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GEM - hypertension management including summary of NICE guidance

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Hypertension Part One

1) Considering the classification of hypertension:

  • what are the systolic blood pressure and diastolic blood pressures that define severe hypertension
  • how is isolated systolic hypertension defined
  • GPnotebook reference click here

2) Regarding blood pressure measurement

What are the considerations that are important when measuring a patient's blood pressure

What adjustment for blood pressure readings needs to be made when evaluating ambulatory blood pressure readings

3) When considering management of a raised blood pressure then the presence of target organ damage is a prompt for more aggressive management. Can you give examples of target organ damage.

4) What are the indications for referral to secondary care if a patient is hypertensive GPnotebook reference click here

5) What are the routine investigations indicated in management of hypertension

6) What are the clinical features of a phaeochromocytoma. When should this condition be considereed as a cause for hypertension?

7) 95% of hypertension is essential (ie. there is no demonstratable cause of the high blood pressure). As a refresher, can you think of some causes of secondary hypertension

8) In essential hypertension various factors can influence a level of a person's blood pressure these include:

9) If secondary hypertension was suspected then what additional investigations might be instigated (some may be instigated from primary care and others from secondary care)

10) What are the summary features of the NICE hypertension guidance

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