Case history
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Cardiovasculaire risicobepaling in de eerste lijnPublished by: Domus MedicaLast published: 2020Évaluation du risque cardiovasculaire en première lignePublished by: Domus MedicaLast published: 2010HypertensiePublished by: Domus Medica | SSMGLast published: 2009HypertensionPublished by: Domus Medica | SSMGLast published: 2009Évaluation du risque cardiovasculaire en première lignePublished by: Domus MedicaLast published: 2020Case history
A 64-year-old black man presents for a check-up. He denies past medical problems, but has been told that his blood pressure was a little high. He has no complaints, takes no medications, tries to adhere to a healthy diet, and rarely exercises. He reports that over the previous 5 years he has gained 6.8 kg (15 lb). Review of systems is otherwise non-contributory. Physical examination is notable for obesity and blood pressure 172/86 mmHg. The remainder of the examination is unremarkable.
Other presentations
Essential hypertension is typically an asymptomatic disease state at its onset and time of diagnosis. It may be associated with headache or visual changes, but this is rare outside of hypertensive urgency/emergency situations.
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