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Titlebook: Antihypertensive Therapy; Principles and Pract F. Gross Book 1966 Springer-Verlag Berlin Heidelberg 1966 diagnosis.heart.mortality.nervous

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Retinal vascular alterations in hypertensioned patient. The diagnosis of the two most severe categories (Grades III and IV) depends on the presence of exudative changes, such as flame-shaped haemorrhages, cotton wool spots, hard exudates, and papilloedema. The two milder grades (Grades I and II) are diagnosed by the presence of narrowing and
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The heart and hypertension ventricle, left axis deviation, and left ventricular hypertrophy are important signs of hypertensive damage. The syndrome of congestive heart failure associated with hypertensive disease (usually with coronary atherosclerosis) is one of the two major causes of death in the patient with hypertension
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Assessment of antihypertensive therapyect will not be considered now, as it will be discussed later on in the symposium. If, as seems probable, the improvement in prognosis is proportionate to the reduction in arterial pressure, it is clearly important to attempt to measure the effects of the drugs used upon the blood-pressure level. Al
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Selection of patients for antihypertensive therapy, combined with simple measures, such as weight reduction and possibly sedation; in a few cases, however, treatment with hypotensive drugs will be necessary, and the prob lem of deciding which patients should be treated remains a difficult one.
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