Hypertension Flashcards
Stage 1 HTN clinic BP readings
140/90 - 159/99mmHg
Stage 1 HTN ambulatory BP readings
135/85-149/94mmHg
Which patients with stage 1 HTN BP reading should you start treatment?
Patients >80 with BP over 150/90mmHg
Which patients with a stage 1 HTN BP reading should you offer lifestyle advice and only consider drug treatment?
Patients <60 with <10% risk of CVD in 10 years
Which patients with a stage 1 HTN BP reading should you offer lifestyle advice and discuss starting treatment with?
Patients <80 with comorbidities of kidney disease, diabetes, CVD or 10% risk of CVD in next 10 years
Stage 2 HTN clinic BP readings
160/100 - 180/120mmHg
Stage 2 HTN ambulatory BP readings
> 150/95mmHg
Which patients should you start treatment immediately if they have a stage 2 HTN BP reading
All
Stage 3 HTN BP readings
> 180/120mmHg
Hypertensive crisis
How to manage stage 3 HTN?
Medical emergency
Step 1 antihypertensive treatment in patients <55 years old / patients with diabetes
ACE-I or ARB
Step 2 antihypertensive treatment in patients <55 years old / patients with diabetes
ACE-I / ARB + CCB or TLD
Step 3 antihypertensive treatment
ACE-I / ARB + CCB + TLD
Step 4 antihypertensive treatment if potassium <4.5mmol/l
Low dose spironolactone
Step 4 antihypertensive treatment if potassium >4.5mmol/l
Alpha or beta blocker
Choice of antihypertensive if T2DM and Afro-carribean?
ARB
Step 1 antihypertensive treatment for >55 years old or Afro-Caribbean patients
CCB
Step 2 antihypertensive treatment for >55 years old or Afro-Caribbean patients
CCB + ACE-I/ARB
Clinic BP target for patients <80 years old with T1DM if urine albumin:creatinine ratio <70mmHg
140/90mmHg
Clinic BP target for patients <80 years old with T1DM if urine albumin:creatinine ratio >70mmHg
<130/80mmHg
Clinic BP target for patients >80 years old with T1DM
150/90mmHg regardless of urine albumin:creatinine ratio
Clinic BP target for patients with renal disease
140/90mmHg and want albumin:creatinine ratio of <70mg/mmol
Clinic BP target for patients with T2DM
Same thresholds and treatment targets used with or without T2DM
Clinic BP target for pregnant women
<135/85mmHg