients with hypertension.

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