The Institute for Functional Medicine Presents: New and Revolutionary Concepts in the Pathophysiology, Diagnosis and Treatment of Hypertension
Mark Houston, MD
Format: Video of Slides

Vascular biology, endothelial and vascular smooth muscle and cardiac dysfunction play a primary role in the initiation and perpetuation of hypertension, cardiovascular disease and target organ damage. Proper diagnosis using 24 hour ambulatory blood pressure monitoring (BP surge, variability, circadian rhythm, nocturnal BP, dipping status, BP load), measurement of both brachial and central arterial pressure, endothelial function, arterial elasticity, augmentation index and pulse wave velocity are necessary to define hypertension risk and treatment. Nutrient-gene interactions and epigenetics are predominant factors in promoting beneficial or detrimental effects in cardiovascular health and hypertension. Macronutrients and micronutrients can prevent, control and treat hypertension through numerous mechanisms related to vascular biology. Oxidative stress, inflammation and autoimmune dysfunction initiate and propagate hypertension and cardiovascular disease. There is a role for the selected use of single and component nutraceutical supplements, vitamins, antioxidants and minerals in the treatment of hypertension based on scientifically controlled studies which complement optimal nutrition, coupled with other lifestyle modifications.