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Diagnosis:
To establish
the diagnosis of hypertension, blood pressure readings should be
accurate.
- Take the
blood pressure with the patient seated and relaxed with the arm
bared and using an appropriately sized cuff.
- The patient
should not have drunk coffee or smoked cigarettes within 30 minutes
before the measurement.
- The blood
pressure should be checked in both arms on at least one occasion
to confirm there is no difference in readings.
- Take the
patient's blood pressure three times at separate visits, one to
several weeks after the initial elevated blood pressure reading.
The average diastolic blood pressure should be at least 90 mm
Hg OR the average systolic blood pressure should be at least 140
to confirm the diagnosis of hypertension. The diagnosis of hypertension
can be confirmed by either systolic or diastolic blood pressure
elevation, both readings do not have to be elevated.
Initial Evaluation:
1. The following
appointment recommendations apply to the patient's initial elevated
blood pressure readings.
- If the systolic
and diastolic categories are different, follow the recommendations
for the shortest time frame for follow-up.
- If the systolic
blood pressure is >130-139 OR the diastolic pressure is >85-89
(high-normal BP) educate member regarding lifestyle changes to
reduce risk for development of hypertension and recommend repeat
blood pressure in one year.
- If the systolic
blood pressure is >140-159 OR the diastolic pressure is >90-99
(Stage 1-mild HBP) the pressure should be repeated within two
months. Schedule the patient for a complete history and physical
examination.
- If the systolic
blood pressure is >160-179 OR the diastolic pressure is >100-109
(Stage 2-moderate HBP) the pressure should be repeated within
one month. Schedule the patient for a complete history and physical
examination.
- If the systolic
blood pressure is >180-209 OR the diastolic pressure is >110-119
(Stage 3-severe HBP) consider an immediate evaluation including
a complete history and physical exam and repeat the blood pressure
within 1-2 weeks
- If the systolic
blood pressure is >210 OR the diastolic pressure is >120 (Stage
4-very severe HBP) begin immediate treatment, including a complete
history and physical exam, and repeat within 3-4 days.
- If the patient
has an elevated blood pressure and evidence of target organ (heart,
brain, kidney, large artery) disease, begin immediate treatment.
- The follow-up
interval and the decision to start treatment should be modified
by reliable information about past blood pressure readings, other
cardiovascular risk factors, or the presence of target organ disease.
2. Within 2
months of the diagnosis of hypertension a physical and lab examination
should be performed. This exam and lab should be done prior to initiating
drug therapy. This examination should include:
Medical History:
- Past medical
history of hypertension and treatment
- Past medical
history or symptoms of diabetes, hyperlipidemia, gout, renal disease,
CV disease
- Family history
of hypertension, heart disease, stroke, diabetes
- Tobacco
use
- Physical
activity level
- History of
weight gain/loss and dietary habits -include use of alcohol, salt,
potassium and calcium intake, and saturated fats
Psychosocial
history:
- family situation
- employment
status
- working conditions
Medication history
- possible
drug interactions (if treatment started)
- possible
drug related HBP (for example, oral contraceptives or steroids)
Physical
exam:
- Weight and
height
- Blood pressure
- Fundoscopic
exam
- Carotid bruits
- JVD
- Thyroid palpation
- Cardiac auscultation
- Abdominal
exam for aneurysms, renal enlargement, bruits
- Extremity
exam for edema, pulses
- General neurologic
exam Lab exam
Diagnostic
Testing:
- Urinalysis
- CBC
- Chem. profile
(glucose, potassium, calcium, creatinine, uric acid,)
- Lipid profile
(total cholesterol, HDL, LDL, triglycerides)
- ECG (if age
40 or older)
Follow-up:
1. Once the
patient's blood pressure has stabilized, the follow-up interval
should be individualized.
2. All patients
with hypertension need a minimum of annual follow-up to update and
reassess their hypertension control.
3. In order
to assess control of hypertension the following elements should
be done at least once each year.
- Review of
unresolved lifestyle issues (obesity, diet, smoking, exercise,
chronic stress)
- Blood pressure
- Weight (and
height if not previously recorded)
- Cardiovascular
exam (including cardiac auscultation)
- Patient history
of symptoms of target organ disease (chest pain, shortness of
breath, etc.)
- Lab tests
as needed (based on historical findings and current treatment),
including at a minimum:
- If patient
is on diuretics, electrolytes
- If patient
has a history of elevated cholesterol, a repeat lipid profile
Treatment:
1. The goal
of therapy is to achieve near normal blood pressure levels with
minimum negative impact on the patient. If the patient's systolic
blood pressure is >140 0R the diastolic pressure is >90, the patient's
blood pressure control should be assessed and appropriate actions
taken to improve control. Patients may not achieve this level of
control due to problems with compliance, medication side effects,
or limited effectiveness of medications.
2. In all instances
where the patient has been identified as at risk for, or diagnosed
with hypertension, lifestyle modifications should be recommended.
In patients with mild to moderate hypertension these lifestyle modifications
should be attempted for three to six months prior to initiating
drug therapy. If the patient's blood pressure continues to exceed
140 mm Hg systolic OR 90 mm Hg diastolic, medication therapy should
be instituted. Patients on medication who meet lifestyle modification
goals and whose blood pressure is less than 140/90 should be considered
as candidates for a trial off of medications.
3. Lifestyle
modifications include:
- Being overweight
is clearly associated with a higher risk of hypertension. Studies
have shown weight losses of as little as 6-10 pounds can be effective
in reducing blood pressure. Providers should document patient
agreement with a weight loss plan. For hypertensive patients with
a significant weight problem consider a dietary referral.
- Patients
with hypertension need to make changes in their diet. Consider
a dietary referral. Reduce total fat intake to less than 30% of
calories and reduce cholesterol and saturated fat intake to less
than 10% of calories. Restrict ethanol intake to a maximum of
1 oz of ethanol a day (e.g., 2 oz of 100 proof spirits, 8 oz of
wine, 24 oz of beer). Restrict sodium to less than two grams per
day initially, however if the patient does not respond to salt
restricted diet this restriction can be relaxed to six grams or
eliminated entirely. Consider increasing dietary potassium and
calcium as this reduces blood pressure in some patients.
- Recommend
aerobic exercise at least 20 minutes duration 3 times a week.
Closely monitor exercise programs in patients with heart disease.
Consider a stress test if the patient has significant risk factors
for heart disease.
- Smoking cigarettes
results in elevated blood pressure. Advise patients to stop smoking.
Consider a referral to a smoking cessation program. Studies have
shown that repeated physician reminders to smokers impact smoking
cessation success.
- Evaluate
patients for symptoms of long term stress. Instruction in stress
avoidance techniques may be indicated for patients with chronic
anxiety, lack of social support, or problems coping with anger
or repressed emotions.
4. Choice of
Therapy:
- The initial
treatment agent should generally be either a diuretic or a beta
blocker. This recommendation is based on the fact that these agents
have been shown to reduce the risk of stroke and other cardiovascular
end points. Alternate acceptable first line treatment agents include
alpha blockers, ACE inhibitors, and calcium channel blockers.
- In patients
who do not respond to initial agents there are many variables
to consider which are beyond the scope of this guideline. Physicians
should select appropriate agents based on the patient's medical
condition.
Lifestyle Modifications:
- Weight reduction
- Moderation
of alcohol intake
- Regular physical
activity
- Reduction
of sodium intake
- Smoking cessation
- If inadequate
response then:
- Continue
lifestyle modifications
- Initiate
pharmacologic therapy
If inadequate
response:
- Increase
drug dosage OR
- Substitute
another drug OR
- Add a second
agent from a different class
If inadequate
response:
- Add a second
or third agent and/or diuretic if not already prescribed.
References:
The Fifth Report of the Joint National committee
on Detection, Evaluation & Treatment of High Blood Pressure (JNC-V).
Arch Intern Med 1993;153: 154-183.
A Review of the Joint National Committee on Detection, Evaluation,
and Treatment of High Blood Pressure, The Fifth Report, 1993.
American Journal of Hypertension 1993;6:896-898.
Individualized Prevention and Treatment of Essential Hypertension.
American Family Physician Fall 1994; Monograph QI Guidelines
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