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5.
Sedation, extra rest, prolonged vacation, admonitions not to worry, and attempts
at weight reduction and dietary sodium restriction are poor substitutes for
effective antihypertensive drug therapy. Patients with uncomplicated
hypertension should live normal lives as long as their blood pressure is
controlled with medication. Dietary restrictions should be imposed only to
control obesity or blood lipid abnormalities. With diuretics, a low sodium
diet is usually unnecessary. Prudent exercise should be encouraged and
cigarette smoking discouraged to reduce the risk of atherosclerotic heart
disease.
6.
The clinical approach to a patient with this disease should first exclude other
pathologies that can present cough and wheezing, and then identify and control
environmental or other factors. Drug therapy is an important therapeutic modality
and enables most patients to lead relatively normal lives with few adverse drug
effects.
7.
Management of this disease is based on the physiologic concept. Therapy includes
rest, oxygenation, measures to improve myocardial contractivity, correction of
arrhythmias, diuresis, sodium restriction.