hypertension

Question 1

threshold for normal BP

Answer 1

120/80 mmHg

Question 2

NICE clinical definition for stage 1 hypertension

Answer 2

clinic blood pressure 140/90 mmHg; or ambulatory daytime or home average 135/85 mmHg: (Treat under
80 years who have target-organ damage,
cardiovascular disease, renal disease, diabetes, or 10-year cardiovascular risk (ORISK2) ≥ 20%)

Question 3

NICE clinical definition for stage 2 hypertension

Answer 3

clinic blood pressure 160/100 mmHg: or ambulatory daytime or home average 150/95 mmH(Treat all patients, regardless of age)

Question 4

NICE clinical definition for stage 3 hypertension / severe hypertension

Answer 4

Severe hypertension
clinic systolic blood pressure > 180 mmHg; or clinic diastolic blood pressure > 110 mmH: (treat promptly)

Question 5

HYPERTENSION DRUG TREATMENT for under 55 or with TD2 of any age

Answer 5

1.ACE inhibitor; or ARB;
2. ACE or ARB plus CCB: or ACE or ARB plus thiazide-related diuretic
3. ACE or ARB with CCB plus thiazide
4. Consider specialist advice

Question 6

Over 55, and patients of African or Caribbean origin

Answer 6

1. CC; or thiazide-related diuretic (e.g.
   chlortalidone or indapamide)
2. CCB or thiazide plus an ACE or ARB (ARB plus CC preferred in African or Caribbean family
   origin)
3. Same as under 55
   4.Same as under 55

Question 7

what drug is not recommended in REDUCING CARDIOVASCULAR RISK in those with hypertension

Answer 7

Use of aspirin in primary prevention of cardiovascular events, is of unproven benefit. However, primary prevention with a statin (atorvastatin 40mg) is recommended in individuals with a high risk of developing
cardiovascular disease.

Question 8

which antihypertensives is safe for PREGNANCY

Answer 8

Labetalol, methyldopa and Nifedipine are considered safe for use in pregnancy.