Hypertension Flashcards

1
Q

Diagnosis of hypertension

A

If clinic BP is 140/90 mmHg or higher, offer ambulatory blood pressure monitoring (ABPM) to confirm the diagnosis of hypertension

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2
Q

How does APBM work?

A

At least 2 measurements per day

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3
Q

HBPM?

A
  • 2 consecutive seated measurements, 1 minute apart
  • do this for 4 days (preferably 7 days)

-measurements from first day are discarded, average of all remaining used

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4
Q

Stage 1 hypertension

A

Clinic BP is 140/90mmHg or higher and

ABPM or HBPM daytime average is 135/85mmHg or higher.

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5
Q

Stage 2 hypertension

A

Clinic BP 160/100mmHg or higher and

ABPM or HBPM daytime average is 150/95mmHg or higher.

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6
Q

Severe hypertension

A

Clinic BP is 180mmHg or higher or

Clinic diastolic BP is 110mmHg or higher.

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7
Q

If someone has hypertension, which other tests should you offer?

A
  • Urine for protein
  • Blood to measure glucose, electolytes, creatinine, estimated glomerular filtration rate and cholesterol
  • Examine FUNDI for retinopathy
  • Arrange a 12 lead ECG
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8
Q

Main driver of absolute risk for hypertension?

A

Age

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9
Q

What is your CV risk if you have established vascular disease? (e.g. ischaemic heart disease, cerebro-vascular disease, PVD, diabetes)

A

20%

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10
Q

Treatment for stage 1 hypertension

A

(consider specialist referral if under 40)

  • Offer lifestyle interventions
  • Offer patient education and interventions to support adherence to treatment
  • OFFER ANNUAL review
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11
Q

How often should you review people with stage 1 hypertension?

A

At least annually

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12
Q

Treatment for stage 2 hypertension?

A

Offer anti-hypertensive drug treatment (and everything offered for stage 1 hypertension management)

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13
Q

Target clinic blood pressure?

A

140/90 in people under 80

150/90 in people over 80

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14
Q

Target ABPM/HBPM?

A

135/85 in people under 80

145/85 in people over 80

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