Hypertension

Question 1

1. What is the CVD check?
   http: //www.cvdcheck.org.au
2. Who is eligible for this check?
3. What is the caveat with this tool for ATSI?

Answer 1

1. It’s the absolute risk of having a cardiovascular event in the next 5 years
2. > 45 yr olds or >35yr olds if ATSI with no history of CVD
3. Add 5% risk on

Question 2

What is the aim for waist circumference for

a) Adult males
b) Asian males
c) Women

Answer 2

a) 94cm
b) 90cm
c) 80cm

Question 3

How would you manage a patient with CVD risk <10% with

1. BP >160/100
2. BP 140-159
3. How often should BP in this CVD risk group be measured?

Answer 3

1. Pharmacotherapy
2. Review after 2 months of lifestyle advice
3. BP every 2 years

Question 4

How would you manage a patient with CVD risk 10%-15% with

1. BP 140-159 systolic or diastolic 90-99
2. BP 130-139 or diastolic 85-89
3. BP >160/100

How often to monitor these patients?

Answer 4

1. Pharmacotherapy
2. review BP in six moths
3. pharmacotherapy and lifestyle intervention if BP persistently greater than 160/100 OR if fix of premature CVD or if patient of South Asian, Middle Eastern, Maori, ATSI, Pacific Islander

Monitor every 6-12months

Question 5

CVD risk >15%. What are the aims for BP management for;

1. Adults without CVD
2. adults with diabetes or with microalbuminuria or macroalbuminuria (urine to albumin creatine ratio >2.5mg/mmol for M’s and >3.5mg/mmol for F’s)
3. High absolute risk

Answer 5

1. • < or equal to 140/90
2. < or equal to 130/80
3. <120