On line test
Here you can find a series of thirty simulated clinical cases on which you can test if your decision fits with WHO-ISH guidelines for arterial hypertension.

All clinical data which are not given should be considered "normal"
CASE # 1
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 56 yrs,
BP 160/100 165/105 mmHg
Depression

CASE # 2
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 63 yrs,
BP 155/75 160/80 mmHg
Cataract
CASE # 3
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 60 yrs,
BP 175/105 180/110 mmHg
Smoking 10 cigarettes
Cholesterol 265 mg/dl
CASE # 4
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 57 yrs,
BP 140/85 145/90 mmHg
Mild renal insufficiency (creatinine 2.1 mg/dl)
Hyperkalaemia
CASE # 5
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 66 yrs,
BP 135/85 140/90 mmHg
2 myocardial infarctions
Coronary bypass
Cholesterol 250-270 mg/dl
CASE # 6
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 38 yrs,
BP 130/85 135/90 mmHg
Well controlled insulin dependent diabetes
CASE # 7
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 43 yrs,
BP 125/85 130/90 mmHg
Smoking 15 cigarettes
Surgical menopause at 35 yrs
CASE # 8
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 63 yrs,
BP 145/95 150/100 mmHg
Claudicatio intermittens
History of paroximal atrial fibrillation
CASE # 9
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 66 yrs,
BP 165/100 170/105 mmHg
2 episodes of TIA
CASE # 10
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 53 yrs,
BP 135/90 140/95 mmHg
Mild obesity
CASE # 11
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 49 yrs,
BP 155/85 160/90 mmHg
Stressful life
CASE # 12
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 52 yrs,
BP 140/95 145/100 mmHg
Smoking 10 cigarettes
Cholesterol 260-280 ml/dl
CASE # 13
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 61 yrs,
BP 135/85 140/90 mmHg
CASE # 14
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 70 yrs,
BP 140/90 145/95 mmHg
Myocardial infarction 5 yrs ago
Quitted smoking 5 yrs ago
CASE # 15
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 57 yrs,
BP 150/95 155/100 mmHg
Both parents hypertensives
CASE # 16
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 55 yrs,
BP 150/90 155/95 mmHg
Evidence of left ventricular hypertrophy
Asthma
CASE # 17
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 45 yrs,
BP 145/95 150/100 mmHg
Smoking 10 cigarettes
Cholesterol 200-210 mg/dl
Atypical chest pain
Mother myocardial infarction at 70 yrs
CASE # 18
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 75 yrs,
BP 135/85 140/90 mmHg
Claudicatio
TIA
Hypothyroidism
CASE # 19
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 42 yrs,
BP 145/95 150/100 mmHg
First of two pregnancies (15 yrs before) complicated by eclampsia
CASE # 20
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 44 yrs,
BP 155/100 160/105 mmHg
Physically active (intense recreational sport activity)
CASE # 21
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 61 yrs,
BP 145/95 150/100 mmHg
Vascular bruits on left carotid
Chronic obstructive pulmunary disease
CASE # 22
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 53 yrs,
BP 165/100 170/105 mmHg
Father myocardial infarction at 45 yrs
CASE # 23
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 59 yrs,
BP 180/90 185/95 mmHg
Asymptomatic
CASE # 24
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 53 yrs,
BP 140/95 145/100 mmHg
Angina on effort
CASE # 25
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 60 yrs,
BP 175/105 180/110 mmHg
Smoking 5 cigarettes
Gout
Sister myocardial infarction at 60 yrs
CASE # 26
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 58 yrs,
BP 150/90 155/95 mmHg
Smoking 5 cigarettes
Cholesterol 280 mg/dl
CASE # 27
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Female, 29 yrs,
BP 140/90 145/95 mmHg
On contraceptive treatment
CASE # 28
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 55 yrs,
BP 135/85 140/90 mmHg
CASE # 29
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 60 yrs,
BP 125/80 130/85 mmHg
Diabetes
Symptomless
CASE # 30
Immediate treatment
Follow-up
(without pharmacological treatment)
3-6 months
6-12 months
1-2 years
Male, 71 yrs,
BP 135/75 140/80 mmHg