(精选)BHS Guidelines for the management of hypertension_ Slide教学课件.pptVIP

BHS Guidelines for the management of hypertension;Measurement;BHS classification of blood pressure levels;Potential indications for the use of ambulatory blood pressure monitoring? ;Routine investigations;Lifestyle measures;? ? ;? ;? ;Other medications for hypertensive patients Primary prevention (1) Aspirin: use 75mg daily if patient is aged ?50 years with blood pressure controlled to 150/90 mm Hg and either; target organ damage, diabetes mellitus, or 10 year risk of cardiovascular disease of ?20% (measured by using the new Joint British Societies’ cardiovascular disease risk chart) (2) Statin: use sufficient doses to reach targets if patient is aged up to at least 80 years, with a 10 year risk of cardiovascular disease of ?20% (measured by using the new Joint British Societies’ cardiovascular disease risk chart) and with total cholesterol concentration ?3.5mmol/l (3) Vitamins—no benefit shown, do not prescribe ;Secondary prevention (including patients with type 2 diabetes) Aspirin: use for all patients unless contraindicated (2) Statin: use sufficient doses to reach targets if patient is aged up to at least 80 years with a total cholesterol concentration ?3.5 mmol/l (3) Vitamins— no benefit shown, do not prescribe ;Targets for lipid lowering Ideal - TC4.0mmol/l or LDL 2.0mmol/l or 25% ? in TC or 30% ? in LDL-C whichever is the greater ‘Audit’ - TC 5.0mmol/l or LDL 3.0mmol/l or 25% ? in TC or 30% ? in LDL-C whichever is the greater