A man with high blood pressure

doi:10.1136/bmj.b1550

Published 6 May 2009, doi:10.1136/bmj.b1550
Cite this as: BMJ 2009;338:b1550

Endgames

Case report

A man with high blood pressure

Brian McKinstry, reader in primary care research ¹, Paul Padfield, professor of hypertension²

¹ Centre for Population Health Sciences, General Practice Section, University of Edinburgh, Edinburgh EH8 9DR, ² Department of Medical Sciences, Western General Hospital, Edinburgh EH42XU

Correspondence to: B McKinstry brian.mckinstry@ed.ac.uk

The first 150 words of the full text of this article appear below.

A 29 year old white man presented to general practice aftera routine check at work, which was carried out because he feltlightheaded. His work found a blood pressure of 178/104 mm Hgand a pulse rate of 100 beats/min. His cousin, who was a nurse,rechecked his blood pressure and found it to be 138/92 mm Hg.He was not a regular attendee at the surgery and was takingno drugs. He had occasionally felt lightheaded during the pastyear, but he had never fainted. He had a family history of highblood pressure. He was slim (body mass index of 20), and inthe surgery he had a blood pressure of 172/94 mm Hg and a pulserate of 98 beats/min. Optic fundi, peripheral pulses, heartsounds, and chest examination were all normal. He had no abdominalbruits.

1 What is the most likely diagnosis?

2 What . . . [Full text of this article]

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