Hypertension

Question 0

What is accelerated hypertension?

Answer 0

BP >180/110 with signs of papilloedema or hypertensive retinopathy

Question 1

What are the stages of hypertension?

Answer 1

Stage 1: clinic reading >=140/90
Ambulatory BP >=135/85

Stage 2: clinic reading >= 160/100
Ambulatory BP >=150/95

Stage 3: clinic reading >=180 systolic or 110 diastolic

Question 2

When should antihypertensive treatment be offered?

Answer 2

If stage 1 + co-morbidity (organ damage, est CV disease, renal disease, diabetes)
Any age with stage 2/3

Question 3

To which hypertensive patients should statins be offered?

Answer 3

Patients with 10 year cardiovascular risk of >=20%

Question 4

What are the management steps in hypertension?

Answer 4

Lifestyle advice

If 55y/o or black; step 1 = CCB

Step 2 = ACEi/ARB + CCB

Step 3 = ACEi/ARB + CCB + Thiazide diuretic

Step 4 (resistant HTN) = ACEi/ARB + CCB + Thiazide diuretic + consider other diuretic or alpha/beta-blocker

Question 5

What are the target BPs in patients with hypertension?

Answer 5

If >80y/o = <140/90