2007 Guidelines for the Management of Arterial Hypertension课件.pptVIP

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2007 Guidelines for the Management of Arterial Hypertension课件.ppt

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2007 Guidelines for the Management of Arterial Hypertension课件

* * * Lifestyle changes Lifestyle changes Possible reduction in SBP (mmHg; mean= 38 mmHg) Weight loss 5-20 mmHg/10Kg Adoption of DASH diet 8-14 mmHg Reduction of salt intake 2-8 mmHg Physical exercise 4-9 mmHg Reduction of excessive alcohol intake 2-4 mmHg As long-term compliance with lifestyle measures is low and the BP response highly variable, patients under non pharmacological treatment should be followed-up closely to start drug therapy when needed and timely Initiation of antihypertensive treatment Other risk factors, Target Organ Damage or disease Normal SBP 120-129 or DBP 80-84 High normal SBP 130-139 or DBP 85-89 Grade 1 HT SBP 140-159 or DBP 90-99 Grade 2 HT SBP 160-179 or DBP 100-109 Grade 3 HT SBP ≥180 or DBP ≥110 No other risk factors No BP intervention No BP intervention Lifestyle changes for several months then drug treatment if BP uncontrolled Lifestyle changes for several weeks then drug treatment if BP uncontrolled Lifestyle changes + immediate drug treatment 1-2 risk factors Lifestyle changes Lifestyle changes Lifestyle changes for several weeks then drug treatment if BP uncontrolled Lifestyle changes for several weeks then drug treatment if BP uncontrolled Lifestyle changes + immediate drug treatment 3 risk factors, MS or TOD Lifestyle changes Lifestyle changes and consider drug treatment Lifestyle changes + drug treatment Lifestyle changes + drug treatment Lifestyle changes + immediate drug treatment Diabetes Lifestyle changes Lifestyle changes + drug treatment Established CV or renal disease Lifestyle changes + immediate drug treatment Lifestyle changes + immediate drug treatment Lifestyle changes + immediate drug treatment Lifestyle changes + immediate drug treatment Lifestyle changes + immediate drug treatment * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * RECENT GUIDELINES FOR THE MANAGEMENT OF ARTERIAL HYPERTENSION Apostolos I. Hatzitolios Associate Professor of Internal Medicine 1st Propedeutic Department of In