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  • Hipertensi

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    Teti Andri
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    Goal: 160 or >100 2-drug combination for most (usually thiazidetype diuretic and ACEI, or ARB, or BB, or CCB) Lifestyle Modifications: Weight Maintain normal body reduction weight (body mass index 18.5-24. Kg / m2) dietary sodium Reduce dietary sodium reduction intake to 100 mmol per day (2. G sodium or 6 g sodium chloride) regular aerobic physical physical activity (e.g., brisk activity walking)

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    Goal: 160 or >100 2-drug combination for most (usually thiazidetype diuretic and ACEI, or ARB, or BB, or CCB) Lifestyle Modifications: Weight Maintain normal body reduction weight (body mass index 18.5-24. Kg / m2) dietary sodium Reduce dietary sodium reduction intake to 100 mmol per day (2. G sodium or 6 g sodium chloride) regular aerobic physical physical activity (e.g., brisk activity walking)

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    2K vues2 pages

    Hipertensi

    Transféré par

    Teti Andri
    Goal: 160 or >100 2-drug combination for most (usually thiazidetype diuretic and ACEI, or ARB, or BB, or CCB) Lifestyle Modifications: Weight Maintain normal body reduction weight (body mass index 18.5-24. Kg / m2) dietary sodium Reduce dietary sodium reduction intake to 100 mmol per day (2. G sodium or 6 g sodium chloride) regular aerobic physical physical activity (e.g., brisk activity walking)

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    Attribution Non-Commercial (BY-NC)
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 2

    Hypertension – JNC VII

    Goal: <140/90
    < 130/80 if diabetic or renal disease
    Therapy:
    120-139 or 80-89 140-159 or 90-99 >160 or >100
    Lifestyle Thiazide-type 2-drug combination
    Modifications diuretics for most. for most (usually
    May consider thiazidetype diuretic
    ACEI, ARB, BB, and ACEI, or ARB,
    CCB, or or BB, or CCB).
    combination.

    Compelling indications:
    • Heart failure: THIAZ, BB, ACEI, ARB, ALDO ANT
    • Post myocardial infarction: BB, ACEI, ALDO ANT
    • High CVD risk: THIAZ, BB, ACEI, CCB
    • Diabetes: THIAZ, BB, ACEI, ARB, CCB
    • Chronic kidney disease: ACEI, ARB
    • Recurrent stroke prevention: THIAZ, ACEI

    Identifiable causes of HTN:


    • Sleep apnea • Cushing’s syndrome
    • Drug induced/related • Steroid therapy
    • Chronic kidney disease • Pheochromocytoma
    • Primary aldosteronism • Coarctation of aorta
    • Renovascular disease • Thyroid/parathyroid disease

    CVD Risk factors:


    • Hypertension • Physical inactivity
    • Obesity (body mass index • Age (>55 for men, >65 for
    >30 kg/m2) women)
    • Dyslipidemia • Diabetes mellitus
    • Microalbuminuria, est GFR • FH of early CVD (men age
    <60 mL/min <55, women age <65)
    • Cigarette smoking • Physical inactivity
    Lifestyle Modifications:
    Weight Maintain normal body 5–20 mmHg/10 kg
    reduction weight (body mass index
    18.5–24.9 kg/m2).
    DASH eating Adopt a diet rich in 8–14 mmHg
    plan fruits, vegetables, and
    lowfat dairy products
    with reduced content of
    saturated and total fat.
    Dietary sodium Reduce dietary sodium 2–8 mmHg
    reduction intake to <100 mmol per
    day (2.4 g sodium or 6 g
    sodium chloride).
    Aerobic Regular aerobic physical 4–9 mmHg
    physical activity (e.g., brisk
    activity walking) at least 30
    minutes per day, most
    days of the week.
    Moderation of Men: limit to <2 drinks 2–4 mmHg
    alcohol per day. Women and
    consumption lighter weight persons:
    limit to <1 drink per day.

    Contraindications and Side Effects:


    THIAZ gout, HypoNa, hypoK
    BB Asthma, heart block, cocaine use, bradycardia
    ACEI Pregnancy, angioedema, cough
    CCB Edema, flushing
    ARB Pregnancy, angioedema

    2ndary benefits:
    angina: nitrates
    BPH: -blocker
    Migraine: -blocker, calcium channel blocker

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