【高血压英文ppt课件】 Hypertension.pptVIP

* NOTES FOR PRESENTERS: Please note Danny’s case is similar to Case 1 (Mary). Danny has been offered antihypertensive drug treatment whereas Mary was not. This is because Mary did not have; target organ damage, established cardiovascular disease, renal disease, diabetes or a 10-year cardiovascular risk equivalent to 20% or greater whereas Danny has target organ damage. Relevant recommendations Offer antihypertensive drug treatment to people aged under 80?years with stage?1 hypertension who have one or more of the following: target organ damage established cardiovascular disease renal disease diabetes a 10-year cardiovascular risk equivalent to 20% or greater. [new 2011] [1.5.1] [KPI] Use clinic blood pressure measurements to monitor the response to antihypertensive treatment with lifestyle modifications or drugs. [new 2011] [1.5.4] Where possible, recommend treatment with drugs taken only once a day. [2004] [1.6.1] Prescribe non-proprietary drugs where these are appropriate and minimise cost. [2004] [1.6.2] Offer step 1 antihypertensive treatment with a calcium-channel blocker (CCB) to people aged over 55?years and to black people of African or Caribbean family origin of any age. If a CCB is not suitable, for example because of oedema or intolerance, or if there is evidence of heart failure or a high risk of heart failure, offer a thiazide-like diuretic. [new 2011] [KPI] [1.6.8] Please see recommendations 1.4.1 to 1.4.9 and 1.7.1 to 1.7.4 in the NICE guideline for further details on the information and advice that should be offered to people with hypertension. * * NOTES FOR PRESENTERS: Relevant recommendations Aim for a target clinic blood pressure below 140/90?mmHg in people aged under 80?years with treated hypertension. [new 2011] [1.5.5] If diuretic treatment is to be initiated or changed, offer a thiazide-like diuretic, such as chlortalidone (12.5–25.0?mg once daily) or indapamide (1.5?mg modified-release once daily or 2.5?mg once daily) in