Hypertension

Question 1

Stage 1 – Clinical BP and HBPM/ABPM Range?

Answer 1

Clinical BP: =/> 140/90 - <160/100

HBPM/ABPM: =/> 135/85 - <150/95

Question 2

Stage 2 – Clinical BP and HBPM/ABPM Range?

Answer 2

Clinical BP: =/> 160/100 - <180Sys or <110Dias

HBPM/ABPM: =/> 150/95

Question 3

Stage 3 – Clinical BP and HBPM/ABPM Range?

Answer 3

Clinical BP: =/> 180Sys and/or =/> 110Dias

NO HBPM/ABPM REQUIRED!

Question 4

What 3 Conditions are included in TOD?

Answer 4

• Hypertensive Retinopathy (Eye)
• Chronic Kidney Disease (Kidney)
• Left Ventricular Hypertrophy (Heart)

Question 5

Define the 3 Categories of Treating Stage 1 Hypertension and How are they Treated?

Answer 5

1) Under 80 WITH TOD, Diabetes, CVD, Renal Disease and/or Qrisk =/> 20%
==> DRUG TREATMENT + LIFESTYLE ADVICE
2) Under 80 WITHOUT TOD, Diabetes, CVD, Renal Disease
==> REVIEW ANNUALLY + LIFESTYLE ADVICE
3) Under 40 WITHOUT TOD, Diabetes, CVD, Renal Disease
==> Seek Specialist Advice/Refer to try Identify any Secondary Cause.

Question 6

What is the Treatment for Stage 2 Hypertension?

Answer 6

DRUG TREATMENT + LIFESTYLE ADVICE

No matter what the Age or Condition.

Question 7

What 3 Conditions included in ACUTE TOD?

Answer 7

• Retinal Haemorrhage (Eye)
• Rapidly Progressive Renal Failure (Kidney)
• ACS (Heart)

Question 8

What is Hypertensive Emergency?

Answer 8

Severe BP (Stage 3) WITH Acute TOD.

Question 9

What Drugs are used to Treat Hypertensive Emergency and How should the BP be Reduced?

Answer 9

Treated with IV Antihypertensives e.g:
- Labetalol
- GTN 
- Hydralazone 
(Drug choice would depend on meds and other conditions patient has).

BP reduced Gradually by 20-25% within the first Few Minutes or 2 Hours.

Question 10

What is Hypertensive Urgency?

Answer 10

Severe BP (Stage 3) WITHOUT Acute TOD.

Question 11

What Drugs are used to Treat Hypertensive Urgency and How should the BP be Reduced?

Answer 11

Treat with Oral Antihypertensives:

• Labetalol
• CaCB (e.g. Amlodipine, Felodipine)

BP reduced Gradually over 24-48 Hours.