There was a remarkable discrepancy between office and ambulatory BP in high-risk hypertensive patients. The prevalence of a non-dipper BP pattern was almost 60%. In the lowest levels of ambulatory BP, high-risk patients showed a higher prevalence of non-dipping BP than lower-risk cases. These observations support the recommendation of a wider use of ABPM in high-risk hypertensive patients.

In this paper we argue that by making a careful distinction between the notions of inchoativity and telicity, we can gain new insight into how changes of state can be expressed in natural language. Our argument is based on an analysis of Spanish reflexive psychological verbs (SRPVs) such as aburrirse 'to be/become bored' and enfadarse 'to become angry'. We present diagnostics that clearly support the claim that while these verbs are inchoative, they are not telic, nor do they denote changes of state. Additional tests indicate that these verbs are not dynamic, either; however, we show that they lack dynamicity for different reasons: aburrirse verbs, because they are stative; enfadarse verbs, because they denote truly punctual eventualities. We present a formal semantic analysis using the event ontology proposed in Piñón (1997). This analysis allows us to capture very naturally the similarities and differences between the two subclasses of SRPVs, to characterize their inchoativity, and to distinguish it from telicity. In addition, it supports a view of the Vendlerian aspectual classes on which the achievement class describes truly punctual eventualities and excludes certain predicates commonly (if not universally) assumed to belong to this class, such as the so-called degree achievement verbs.

The link between the kidney and hypertension has been considered a villain-victim relationship. High blood pressure levels are a well-recognized feature in chronic renal disease, but the ability of mild-to-moderate hypertension to produce renal insufficiency has been questioned. Nephrosclerosis, benign nephrosclerosis, and hypertensive kidney disease are terms that clinicians use when renal damage is thought to be secondary to essential hypertension. Many cases of end-stage renal disease are ascribed to so-called benign nephrosclerosis. This entity could actually be a primary renal disease affecting the preglomerular microvasculature, perhaps genetically mediated and ethnically influenced, and showing a heterogeneous clinical expression. African Americans suffer from nephrosclerosis more frequently than Caucasians. Nephrosclerosis affecting Caucasians seems to show a less aggressive pattern and could represent early age-related renal sclerosis. The risk of end-stage renal disease is increased when atherosclerotic lesions in large renal arteries coexist. Age, systolic blood pressure, proteinuria, and concomitant cardiovascular disease are well-known promoters of renal failure. A multifactorial strategy, including antihypertensive and antiproteinuric drugs, and lipid-lowering and anti-platelet agents, could improve cardiovascular and renal outcomes in patients with nephrosclerosis.

After an average of 13. 6 years since the index pregnancy, women with hypertensive pregnancies have an increased risk of subsequent hypertension. Gestational hypertension is the hypertensive disorder of pregnancy with the highest incidence of subsequent hypertension. Women with preeclampsia have a greater tendency to develop hypertension than women with normotensive pregnancies. By contrast, women with eclampsia do not.

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In patients with chronic renal failure and hypertension due to primary renal disease, fosinopril significantly differed from nifedipine GITS by its capacity to slow the progressive decay in renal function. The drugs also differed by their capacity to lower blood pressure. The better control, in particular of systolic blood pressure, in the fosinopril arm could have contributed in a relevant manner to the attainment of a better outcome when the ACEi was employed.

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