Question: A 5'8, 240 lb., 52-year-old project manager went in for a physical exam. His blood pressure was > 180/115 on three separate days. Further

A 5'8", 240 lb., 52-year-old project manager went in for a physical

exam. His blood pressure was > 180/115 on three separate days. Further

A 5'8", 240 lb., 52-year-old project manager went in for a physical exam. His blood pressure was > 180/115 on three separate days. Further examination showed normal to low plasma renin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, X-ray evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy included weight reduction to his ideal level, a low-salt diet (

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