If no cause has been determined, the first treatment approach often involves making appropriate lifestyle changes, including one, or more, of the following: Weight reduction Increased physical activity Healthy diet. These interventions can lower systolic and diastolic
Diastole
Diastole /daɪˈæstəliː/ is the part of the cardiac cycle when the heart refills with blood following systole (contraction). Ventricular diastole is the period during which the ventricles are filling and relaxing, while atrial diastole is the period during which the atria are relaxing. The term diastole ori…
What is the initial first-line therapy for Stage 1 hypertension (high blood pressure)?
Initial first-line therapy for stage 1 hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs. Two first-line drugs of different classes are recommended with stage 2 hypertension and average BP of 20/10 mm Hg above the BP target.
How do you treat high blood pressure in teenagers?
Therapeutic lifestyle modification is essential for any child or adolescent with hypertension and should include regular physical activity, a diet limited in sodium but rich in fresh fruits and vegetables, fiber, and low-fat dairy products, and the avoidance of excess weight gain [2].
What is the best first‐line treatment for high blood pressure?
Most of the available evidence justifying treatment of patients with elevated blood pressure used a thiazide as the first‐line drug. First‐line low‐dose thiazides were more effective than first‐line high‐dose thiazides and first‐line beta‐blockers.
How has the treatment of hypertension changed in children and adolescents?
The treatment of hypertension in children and adolescents has been markedly changed in recent years by several factors, including the publication of new consensus recommendations, the obesity epidemic, and the increased availability of information on efficacy and safety of antihypertensive medications in the young.
Who is the first author of the paper "The First Line of Treatment for Hypertension"?
Which organization has based their guidelines on randomized clinical trials?
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What is the first line treatment for blood pressure?
There are three main classes of medication that are usually in the first line of treatment for hypertension: 1. Calcium Channel Blockers (CCB) 2. Angiotensin Converting Enzyme inhibitors (ACE inhibitors or ACE-I) and Angiotensin Receptor Blockers (ARBs) 3. Diuretics.
What is the first line of defense for hypertension?
The new approach recommended by the British Hypertension Society is that first-line therapy in patients over 55 should be a calcium channel blocker or a thiazide-type diuretic. For patients who are younger than 55, ACE inhibitors are the first-line drug of choice.
What is the recommended first line in the management of hypertension in middle age patient?
Low-dose thiazide diuretics remain first-line therapy for older patients. Beta blockers, angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, and calcium channel blockers are second-line medications that should be selected based on comorbidities and risk factors.
How do you treat high blood pressure in children?
Even if your child takes medication for high blood pressure, lifestyle changes can make the medication work better.Control your child's weight. ... Give your child a healthy diet. ... Decrease salt in your child's diet. ... Encourage physical activity. ... Limit screen time. ... Get the family involved.
Why is ACE first-line for hypertension?
Introduction. ACE (angiotensin-converting enzyme) inhibitors and angiotensin receptor blockers (ARBs) effectively lower blood pressure (BP) through inhibition of the renin-angiotensin system and are equally recommended as first-line medications in the treatment of hypertension.
Which are the drugs for 1st line treatment of hypertension Mcq?
Treatment was to be clearly defined as a specific class of first‐line antihypertensive therapy in one of the following classes: thiazide diuretics, beta blockers, calcium channel blockers, angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor antagonists, or alpha adrenergic blockers.
Why is amlodipine first-line?
Results Amlodipine has good efficacy and safety, in addition to strong evidence from large randomised controlled trials for cardiovascular event reduction. Conclusions Amlodipine should be considered a first-line antihypertensive agent.
What is the first drug of choice for uncomplicated hypertension?
Thus, a thiazide diuretic currently remains the most attractive first-step choice for the uncomplicated hypertensive patient due to efficacy, once-a-day dosing, and the large amount of outcome trial data.
What is a first-line drug?
a drug that is the first choice for treating a particular condition because it is considered a very effective treatment for that condition with the least likelihood of causing side effects. A first-line medication may be a class of drugs (e.g., SSRIs for depression) as well as a single drug.
What age should you start blood pressure medicine?
If you're 60 or older, the American College of Physicians and the American Academy of Family Physicians recommend you start treatment if your top blood pressure number is 130 or higher.
Why would a 14 year old have high blood pressure?
Older children can develop high blood pressure for the same reasons adults do — excess weight, poor nutrition and lack of exercise. Lifestyle changes, such as eating a heart-healthy diet low in salt (sodium) and exercising more, can help reduce high blood pressure in children.
How is low blood pressure treated in teens?
Treatment of Low Blood Pressure Pediatric hypotension is typically treated by treating the underlying condition or with lifestyle changes. Adaptations may include drinking more water, changing medications, wearing compression socks, or eating more salt. As with hypertension, medication may be required in some cases.
Choosing blood pressure medications - Mayo Clinic
There are many different high blood pressure medications (antihypertensives) available, each with pros and cons. Your health care provider might prescribe more than one type to treat your condition.
National Center for Biotechnology Information
National Center for Biotechnology Information
2017 Guideline for High Blood Pressure in Adults
The following are key points to remember from the 2017 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults:
First‐line drugs for hypertension - PMC
Objectives. To quantify the mortality and morbidity effects from different first‐line antihypertensive drug classes: thiazides (low‐dose and high‐dose), beta‐blockers, calcium channel blockers, ACE inhibitors, angiotensin II receptor blockers (ARB), and alpha‐blockers, compared to placebo or no treatment.
List of 214 High Blood Pressure (Hypertension) Medications ... - Drugs.com
See also: sub-topics Drugs used to treat High Blood Pressure The following list of medications are in some way related to or used in the treatment of this condition.
Who is the first author of the paper "The First Line of Treatment for Hypertension"?
A new paper — the first author of which is Dr. Marc A. Suchard, from the department of biostatistics at the University of California, Los Angeles — showcases some of the pitfalls behind deciding which is the best first line of treatment for hypertension.
Which organization has based their guidelines on randomized clinical trials?
First, the existing literature that organizations such as the American College of Cardiology and the American Heart Association (AHA) have based their guidelines on are randomized clinical trials with an insufficient number of participants, very few of whom are just beginning their treatment, explain Dr. Suchard and colleagues.
How to lower blood pressure in children?
in place of foods high in added sugars and solid fats. Try serving more fruits and vegetables at meals and as snacks. Provide foods that are low in sodium (salt). Sodium raises blood pressure. Nearly 9 in 10 U.S. children eat more sodium than is recommended. Learn more about sodium.
How many teens have high blood pressure?
Too many kids and teens have high blood pressure (hypertension) and other risk factors for heart disease and stroke. Using the updated 2017 American Academy of Pediatrics (AAP) Clinical Practice Guideline. , a CDC study shows that about 1 in 25 youth ages 12 to 19 have hypertension, and 1 in 10 has elevated blood pressure ...
What is the BMI of a teenager?
Obesity in youth means having a body mass index (BMI) greater than or equal to the 95th percentile. ( Calculate your child’s BMI .) Youth ages 18 to 19 account for about half of the increase, and males account for more than two thirds. for Screening and Management of High Blood Pressure in Children and Adolescents.
Is high blood pressure more common in youth?
High blood pressure is more common in youth with obesity. High blood pressure in youth is linked to health problems later in life. The good news is that you can both help prevent high blood pressure and manage it.
Who is the first author of the paper "The First Line of Treatment for Hypertension"?
A new paper — the first author of which is Dr. Marc A. Suchard, from the department of biostatistics at the University of California, Los Angeles — showcases some of the pitfalls behind deciding which is the best first line of treatment for hypertension.
Which organization has based their guidelines on randomized clinical trials?
First, the existing literature that organizations such as the American College of Cardiology and the American Heart Association (AHA) have based their guidelines on are randomized clinical trials with an insufficient number of participants, very few of whom are just beginning their treatment, explain Dr. Suchard and colleagues.
