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Question
Ella, age 64 presents to the clinic for blood pressure (BP) follow up. Her BP today is 138/88. You notice that she has consistently run in the high 130s systolic over high 80s diastolic for the past 1 year. She is a 30 pack year smoker and overweight. She was recently started on a statin medication for hyperlipidemia. Her atherosclerotic cardiovascular risk (ASCVD) is 12%. Best action to take at this time is:
- Monitor BP and advise on lifestyle; she does not yet need medication therapy
- Begin a first line antihypertensive agent such as an Ace- Inhibitor, thiazide diuretic or Calcium Channe Blocker
- Initiate dual therapy with 2 anti-hypertensive agents Allow the statin medication to begin to work. This will lower her ASCVD risk.
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In this study the temporal and spatial variation of heat content in the upper 70m layer of the Arabian Sea was for a period of 1991 to 2008 have been attempted.
Earthquake Databases
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