Showing papers by "Henry R. Black published in 1993"
TL;DR: Clinicians must be aware of this potentially disturbing side effect of angiotensin-converting enzyme inhibitors to avoid expensive and unnecessary diagnostic evaluations.
Abstract: To assess the prevalence of cough as a side effect of angiotensin-converting enzyme inhibitor antihypertensive therapy, we reviewed 300 consecutive patient charts from a private practice and 200 consecutive patient charts from a university-based referral center for hypertension. Incidence of definite angiotensin-converting enzyme inhibitorinduced cough in the private practice was 25% and in the university practice, 7%, with an additional 6% of university-practice patients reporting a possible angiotensin-converting enzyme—inhibitor induced cough. This incidence is considerably greater than listed in thePhysicians' Desk Reference. Reasons for the variability in incidence as reported in the literature are explored. Clinicians must be aware of this potentially disturbing side effect of angiotensin-converting enzyme inhibitors to avoid expensive and unnecessary diagnostic evaluations. (Arch Intern Med. 1992;152:1698-1700)
24 citations
TL;DR: Although salt intake is a factor in the genesis of hypertension, the effectiveness of salt restriction varies between patients, and moderate sodium reduction is a reasonable first step when dealing with a hypertensive patient.
20 citations
TL;DR: Though the data from the most recently completed National Health and Nutrition Examination Survey III has enabled us to revise downward earlier estimates of how many Americans have hypertension, there is little question that both men and women with these seemingly modest elevations of blood pressure are at substantially greater.
Abstract: Though the data from the most recently completed National Health and Nutrition Examination Survey III (1988 through 1991) has enabled us to revise downward (from 58 million to 50 million) earlier estimates of how many Americans have hypertension (a systolic blood pressure of 140 mm Hg or greater and/or a diastolic blood pressure of 90 mm Hg or greater, or taking antihypertensive medication), high blood pressure remains the most common reason that we seek medical attention in this country. 1 The overwhelming majority of these patients, perhaps as many as 60%, have what was called "mild" hypertension and is now more appropriately designated as stage 1 hypertension (properly measured and confirmed systolic blood pressure of 140 to 159mm Hg or diastolic blood pressure of 90 to 99mm Hg). 2 There is little question that both men and women with these seemingly modest elevations of blood pressure are at substantially greater
13 citations