Case Study 4 Patient Profile: John, a 62-year-old Caucasian man, presents to his primary care physician for a routine check-up. This is the second consecutive appointment where his blood pressure readings have been elevated. John has recently been diagnosed with hypertension. He also has type 2 diabetes mellitus and dyslipidemia, both of which are well-controlled with medication. He leads a sedentary lifestyle and has a BMI of 31.4. His blood pressure readings consistently hover around 150/90 mmHg despite his current antihypertensive regimen. Case Scenario: John’s physician initiates a review of his hypertension management to align with the latest guidelines and improve his blood pressure control.
Questions:
1. According to the latest hypertension management guidelines, what are the key lifestyle modifications recommended for patients like John with poorly controlled blood pressure despite medication?
2. What would be the pharmacological treatment as per the latest guidelines for this patient who has been newly diagnosed hypertension and comorbidities such as type 2 diabetes mellitus and dyslipidemia?
3. How can home blood pressure monitoring complement clinic-based measurements in the management of hypertension, and what are the key principles for patients to follow when monitoring their blood pressure at home?
4. In addition to blood pressure control, what other aspects of John’s cardiovascular risk need to be addressed, and how can a comprehensive risk assessment guide his management according to the latest guidelines?
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