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THIRD EDITION HYPERTENSION A Companion to Braunwald’s Heart Disease George L. Bakris, MD, FAHA, FASN, FASH Professor of Medicine Director, ASH Comprehensive Hypertension Center Section of Endocrinology, Diabetes and Metabolism University of Chicago Medicine Chicago, Illinois Matthew J. Sorrentino, MD, FACC, FASH Professor of Medicine Section of Cardiology University of Chicago Medicine Chicago, Illinois 1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 HYPERTENSION: A COMPANION TO BRAUNWALD’S HEART DISEASE, THIRD EDITION ISBN: 978-0-323-42973-3 Copyright © 2018 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, elec- tronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experi- ence broaden our understanding, changes in research methods, professional practices, or medi- cal treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, rely- ing on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of prod- ucts liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Previous editions copyrighted 2013 and 2007. Library of Congress Cataloging-in-Publication Data Names: Bakris, George L., 1952- editor. | Sorrentino, Matthew J., editor. Title: Hypertension : a companion to Braunwald’s heart disease / [edited by] George L. Bakris, Matthew J. Sorrentino. Other titles: Hypertension (Black) | Complemented by (expression): Braunwald’s heart disease. 10th edition. Description: Third edition. | Philadelphia, PA : Elsevier, [2018] | Complemented by: Braunwald’s heart disease / edited by Douglas L. Mann, Douglas P. Zipes, Peter Libby, Robert O. Bonow, Eugene Braunwald. 10th edition. 2015. | Includes bibliographical references and index. Identifiers: LCCN 2016054229 | ISBN 9780323429733 (hardcover : alk. paper) Subjects: | MESH: Hypertension Classification: LCC RC681 | NLM WG 340 | DDC 616.1/2--dc23 LC record available at https://lccn.loc.gov/2016054229 Content Strategist: Dolores Meloni Senior Content Development Specialist: Marybeth Thiel Publishing Services Manager: Catherine Jackson Senior Project Manager: Daniel Fitzgerald Designer: Renee Duenow Printed in China. Last digit is the print number: 9 8 7 6 5 4 3 2 1 Contributors Ailia W. Ali, MD Athanase Benetos, MD, PhD Fellow, Sleep Medicine, Division of Pulmonary, Allergy, and Head, Geriatric Medicine, Université de Lorraine, Nancy, Critical Care Medicine, University of Pittsburgh, Pittsburgh, France Pennsylvania, United States Kenneth E. Bernstein Radica Z. Alicic, MD, FHM Director of Experimental Pathology, Professor of Biomedical Associate Director for Research, Providence Health Care, Sciences, Pathology and Laboratory Medicine, Cedars-Sinai Clinical Associate Professor of Medicine, University of Medical Center, Los Angeles, California, United States Washington School of Medicine, Spokane, Washington, United States Deepak L. Bhatt, MD, MPH Executive Director of Interventional Cardiovascular Laurence Amar, MD, PhD Programs, Brigham and Women’s Hospital Heart and Vascular Hypertension Unit, Hôpital Européen Georges Pompidou, Center; Senior Physician, Brigham and Women’s Hospital; Assistance Publique-Hôpitaux de Paris, Paris-Descartes Senior Investigator, TIMI Study Group, Professor of Medicine, University, Paris, France Harvard Medical School, Boston, Massachusetts, United States Saif Anwaruddin, MD Assistant Professor of Medicine and Co-Director, Italo Biaggioni, MD Transcatheter Valve Program, Cardiovascular Medicine, Professor of Medicine and Pharmacology, Associate Director, University of Pennsylvania School of Medicine, Philadelphia, Clinical Research Center, Vanderbilt Autonomic Dysfunction Pennsylvania, United States Center, Division of Clinical Pharmacology, Vanderbilt University School of Medicine, Nashville, Tennessee, Lawrence J. Appel, MD, MPH United States C. David Molina Professor of Medicine, Johns Hopkins University School of Medicine; Director, Welch Center for Roger S. Blumenthal, MD Prevention, Epidemiology and Clinical Research, Johns Kenneth Jay Pollin Professor of Cardiology and Director, Hopkins University, Baltimore, Maryland, United States Johns Hopkins University School of Medicine and Ciccarone Center for the Prevention of Heart Disease, Baltimore, Phyllis August, MD, MPH Maryland, United States Ralph A. Baer MD Professor of Research in Medicine, Nephrology and Hypertension, New York Presbyterian/Weill Guillaume Bobrie, MD Cornell Medicine, New York, New York, United States Hypertension Unit, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France Michel Azizi, MD, PhD Hypertension Unit, Hôpital Européen Georges Pompidou, Robert D. Brook, MD Assistance Publique-Hôpitaux de Paris, Paris-Descartes Professor of Internal Medicine, Division of Cardiovascular University, Paris, France Medicine; Director, ASH Comprehensive Hypertension Center, University of Michigan, Ann Arbor, Michigan, United States George L. Bakris, MD, FAHA, FASN, FASH Professor of Medicine, Director, ASH Comprehensive J. Brian Byrd, MD, MS Hypertension Center, Section of Endocrinology, Diabetes Assistant Professor of Medicine, Division of Cardiovascular and Metabolism, University of Chicago Medicine, Chicago, Medicine, University of Michigan, Ann Arbor, Michigan, Illinois, United States United States José R. Banegas, MD Barry L. Carter, PharmD, FCCP, FAHA, FASH, FAPHA Professor of Preventive Medicine and Public Health, Patrick E. Keefe Professor of Pharmacy, Department of Universidad Autónoma de Madrid⁄IdiPAZ–CIBERESP, Madrid, Pharmacy Practice and Science, College of Pharmacy; Spain Professor, Department of Family Medicine, College of Medicine, University of Iowa, Iowa City, Iowa, United States Robert L. Bard, MA Research Associate, Division of Cardiovascular Medicine, Debbie L. Cohen, MD University of Michigan, Ann Arbor, Michigan, United States Associate Professor of Medicine, Perelman School of Medicine—Renal, Electrolyte and Hypertension Division, Orit Barrett, MD University of Pennsylvania, Philadelphia, Pennsylvania, Senior Resident, Department of Medicine D, Soroka United States University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel v vi William C. Cushman, MD Philip B. Gorelick, MD, MPH, FACP, FAAN, FANA, Chief, Preventive Medicine, Medical Service, Veterans Affairs FAHA Medical Center; Professor, Preventive Medicine, Medicine, Medical Director, Mercy Health Hauenstein Neurosciences; s or and Physiology, University of Tennessee Health Science Professor, Department Translational Science & Molecular ut Center, Memphis, Tennessee, United States Medicine, Michigan State University College of Human b Medicine, Grand Rapids, Michigan, United States tri Peter Wilhelmus De Leeuw, MD, PhD n o Professor of Medicine, Department of Medicine, Maastricht Elvira O. Gosmanova, MD C University Medical Center, Maastricht, Netherlands; Nephrology Section Chief, Medical Service, Samuel S Stratton Department of Medicine, Zuyderland Medical Center, VA Medical Center, Associate Professor of Medicine, Division Geleen/Heerlen, The Netherlands of Nephrology, Department of Medicine, Albany Medical College, Albany, New York, United States Georg B. Ehret, MD Médecin Adjoint Agrégé et Chargé de Cours, Cardiology, Carlene M. Grim, BSN, MSN, SpDN Department of Specialities of Medicine, Geneva University Founder and President, Shared Care Research and Education Hospitals, Geneva, Switzerland; Research Associate, Consulting, Inc., Stateline, Nevada, United States McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, Clarence E. Grim, MS, MD, FACP, FAHA, FASH United States Owner, High Blood Pressure Consulting, Stateline, Nevada; Senior Consult, Shared Care Research and Education William J. Elliott, MD, PhD Consulting, Inc., Stateline, Nevada; Retired (Semi) Professor Professor of Preventive Medicine, Internal Medicine and of Medicine, Medical College of Wisconsin, UCLA, and Pharmacology, Pacific Northwest University of Health Indiana U.; Board Certified Internal Medicine, Geriatrics, Sciences, Chair, Department of Biomedical Sciences; Chief, Hypertension Specialist, United States Division of Pharmacology, Pacific Northwest University of Health Sciences, Yakima, Washington, United States Rajeev Gupta, MD, PhD Chairman, Preventive Cardiology & Internal Medicine, Eternal Michael E. Ernst, PharmD, FCCP Heart Care Centre and Research Institute, Jaipur, India Professor, Department of Pharmacy Practice and Science, College of Pharmacy; Professor, Department of Family John E. Hall, PhD Medicine, College of Medicine, University of Iowa, Iowa City, Arthur C. Guyton Professor and Chair, Department of Iowa, United States Physiology and Biophysics; Director, Mississippi Center of Obesity Research, University of Mississippi Medical Center, Muhammad U. Farooq, MD, FACP, FAHA Jackson, Mississippi, United States Division of Stroke and Vascular Neurology, Mercy Health Hauenstein Neurosciences, Grand Rapids, Michigan, Michael E. Hall, MD, MS United States Assistant Professor of Medicine, Division of Cardiology, Department of Medicine, University of Mississippi Medical Anne-Laure Faucon, MD Center, Jackson, Mississippi, United States Hypertension Unit, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris-Descartes Coral D. Hanevold, MD University, Paris, France Clinical Professor of Pediatrics, University of Washington, Seattle Children’s Hospital, Division of Nephrology, Seattle, Lauren Fishbein, MD, PhD Washington, United States Assistant Professor of Medicine, University of Colorado School of Medicine, Department of Medicine, Division of David G. Harrison, MD Endocrinology, Metabolism and Diabetes, Aurora, Colorado, Betty and Jack Bailey Professor of Medicine, Clinical United States Pharmacology, Department of Medicine, Vanderbilt University, Nashville, Tennessee, United States Joseph T. Flynn, MD, MS Chief, Division of Nephrology, Seattle Children’s Hospital; Qi-Fang Huang, MD, PhD Professor, Department of Pediatrics, University of Research Associate, The Shanghai Institute of Hypertension, Washington School of Medicine, Seattle, Washington, Shanghai, China United States Alun Hughes, BSc, MB, BS, PhD Toshiro Fujita, MD, PhD Professor of Cardiovascular Physiology and Pharmacology, Chief, Division of Clinical Epigenetics, Research Center for Institute of Cardiovascular Science, Faculty of Pop Advanced Science and Technology, The University of Tokyo, Health Sciences, University College London, London, Emeritus Professor, The University of Tokyo, Tokyo, Japan United Kingdom Mary G. George, MD, MSPH, FACS Philip Joseph, MD Senior Medical Officer and Deputy Associate Director for Assistant Professor of Medicine, McMaster University, Science, Division for Heart Disease and Stroke Prevention, Hamilton, Ontario, Canada; Investigator, Population Health Centers for Disease Control and Prevention, Atlanta, Georgia, Research Institute, Hamilton Health Sciences & McMaster United States University, Hamilton, Ontario, Canada vii Kazuomi Kario, MD, PhD Juan Eugenio Ochoa, MD, PhD Professor & Chairman, Division of Cardiovascular Medicine, Researcher, Department of Cardiovascular, Neural and Department of Medicine, Jichi Medical University School Metabolic Sciences, S. Luca Hospital, IRCCS, Istituto C of Medicine, Tochigi, Japan Auxologico Italiano, Milan, Italy o n t r Kunal N. Karmali, MD, MS Takeyoshi Ota, MD, PhD ib Clinical Instructor, Department of Medicine, Division of Associate Professor of Surgery, Department of Surgery; u t Cardiology, Northwestern University Feinberg School of Co-Director, Center for Aortic Diseases, Section of Cardiac o r Medicine, Chicago, Illinois, United States & Thoracic Surgery, The University of Chicago, Chicago, s Illinois, United States Anastasios Kollias, MD, PhD National and Kapodistrian University of Athens Clinical Christian Ott, MD Fellow, Hypertension Center STRIDE-7, National and Assistant Professor, Department of Nephrology and Kapodistrian University of Athens, Third Department of Hypertension, Friedrich-Alexander University Medicine, Sotiria Hospital, Athens, Greece Erlangen-Nürnberg, Erlangen, Germany Luke J. Laffin, MD Gianfranco Parati, MD Cardiology Fellow, Department of Medicine, The University Professor of Cardiovascular Medicine, Department of of Chicago, Medicine & Biological Sciences, Chicago, Illinois, Medicine and Surgery, University of Milano-Bicocca; Head, United States Department of Cardiovascular, Neural and Metabolic Sciences, S. Luca Hospital, IRCCS, Istituto Auxologico Lewis Landsberg, MD Italiano, Milano, Italy Irving S. Cutter Professor of Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, Carl J. Pepine, MD United States Professor of Medicine, Division of Cardiovascular Medicine, University of Florida College of Medicine, Gainesville, Florida, Donald M. Lloyd-Jones, MD, ScM, FACC FAHA United States Chair and Eileen M. Foell Professor, Preventive Medicine, Northwestern University Feinberg School of Medicine, Vlado Perkovic, MBBS, PhD, FRACP, FASN Senior Associate Dean for Clinical & Translational Research, Executive Director, George Institute, University of Sydney, Northwestern University Feinberg School of Medicine, Sydney, Australia Chicago, Illinois, United States Tiina Podymow, BSc, MDCM Anne-Marie Madjalian, MD Associate Professor, Department of Nephrology, McGill Hypertension Unit, Hôpital Européen Georges Pompidou, University, Montreal, Canada Assistance Publique-Hôpitaux de Paris, Paris-Descartes University, Paris, France Kazem Rahimi, FRCP, DM, MSc, FESC Associate Professor of Cardiovascular Medicine, University Line Malha, MD of Oxford; Deputy Director, The George Institute for Global Instructor in Medicine, Nephrology, Hypertension, and Health, James Martin Fellow in Healthcare Innovation, Oxford Transplantation Medicine, Weill Cornell Medicine, Martin School; Honorary Consultant Cardiologist, Oxford New York, New York, United States University Hospitals NHS Trust, The George Institute for Global Health, Oxford Martin School, University of Oxford, Giuseppe Mancia, MD Oxford, United Kingdom Emeritus Professor of Medicine, University of Milano-Bicocca, Milano, Italy Luis Miguel Ruilope, MD, PhD Chief of Hypertension and Cardiovascular Risk Group, John W. McEvoy, MB BCh BAO, MHS Institute of Research i+12, Hospital 12 de Octubre, Assistant Professor, Division of Cardiology, Johns Hopkins Madrid-28009; Professor of Public Health & Preventive University School of Medicine and Ciccarone Center for Medicine, Public Health, Universidad Autonoma, Madrid, the Prevention of Heart Disease, Baltimore, Maryland, Spain United States Gema Ruiz-Hurtado, PhD George A. Mensah, MD, FACC, FCP(SA) Hon Laboratory Head of Hypertension and Cardiovascular Director, Center for Translation Research and Risk Group, Hypertension Unit, Institute of Research i+12, Implementation Science, NIH/National Heart, Lung, and Hypertension and Cardiovascular Risk Group, Hospital Blood Institute, Acting Director, Division of Cardiovascular Universitario 12 de Octubre, Madrid, Spain Sciences, NIH/National Heart, Lung, and Blood Institute, Bethesda, Maryland, United States Roland E. Schmieder, MD Professor of Medicine, Department of Nephrology and Ross Milner, MD, FACS Hypertension, Friedrich-Alexander University Professor of Surgery, Department of Surgery, Director, Erlangen-Nürnberg, Erlangen, Germany Center for Aortic Diseases, Section of Vascular Surgery and Endovascular Therapy, The University of Chicago, Chicago, Shigeru Shibata, MD, PhD Illinois, United States Associate Professor, Division of Nephrology, Department of Internal Medicine, Teikyo University, School of Medicine; Jiangyong Min, MD PhD Project Lecturer, Division of Clinical Epigenetics, Research Division of Stroke and Vascular Neurology, Mercy Health Center for Advanced Science and Technology, The University Hauenstein Neurosciences, Grand Rapids, Michigan, of Tokyo, Tokyo, Japan United States viii Steven M. Smith, PharmD, MPH, BCPS Ji-Guang Wang, MD, PhD Assistant Professor of Pharmacy and Medicine, Departments Director, Centre for Epidemiological Studies and Clinical of Pharmacotherapy & Translational Research and Trials; Professor, Shanghai Key Laboratory of Hypertension; s or Community Health & Family Medicine, Colleges of Pharmacy Director, The Shanghai Institute of Hypertension; Director, ut and Medicine, University of Florida, Gainesville, Florida, Department of Hypertension; Professor, Ruijin Hospital; b United States Professor, Shanghai Jiaotong University School of Medicine, tri Shanghai, China n o Matthew J. Sorrentino, MD, FACC, FASH C Professor of Medicine, Section of Cardiology, University of Seamus P. Whelton, MD, MPH Chicago Medicine, Chicago, Illinois, United States Pollin Cardiology Fellow in Preventive Cardiology, Johns Hopkins University School of Medicine and Ciccarone Center George S. Stergiou, MD, FRCP for the Prevention of Heart Disease, Baltimore, Maryland, Professor of Medicine and Hypertension, Hypertension United States Center STRIDE-7, National and Kapodistrian University of Athens, Third Department of Medicine, Sotiria Hospital, William B. White, MD Athens, Greece Professor of Medicine and Division Chief, Division of Hypertension and Clinical Pharmacology, Calhoun Cardiology Hillel Sternlicht, MD Center, University of Connecticut School of Medicine, Fellow in Hypertension, ASH Comprehensive Hypertension Farmington, Connecticut, United States Center, The University of Chicago Medicine and Biological Sciences, Chicago, Illinois, United States Bryan Williams, MD Department of Medicine, Institute of Cardiovascular Sciences, Patrick J. Strollo, Jr., MD, FACP, FCCP, FAASM University College London, London, United Kingdom Professor of Medicine and Clinical and Translational Science; Chairman of Medicine VA Pittsburgh Health System; Talya Wolak, MD Vice Chair of Medicine for Veterans Affairs, University of Head of Hypertension Services, Soroka University Medical Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, Center, Faculty of Health Sciences, Ben-Gurion University of United States the Negev, Beer Sheva, Israel Sandra J. Taler, MD Hala Yamout, MD Professor of Medicine, Division of Nephrology and Department of Internal Medicine (Nephrology), Saint Louis Hypertension, Mayo Clinic, Rochester, Minnesota, University, John Cochran Division, Veterans Affairs St. Louis United States Health Care System, St. Louis, Missouri, United States Akiko Tanaka, MD, PhD Clyde W. Yancy, MD, MSc, MACC, FAHA, MACP, FHFSA Aortic Fellow, Department of Cardiothoracic and Vascular Vice Dean, Diversity & Inclusion, Magerstadt Professor Surgery, The University of Texas, Austin, Texas, of Medicine, Professor of Medical Social Sciences; United States Chief, Division of Cardiology, Northwestern University, Feinberg School of Medicine; Associate Director, Bluhm Stephen C. Textor, MD Cardiovascular Institute, Northwestern Memorial Hospital; Professor of Medicine, Division of Nephrology and Deputy Editor, JAMA Cardiology, Chicago, Illinois, Hypertension, Mayo Clinic, Rochester, Minnesota, United States United States William F. Young, Jr., MD, MSc Raymond R. Townsend, MD Tyson Family Endocrinology Clinical Professor, Professor of Professor of Medicine, Perelman School of Medicine, Medicine, Mayo Clinic College of Medicine, Division University of Pennsylvania, Philadelphia, Pennsylvania, of Endocrinology, Diabetes, Metabolism, and Nutrition, United States Mayo Clinic, Rochester, Minnesota, United States Katherine R. Tuttle, MD, FASN, FACP Salim Yusuf, DPhil, FRCPC, FRSC, OC Executive Director for Research, Providence Health Care, Professor of Medicine, McMaster University, Hamilton, Regional Principal Investigator and Clinical Professor Ontario, Canada; Executive Director, Population Health of Medicine, Institute of Translational Health Sciences, Research Institute, Hamilton Health Sciences & McMaster University of Washington School of Medicine, Spokane, University, Hamilton, Ontario, Canada Washington, United States Foreword Hypertension has been recognized as an important cardiovas- Drs. George Bakris and Matthew Sorrentino have accepted cular disorder since the dawn of the 20th century, when Riva- the baton and have brilliantly edited the third edition. They Rocci and then Korotkoff described the sphygmomanometric have selected internationally recognized authorities as method of measuring arterial pressure. Despite intense study authors, who have summarized the important research car- since then, hypertension currently presents an extraordinary ried out in the last 5 years. This edition also includes rigorous opportunity and challenge for investigators, teachers, health comparisons among the classes of antihypertensive drugs. officials, and clinicians in the field. Hypertension has spread The volume also presents revised practice guidelines that to the developing world and is reaching pandemic propor- synthesize much useful information for clinical practice. This tions. More inclusive definitions as well as more accurate and comprehensive book will be of great value and interest to cli- detailed measurements of blood pressure indicate that the nicians, investigators, and trainees in this important subspe- prevalence and health threat of hypertension worldwide are cialty of cardiology. even greater than previously thought. The Companions to Heart Disease: A Textbook of Eugene Braunwald Cardiovascular Medicine aim to provide cardiologists and Douglas P. Zipes trainees with important additional information in critically Peter Libby important segments of cardiology that go beyond what is Robert O. Bonow contained in the “mother book,” thereby creating an exten- Douglas L. Mann sive cardiovascular information system. The first two editions Gordon F. Tomaselli of Hypertension, edited by Drs. Henry R. Black and William J. Elliott, clearly accomplished this goal. ix Preface There have been many books published dealing with the topic quelling a silent killer, hypertension. There are chapters in of hypertension across a spectrum of diseases. However, it is the book that address some of these issues, but the only real rare to find one source that has an encyclopedic and timely solution is a multipronged approach involving governmental spectrum of topics across the disease spectrum with a focus policy makers, the pharmaceutical industry, payers, and the on hypertension. This third edition of Hypertension has medical professionals. We hope you will find the book a valu- expanded the topic variety from previous editions and pres- able resource to address a spectrum of questions surrounding ents novel topics of emerging areas of hypertension. Examples the disease of hypertension. include a chapter dealing with hypertension as an immune The book is divided into multiple parts including epide- disease with a pathophysiology based on immune changes miology, mechanisms of hypertension, pathophysiology of relating to inflammation rather than hemodynamic changes. disease, pharmacology of antihypertensive drugs, clinical There is also a focused chapter dealing with sleep disorders, outcome trials, and guideline discussions focusing on process not just sleep apnea, as a major cause of hypertension. Lastly, rather than what was produced. there is a novel chapter on environmental pollution and its contribution to endothelial dysfunction. In addition to these ACKNOWLEDGMENTS new chapters, all other chapters have been consolidated and updated with the latest information sourced from basic sci- We would like to thank our families and our wives especially ence to clinical trials and guidelines so that information is for being supportive through this editing and writing process. applicable to the clinician. We are especially thankful to all the authors that contributed Although there are now more than 125 different antihy- time and effort and produced excellent chapters for your pertensive medications, blood pressure control rates around reading knowledge and pleasure. the world vary from as low as 15% in some Southeast Asian George L. Bakris, MD, FASN, FAHA, FASH countries to over 50% in North America. Clearly, this does Matthew J. Sorrentino, MD, FACC, FASH not relate to the price of medication but rather to individual patients, understanding, attitudes, and behaviors toward xi Braunwald’s Heart Disease Family of Books BRAUNWALD’S HEART DISEASE COMPANIONS ISSA, MILLER, AND ZIPES ANTMAN AND SABATINE Clinical Arrhythmology Cardiovascular and Electrophysiology Therapeutics BALLANTYNE MCGUIRE AND MARX Clinical Lipidology Diabetes in Cardiovascular Disease xv xvi KORMOS AND MILLER MANN AND FELKER Mechanical Circulatory Heart Failure Support s k o o B f o y mil a F e s a e s Di t r a e H s d’ al w n u a r B BLUMENTHAL, FOODY, DE LEMOS AND AND WONG OMLAND Preventive Cardiology Chronic Coronary Artery Disease CREAGER, BECKMAN, OTTO AND BONOW AND LOSCALZO Valvular Heart Disease Vascular Medicine

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Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.