How can I help my practice achieve hypertension control?
Use these tools and training resources to help your practice achieve hypertension control for your patients. A Web-based resource for training and information to help build the competencies needed by state Heart Disease and Stroke Prevention (HDSP) Program coordinators.
What is a practical guide to hypertension Canada?
A Practical Guide informed by the Hypertension Canada Guidelines for the Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension 2020 HYPERTENSION HIGHLIGHTS
Why are blood pressure targets important in patients with documented hypertension?
In patients with documented hypertension, attaining blood pressure targets is vital to prevent cardiovascular and cerebrovascular complications. Blood pressure thresholds for initiation of antihypertensive therapy and treatment targets in adults:
What is the hypertension control change package for clinicians?
The Hypertension Control Change Package for Clinicians presents a listing of process improvements that ambulatory clinical settings can implement as they seek optimal hypertension control. It is composed of change concepts, change ideas, and evidence- or practice-based tools and resources.
What is the treatment protocol for hypertension?
Treatment for hypertension should include drug classes demonstrated to reduce cardiovascular events in patients with diabetes: ACEIs, ARBs, thiazide-like diuretics, or dihydropyridine calcium channel blockers.
What are the most current guidelines for managing hypertension?
Blood pressure categories in the new guideline are:Normal: Less than 120/80 mm Hg;Elevated: Systolic between 120-129 and diastolic less than 80;Stage 1: Systolic between 130-139 or diastolic between 80-89;Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;More items...•
Who makes the guidelines for hypertension?
Hypertension: New Guidelines from the International Society of Hypertension. Am Fam Physician. 2021 Jun 15;103(12):763-765. This clinical content conforms to AAFP criteria for continuing medical education (CME).
How do you start a treatment for hypertension?
Here's what you can do:Eat healthy foods. Eat a heart-healthy diet. ... Decrease the salt in your diet. Aim to limit sodium to less than 2,300 milligrams (mg) a day or less. ... Maintain a healthy weight. ... Increase physical activity. ... Limit alcohol. ... Don't smoke. ... Manage stress. ... Monitor your blood pressure at home.More items...•
What are the new guidelines for blood pressure 2021?
The new blood pressure categories.Normal = less than 120 and less than 80.Elevated = 120-129 and less than 80.High Blood Pressure Stage 1 = 130-139 or 80-89.High Blood Pressure Stage 2 = 140 or higher or 90 or higher.Hypertensive Crisis (call your doctor immediately) = Higher than 180 and/or higher than 120.
What are the JNC 8 guidelines?
Patients should be treated to a target systolic pressure of less than 150 mm Hg and a target diastolic pressure of less than 90 mm Hg. Treatment does not need to be adjusted if it results in a systolic pressure lower than 140 mm Hg, as long as it is not associated with adverse effects on health or quality of life.
What are new BP guidelines?
High blood pressure is now defined as readings of 130 mm Hg and higher for the systolic blood pressure measurement, or readings of 80 and higher for the diastolic measurement.
What is the latest JNC guideline?
Patients should be treated to a target systolic pressure of less than 150 mm Hg and a target diastolic pressure of less than 90 mm Hg. Treatment does not need to be adjusted if it results in a systolic pressure lower than 140 mm Hg, as long as it is not associated with adverse effects on health or quality of life.
How do you diagnose hypertension guidelines?
With 24-hour ambulatory monitoring, hypertension is diagnosed based on one of three criteria: 24-hour average BP of 130/80 mm Hg or greater, daytime average BP of 135/85 mm Hg or greater, or nighttime average BP of 120/70 mm Hg or greater.
WHO simplifies treatment guidelines for hypertension?
The World Health Organization recently released guidelines for pharmacological treatment of hypertension. Though high blood pressure is a leading cause of disease, disability and death in all regions of the world, affecting an estimated 1.4 billion persons across the world, only 14% have it under control.
Which are the drugs for 2nd line treatment of hypertension?
SubstancesAdrenergic beta-Antagonists.Angiotensin II Type 1 Receptor Blockers.Antihypertensive Agents.Calcium Channel Blockers.Diuretics.Sodium Chloride Symporter Inhibitors.
Hypertension Symptoms
High blood pressure is a silent condition, and many people will not experience any symptoms. It may take them several years to have obvious symptoms.
Hypertension Risk Factors
While anyone can get hypertension, certain factors increase your risk of getting the condition. Some factors commonly associated with hypertension are:
Types Of Hypertension
For many individuals, there is no identifiable cause for hypertension. This type of high blood pressure is known as essential hypertension and eventually develops over many years.
Hypertension Causes
As mentioned before, essential hypertension occurs without a cause. Certain disorders that can cause secondary hypertension are:
Effects Of Hypertension
All in all, hypertension is a silent condition in most of the cases. It can damage the organs and tissues for years before the appearance of symptoms.
Hypertension Treatment
Various factors help your physician to decide the best treatment option for your condition. The main factors that determine the type of treatment are the type of hypertension and underlying causes.
Hypertension Remedies
Several medicines help in managing hypertension. Your doctor will decide the best suitable medication or combination of medications based on your condition. Some commonly used medicines are:
Fact Sheets About Hypertension and Related Conditions and Behaviors
Facts About Hypertension: Stay up to date on the latest facts about hypertension from the CDC.
Resources from Other Organizations
The following web sites include patient-friendly links and resources about hypertension (high blood pressure):
Tools for Community Health Workers (CHWs)
Hispanic populations have low control rates for hypertension, a major risk factor for heart disease and stroke. Also, they have high prevalence of high blood cholesterol, and their diets are often high in salt and saturated fats. Reaching these audiences with effective messages about prevention can be challenging.
What are the AHA guidelines?
The following GUIDELINES Pocket Guides are included in the AHA/ASA print and digital bundles and are developed in collaboration with and approved by the AHA/ASA: 1 Acute Ischemic Stroke 2 Ambulatory and Mechanical Circulatory Support 3 Atrial Fibrillation 4 Cholesterol 5 CPR for Mechanical Circulatory Support 6 Device-Based Therapy 7 Heart Failure High Blood Pressure 8 Lower Extremity Peripheral Artery Disease 9 Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death 10 Mechanical Circulatory Support 11 Non–ST-Elevation Acute Coronary Syndromes 12 Perioperative Cardiovascular Evaluation and Management 13 Prevention of Stroke in Nonvalvular Atrial Fibrillation 14 Prevention of Stroke in Women 15 Primary Prevention of Cardiovascular Disease 16 Primary Stroke Prevention 17 Stable Ischemic Heart Disease 18 ST-Elevation Myocardial Infarction (STEMI) 19 Supraventricular Tachycardia 20 Valvular Heart Disease
What is a quick reference tool?
This practical quick-reference tool contains detailed information including indications and contraindications for the use of mechanical circulatory support, preoperative risk evaluation information, mortality data, a device selection algorithm with lists of currently approved devices for both short- and long-term use, and device illustrations.
How old do you have to be to check blood pressure?
The U.S. Preventive Services Task Force (2007) strongly recommends screening adults aged 18 years and older for high blood pressure. This is based on indirect evidence that blood pressure measurement can identify adults who are at increased risk for cardiovascular disease due to hypertension, and good direct evidence that treatment of hypertension substantially decreases the incidence of cardiovascular disease and causes few major harms.
Can alcohol cause hypertension?
Because alcohol use can raise blood pressure, patients with hypertension should use alcohol in moderation, if at all. Screen patients using the AUDIT-C Alcohol Questionnaire, and provide brief guidance when appropriate. See the Adult Unhealthy Drinking Screening and Intervention Guideline for more detailed recommendations.
Is the HYVET trial good?
The HYVET trial (Beckett 2008) provides good evidence that antihypertensive treatment of generally healthy elderly patients is safe and effective in reducing blood pressure, total mortality, and cardiovascular events. The results of a large meta-analysis (Blood Pressure Lowering Treatment Trialists' Collaboration 2008) show that reduction of BP with various drugs is independent of the patient's age or the drug regimen used, and supports the early and aggressive management of hypertension irrespective of age.
Is beta blocker a first line medication for hypertension?
Beta-blockers are no longer a first-line recommendation for hypertension unless the patient has a comorbidity for which beta-blockers are preferred (e.g., angina, recent myocardial infarction, systolic heart failure, atrial fibrillation, or thoracic aneurysm). Consider beta-blockers if blood pressure has still not been controlled with the medications in Table 4.
Does Kaiser require a guideline team?
Kaiser Permanente requires that team members participating on a guideline team disclose and resolve all potential conflicts of interest that arise from financial relationships between a guideline team member or guideline team member's spouse or partner and any commercial interests or proprietary entity that provides or produces health care–related products and/or services relevant to the content of the guideline.
What should be considered during the maintenance phase of hypertension management?
During the maintenance phase of hypertension management, tests (including electrolytes, creatinine, fasting lipids, and pregnancy) should be repeated with a frequency reflecting the clinical situation. Pregnancy testing should be considered prior to initiation of health behaviour changes or drug therapy.
How to use AOBP and OBPM?
If OBPM is used, take at least three readings, discard the first and calculate the mean of the remaining measurements. A history and physical exam should be performed and diagnostic tests ordered.
How often should I monitor blood pressure?
Modifying health behaviours. Patient follow up every 3-6 months to monitor active modifications. For patients with BP not at target, visits every 1-2 months are recommended.