Hypertension Flashcards
What lifestyle changes can be made to reduce blood pressure?
Smoking cessation, weight reduction, reduction in alcohol and caffeine and dietary salt, reduction in total and saturated fats, increasing exercise and increasing fruit and vegetable intake
Those with ___mmHg should be offered ambulatory BP monitoring?
140/90 or higher
What is classed as Stage 1 hypertension?
140/90mmHg or higher and ABPM average 135/85mmHg or higher
Who should be treated for stage 1 hypertension?
Under 80 years with target organ damage, CV disease, renal disease or diabetes or a 10 year CV risk >20%
What should happen for people under 40 with stage 1 hypertension?
Referral to specialist advise for evaluation of secondary causes of HTN
What is classed as Stage 2 hypertension?
160/100mHg or ABPM 150/95mmHg or more
Who should be treated for Stage 2 HTN?
All patients regardless of their age
What is classed as severe HTN?
Clinic systolic of 180 or more or clinic diastolic BP 110 or more
What is the BP target for people under 80?
Below 140/90 clinic or below 135/85 ABPM
What is the BP target for those with established atherosclerotic CV disease, diabetes in presence of kideny, eye or cerebrovascular disease?
130/80mmHg
What interval should be allowed to determine response to an antihypertensive?
4 weeks
What is the target BP for patients under 80?
Below 150/90 clinic or below 145/85 ABPM
What is isolated systolic hypertension classed as?
160 or more systolic with less than 90 diastolic
What is the BP target for people with diabetes?
140/80
What is the BP target for people with diabetes with kidney, eye or cerebrovascular disease present?
130/80