Hypertension Flashcards Preview

Cardiology > Hypertension > Flashcards

Flashcards in Hypertension Deck (14):
1

Diagnosis of hypertension

If clinic BP is 140/90 mmHg or higher, offer ambulatory blood pressure monitoring (ABPM) to confirm the diagnosis of hypertension

2

How does APBM work?

At least 2 measurements per day

3

HBPM?

-2 consecutive seated measurements, 1 minute apart
-do this for 4 days (preferably 7 days)

-measurements from first day are discarded, average of all remaining used

4

Stage 1 hypertension

Clinic BP is 140/90 mmHg or higher and

ABPM or HBPM daytime average is 135/85 mmHg or higher.

5

Stage 2 hypertension

Clinic BP 160/100 mmHg or higher and

ABPM or HBPM daytime average is 150/95 mmHg or higher.

6

Severe hypertension

Clinic BP is 180 mmHg or higher or
Clinic diastolic BP is 110 mmHg or higher.

7

If someone has hypertension, which other tests should you offer?

-Urine for protein
-Blood to measure glucose, electolytes, creatinine, estimated glomerular filtration rate and cholesterol
-Examine FUNDI for retinopathy
-Arrange a 12 lead ECG

8

Main driver of absolute risk for hypertension?

Age

9

What is your CV risk if you have established vascular disease? (e.g. ischaemic heart disease, cerebro-vascular disease, PVD, diabetes)

20%

10

Treatment for stage 1 hypertension

(consider specialist referral if under 40)
-Offer lifestyle interventions
-Offer patient education and interventions to support adherence to treatment
-OFFER ANNUAL review

11

How often should you review people with stage 1 hypertension?

At least annually

12

Treatment for stage 2 hypertension?

Offer anti-hypertensive drug treatment (and everything offered for stage 1 hypertension management)

13

Target clinic blood pressure?

140/90 in people under 80
150/90 in people over 80

14

Target ABPM/HBPM?

135/85 in people under 80
145/85 in people over 80