(精选)NICE hypertension guideline教学课件.pptVIP

NOTES FOR PRESENTERS: Definitions In this guideline the following definitions are used: Stage 1 hypertension Clinic blood pressure is 140/90?mmHg or higher and subsequent ambulatory blood pressure monitoring (ABPM) daytime average or home blood pressure monitoring (HBPM) average blood pressure is 135/85?mmHg or higher. Stage 2 hypertension Clinic blood pressure is 160/100?mmHg or higher and subsequent ABPM daytime average or HBPM average blood pressure is 150/95?mmHg or higher. Severe hypertension Clinic systolic blood pressure is 180?mmHg or higher or clinic diastolic blood pressure is 110?mmHg or higher. Additional information: ABPM – ambulatory blood pressure monitoring HBPM – home blood pressure monitoring * * NOTES FOR PRESENTERS. Key points to raise: This guidance and NICE clinical guideline 34 were developed in collaboration with the British Hypertension Society. This guideline is for the clinical management of primary hypertension in adults (aged 18 years and older) who may, or may not, have pre-existing cardiovascular disease. Groups that have been covered - Adults with hypertension (18 years and older). - Particular consideration has been given to the needs of black people of African and Caribbean descent and minority ethnic groups where these differ from the needs of the general population. - People aged 80 years or older. Groups that have not been covered - People with diabetes. - Children and young people (younger than 18 years). - Pregnant women. - Secondary causes of hypertension (for example, Conns adenoma, phaeochromocytoma and renovascular hypertension). - People with accelerated hypertension (that is, severe acute hypertension associated grade III retinopathy and encephalopathy). People with acute hypertension or high blood pressure in emergency care settings. Additional information: Primary hypertension: Primary hypertension was previously termed ‘essential hypertension’ because of a long-standing view that high blood pressure was so