This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Related letter  • Similar articles in JAMA  Social Bookmarking   What's this?

Suzanne Oparil, MD

JAMA. 1997;278(12):1015-1021.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Dr Delbanco:

Mr J is a 42-year-old African-American man first diagnosed with hypertension when he was 28 years old. He is married, lives in an apartment in the inner city of Boston with his wife and child, and works in an accounting department. He has health insurance through a managed care plan.

His family history for hypertension is striking. His father died at the age of 69 years of complications of hypertension, with multiple strokes and congestive heart failure. His mother died at age 55 years of complications of hypertension and congestive heart failure. His 6 siblings do not have hypertension, but 3 have asthma.

After being found hypertensive, Mr J underwent an evaluation for secondary causes, including physical examination, urinalysis, electrolytes, serum urea nitrogen, creatinine, serum creatinine, and thyroid function tests; all findings were normal. He stopped smoking in 1991 after a 12 pack-year history and has not smoked . . . [Full Text PDF of this Article]

Author Affiliations
Dr Oparil is Director of the Vascular Biology and Hypertension Program, Professor of Medicine, and Professor of Physiology and Biophysics, University of Alabama School of Medicine, Birmingham.

Footnotes
This conference took place at the Medicine Grand Rounds of the Beth Israel Deaconess Medical Center, East Campus, Boston, Mass, on May 15, 1997.

Reprints: Erin E. Hartman, MS, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, East Campus, 330 Brookline Ave, LY318, Boston, MA 02215.

Clinical Crossroads at Beth Israel Deaconess Medical Center is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Erin E. Hartman, MS, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED LETTER

Prominence of Patients' Insurance Status in Clinical Crossroads
Robert J. Amdur, Jennifer Daley, Richard A. Parker, Erin E. Hartman, and Thomas L. Delbanco
JAMA. 1998;280(13):1137-1138.
EXTRACT | FULL TEXT