(精编)【高血压英文教学精品课件】 Hypertension.pptVIP

Hypertension;;Hypertension;Hypertension-Overview;Types of hypertension;Causes of Secondary Hypertension;Definitions and Classifications of BP Levels;Hypertension: Predisposing factors;Diseases Attributable to Hypertension;Hypertension in special circumstances;Management of hypertension: the issues;Diagnosis and Measurement- 2011;Diagnosis and Measurement- 2011;Potential indications for the use of ambulatory blood pressure monitoring? ;Why Home or ABPM?;Equipment;Investigations;Life Style Modifications.;Next;Drug therapy for hypertension;Antihypertensive therapy:Side-effects and Contraindications;Class of drug Main side-effects Contraindications/ Special Precautions Calcium channel blockers Pedal edema, Headache Non-dihydropyridine(e.g. Amlodipine, CCBs (e.g diltiazem)– Diltiazem) Hypersensitivity, Bradycardia, Conduction disturbances, Congestive heart failure, Left ventricular dysfunction. Dihydropyridine CCBs– Hypersensitivity a-blockers Postural hypotension Hypersensitivity(e.g. Doxazosin) ACE-inhibitors Cough, Hypertension, Hypersensitivity, Pregnancy,(e.g. Lisinopril) Angioneurotic edema Bilateral renal artery stenosis Angiotensin -II receptor Headache, Dizziness Hypersensitivity, Pregnancy,blockers (e.g. Losartan) Bilateral renal artery stenosis ;Factors affecting choice of antihypertensive drug;Choosing the right antihypertensive;Limitations on use of antihypertensives in patientswith coexisting disorders;? ;? ;WHICH PATIENTS NEED TREATMENT;Initiating Treatment;Initiating Treatment;;;? ? ;Choosing drugs for patients newly diagnosed with hypertension: NICE/BHS ;Antihypertensive Drug Treatment - 2011;Treatment Recommendations – General Concepts;Step 1 Treatment Recommendations ;Step 2 Treatment Recommendations;Step 3 Treatment Recommendations;Step 4 Treatment Recommendations Resistant Hypertension ;Step 4 Treatment Recommendations Resistant Hypertension;BP Targets in Various Guidelines Guidelines Uncomp.HTN