Contemporary Management of Hypertension- From white coat to Resistant Hypertension

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Hypertension remains one of the most common, silent, and dangerous cardiovascular risk factors in modern medicine. It affects millions of people across the world and continues to be a leading cause of heart attack, stroke, heart failure, kidney disease, and premature death. Yet, despite its prevalence, hypertension is often misunderstood, underestimated, or inadequately controlled. Contemporary Management of Hypertension: From White Coat to Resistant Hypertension is a practical and clinically relevant guide that explores the full spectrum of blood pressure disorders, from deceptively harmless office readings to the most difficult and treatment-resistant forms of hypertension.

Hypertension remains one of the most common, silent, and dangerous cardiovascular risk factors in modern medicine. It affects millions of people across the world and continues to be a leading cause of heart attack, stroke, heart failure, kidney disease, and premature death. Yet, despite its prevalence, hypertension is often misunderstood, underestimated, or inadequately controlled. Contemporary Management of Hypertension: From White Coat to Resistant Hypertension is a practical and clinically relevant guide that explores the full spectrum of blood pressure disorders, from deceptively harmless office readings to the most difficult and treatment-resistant forms of hypertension.

This book is designed to provide a clear, structured, and modern understanding of hypertension for practicing physicians, postgraduate students, cardiologists, internists, family physicians, and healthcare professionals involved in cardiovascular care. It explains the evolving concepts in diagnosis, risk stratification, ambulatory and home blood pressure monitoring, and the importance of distinguishing true hypertension from white coat hypertension and masked hypertension. In an era of personalized medicine, accurate classification is the first step toward effective treatment, and this book emphasizes that principle throughout.

A major strength of this guide is its focus on real-world clinical decision-making. Readers will find practical discussions on lifestyle modification, dietary approaches, salt restriction, obesity, exercise, stress, sleep, and the impact of metabolic disorders on blood pressure control. The book also provides a contemporary review of antihypertensive drug classes, combination therapy, special populations, and evidence-based strategies for achieving target blood pressure safely and effectively.

Special attention is given to resistant hypertension, one of the most challenging problems in cardiovascular practice. The book addresses its causes, evaluation, secondary contributors, medication adherence issues, and advanced approaches to management. It also discusses hypertension in diabetes, chronic kidney disease, the elderly, pregnancy, and other complex clinical settings where treatment decisions require careful judgment.

Written in a clear and accessible style, this book bridges the gap between guidelines and bedside practice. It is not just a review of blood pressure numbers, but a complete clinical roadmap for understanding how hypertension behaves, why it persists, and how it can be managed with precision and confidence. Whether used as a learning resource, a reference text, or a guide for daily clinical practice, Contemporary Management of Hypertension: From White Coat to Resistant Hypertension offers valuable insight for anyone committed to improving cardiovascular outcomes.

Dr AM Thirugnanam, cardiologist

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