【高血压精品英文课件】高血压 Hypertension.pptVIP

ARWA A. AL-KHATIB ARWAA@PHARMACY-1.COM Hypertension BB Benefits of Lowering BP Complication Percent Reduction Stroke Incidence 35–40% Myocardial Infarction 20–25% Heart Failure 50% Comparison of HTN surveys in 3 countries Country Prevalence% Awareness% Treated % Controlled % Egypt 26.3 37 24 8 Canada 22 58 39 16 China 13.6 25 13 3 BP measurement Use auscultatory method with a properly calibrated and validated instrument. Patient should be seated quietly for 5 minutes in a chair (not on an exam table), feet on the floor, and arm supported at heart level. Appropriate-sized cuff should be used to ensure accuracy. At least two measurements should be made. HTN management Goals of therapy Prevention of Hypertension Lifestyle modification Classification and management of BP for adults Pharmacologic treatment I. Goals of therapy Reduce CVD and renal morbidity and mortality. Treat to BP 140/90 mmHg or BP 130/80 mmHg in patients with diabetes or chronic kidney disease. II. Prevention of hypertension To reduce the possibility of becoming hypertensive, Healthy diet: high in fresh fruits, vegetables and low fat dairy products, low in saturated fat and salt Regular physical activity: accumulation of 30-60 minutes of moderate intensity dynamic exercise 4-7/week 3. Low risk alcohol consumption (≤2 standard drinks/day and less than 14/week for men and less than 9/week for women) Maintenance of ideal body weight (BMI 18.5-24.9 kg/m2) Waist Circumference 102 cm for men 88 cm for women Restriction of salt intake to less than 100 mmol/day Smoke- free environment III. Lifestyle Recommendations for Hypertension Physical Activity F Frequency - Four to Seven days per week I Intensity - Moderate T Time - 30-60 minutes T Type - Dynamic exercise - Walking, jogging - Cycling - Non-competitive swimming Classification and management of BP for adults Pharmacologic treatment