Figure 754

Follow-up in antihypertensive therapy. During follow-up visits, pharmacologic therapy should be reconfirmed or readjusted. As a rule, antihypertensive therapy should be maintained indefinitely. Cessation of therapy in patients who were correctly diagnosed as hypertensive is usually (but not always) followed by a return of blood pressure to pretreatment levels. After blood pressure has been controlled for 1 year and at least four visits, however, attempts should be made to reduce antihypertensive drug therapy "in a deliberate, slow, and progressive manner;" such "step-down therapy" may be successful in patients following lifestyle modification [17]. Patients for whom drug therapy has been reduced or discontinued should have regular follow-up, since blood pressure may increase again to hypertensive levels. JNC—Joint National Committee.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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