chep_2007_diagnosis-jan29课件.ppt

Part 1: Recommendations for Hypertension Diagnosis Assessment and Follow up January, 2007 The 2007 Canadian Hypertension Education Program A red flag has been posted where recommendations were updated for 2007. This slide kit for medical education, health care professional, patient and public information can be downloaded (English and French versions) from the Canadian Hypertension Society website at: http://www.hypertension.ca The 2007 Canadian Hypertension Education Program What percent of Canadians have hypertension? Life time risk of Hypertension in Normotensive Women and Men aged 65 years High risk of developing hypertension in those with high normal blood pressure 40% of patients with systolic 130-139 or diastolic 85-89 mmHg developed hypertension in 2 years and 63% in 4 years NEJM 2006;354:1685-97 Annual follow-up of patients with high normal blood pressure is recommended. Reversible risks for developing hypertension Obesity Poor dietary habits High sodium intake Sedentary High alcohol consumption High stress High normal blood pressure The Canadian Hypertension Education Program: 2007 Recommendations What’s old but still important? Key CHEP messages for the management of hypertension Assess blood pressure at all appropriate visits. Almost one half of those with blood pressure 130-139/85-89 will develop hypertension within 2 years. They require annual reassessment. Assess global cardiovascular risk in all hypertensive patients. Lifestyle modification is the cornerstone for the prevention and management of hypertension and CVD. Key CHEP messages for the management of hypertension Treat to target (140/90 mmHg; 130/80 mmHg in patients with diabetes or chronic kidney disease). To achieve targets sustained lifestyle modification and more than one drug is usually required. Follow patients with uncontrolled blood pressure at least monthly until blood pressure targets are achieved. Strategies to improve patient adherence to lifestyle modificati