Hypertension

Question 1

Define hypertension?

Answer 1

BP >140/90mmHg

Question 2

What are the risks for hypertension?

Answer 2

FH, Age, Moderate/High alcohol intake, obesity, Diabetes

Question 3

What are the investigations for hypertension?

Answer 3

ABPM or HBPM, ECG, lipid panel

Question 4

What is stage 1 hypertension?

Answer 4

140/90 clinical, 135/85 ABPM

Question 5

What is stage 2 hypertension?

Answer 5

160/100mmHg clinical. 150/95 ABPM

Question 6

What is severe hypertension ?

Answer 6

Systolic >180mmHg, Diastolic >110,mmHg

Question 7

How do you treat hypertension?

Answer 7

Step 1 - CCB (>55, afro carribean), TTD if CCB not tolerated. ACEi/ARB(<55, NOT SUITABLE FOR FEMALES OF CHILD BEARING AGE, AFRO-CARRIBEANS)

Step 2 - Add a TTD

Step 3 - Add ACEi, CCB and TTD together

Step 4 - Low dose spironolactone or TTD