Hypertension Guidelines Flashcards
What are the classifications of BP?
Normal, elevated, stage 1, and stage 2
What is a normal BP?
SBP less than 120 and DBP less than 80
What is an elevated BP?
SBP 120-129 and DBP less than 80
What is stage 1 HTN?
SBP 130-139 or DBP 80-89
What is stage 2 HTN?
SBP greater than or equal to 140 or DBP greater than or equal to 90
How do you classify a patient with a SBP and DBP in two different categories?
Use the higher category
What happens to BP with increasing age, and what study proved this finding?
It progressively increases as proven by the John Hopkins Precursor Study
What were the findings of the MESA study?
Prevalence of HTN was higher in African Americans and Hispanics compared to Whites and Chinese (African Americans, Hispanics, Whites, and then Asians).
How many BP readings are required to diagnose HTN?
At least two readings on two separate visits
What is the first line therapy for SIHD (Post-MI, CSA)?
ACE/ARB and beta blocker
What are the additional therapies for SIHD (Post-MI, CSA)?
CCBs, thiazide, or aldosterone inhibitor
What is the first line therapy for HF with reduced EF?
ACE/ARB and beta-blocker and aldosterone antagonist
What are the additional therapies for HF w/ reduced EF?
Diuretics for fluid overload
What meds are contraindicated in patients with HF w/ reduced EF?
Non-DHP CCBs
What is the first line therapy for HF w/ preserved EF?
ACE/ARB, beta-blocker
What are the additional therapies for HF w/ preserved EF?
Diuretics for fluid overload
What is the first line therapy for CKD?
ACE
What are the additional therapies for CKD?
ARB
What constitutes CKD?
stage 3 or higher OR stage 1 or 2 with albuminuria >300 mg/d
What is the first line therapy for stroke?
ACE/ARB, thiazide, or combo of the 2
What are the additional therapies for stroke?
CCBs or aldosterone antagonist
What is the first line therapy for diabetes?
ACE/ARB, thiazide, or CCB
In a patient with HTN, diabetes, and the presence of albuminuria, what class do you use?
ACE/ARB
What is the first line therapy for African Americans with HTN without CKD or HF?
CCBs or thiazides
What is the first line therapy for pregnant women with HTN?
Methyldopa, nifedipine, or labetalol
What medications are contraindicated in pregnant women with HTN?
ACE, ARB, and renin inhibitor
What is the first line therapy for resistant HTN?
Spironolactone
What are the additional therapies for resistant HTN?
Hydralazine or Minoxidil
