Hypertension

Hypertension Catherine Florio Pipas, MD Community & Family Medicine 2007

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],An Approach to Hypertension ( JNC 7 Report JAMA 2003;289:2560-2572)

Hypertension - Facts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension - Trends ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Hypertension Case 1 of 15

Hypertension Case - Cont. ,[object Object],[object Object],[object Object],2 of 15

Hypertension Case - Cont. ,[object Object],3 of 15

Hypertension Case - Cont. ,[object Object],[object Object],[object Object],4 of 15

Hypertension - Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

JNC-7* Adult BP Classification * Joint National Commision on Prevention, Detection, Evaluation and Treatment of High Blood Pressure * For adults ≥18 years old * If SBP and DBP in different classes, choose the highest class

JNC-6 Classification Hypertension - Age < 18 years * Lifestyle modifications recommended ** Pharmacologic therapy recommended

[object Object],[object Object],[object Object],[object Object],[object Object],Hypertension Case - Cont. 7 of 15

Hypertension Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension Case- PE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],8 of 15

PE COMPONENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension Case - Cont. ,[object Object],[object Object],9 of 15

Hypertension – Initial Lab and Test Evaluation* ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension - Additional Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension Case - Cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],10 of 15

JNC-7* Adult BP Classification and Treatment Recommendations * Joint National Commision on Prevention, Detection, Evaluation and Treatment of High Blood Pressure * For adults ≥18 years old * If SBP and DBP in different classes, choose the highest class

Lifestyle Modifications PREVENTION for all !!!!!!!!!!! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension Case - Cont. ,[object Object],[object Object],11 of 15

Hypertension - Drug Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension Case - Cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],12 of 15

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hypertension Case - Cont. 13 of 15

[object Object],[object Object],Hypertension Case - Cont. 14 of 15

REFRACTORY HTN ,[object Object],[object Object],[object Object],[object Object]

[object Object],Hypertension Case - Cont. 15 of 15

JNC 7 REPORTS :“Motivation improves when patients have positive experiences with and trust in their clinicians. Empathy builds trust and is a potent motivator” ,[object Object],[object Object],[object Object],[object Object],[object Object]

Summary:Approach to HTN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension

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