原创力文档- 1、本文档共23页，可阅读全部内容。
- 2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
- 3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
查看更多
Diagnosis and Management of Hypertension - OSU Center for ...课件
Diagnosis and Management of Hypertension Davin Haraway DO,FACOI,CWS Associate Professor of Medicine – OSU Center for Health Sciences Why talk about the Same Old Thing? Those age 55 with normal blood pressure will have a 90 percent lifetime risk of developing hypertension Hypertension control reduces excess morbidity and mortality. Beginning with 115/75 – CVD risk doubles for each increment of 20/10mmHg 50million americans have High Blood Pressure warranting some form of treatment 30% adults are still unaware of their hypertension 40% of individuals with hypertension are not on treatment 2/3 of patients on treatment are not controlled to BP levels of less than 140/90 Hypertensive patients are 2.5 times more likely to develop diabetes within 5 years Lifetime Risk of Developing Hypertension Beginning at Age 65 HTN Classification ?Prehypertension NOT a DISEASE category Should encourage Lifestyle modification as this group has an increased risk of becoming hypertensive NOT candidates for drug therapy (unless compelling indications ie DM etc goal 130/80) Physician Practices in Treating HTN With and Without Diabetes Accurate BP measurement Who checks your patients BP? You or Staff IF Staff – Do they know what to listen for or do they use automated equipment Seated quietly for 5 minutes Appropriate size cuff Inflate 20-30 mmHg above loss of radial pulse Deflate at 2mmHg per second 1st sound SBP ; Disappearance of Korotkoff sound (phase 5) is DBP Confirm Elevated blood pressure within 2months(stage 1) – shorter for stage 2 if new onset If HTN diagnosed Evaluate for Cardiovascular Risk Factors Age,Fm Hx, Lipids, Obesity, microalbuminuria, Inactivity,Smoking Evaluate for Target Organ Damage LVH or reduced EF, Angina,stroke,dementia,Kidney disease, PAD,retinopathy Think about Secondary Hypertension with any new onset Hypertension or uncontrolled hypertension Identifiable causes of hypertension Chronic kidney disease\ Coarctation of the Aorta Cushing’s Syndrome Drug induc
文档评论（0）