Asymptomatic hypertension: Difference between revisions
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== JNC-7 Classification == | == JNC-7 Classification == | ||
{| width=" | {| style="width: 500px" border="1" cellpadding="1" cellspacing="1" | ||
|- | |- | ||
| Class | | '''Class''' | ||
| Systolic | | ''' Systolic''' | ||
| <br/> | | <br/> | ||
| Diasolic | | '''Diasolic''' | ||
|- | |- | ||
| Normal | | Normal | ||
| <120 | | <120 | ||
| and | | and | ||
| <80 | | <80 | ||
|- | |- | ||
| Pre-hypertension | | Pre-hypertension | ||
| 120-130 | | 120-130 | ||
| or | | or | ||
| 80-89 | | 80-89 | ||
|- | |- | ||
| Stage 1 | | Stage 1 | ||
| 140-150 | | 140-150 | ||
| or | | or | ||
| 90-99 | | 90-99 | ||
|- | |- | ||
| Stage 2 | | Stage 2 | ||
| | | ≥160 | ||
| or | | or | ||
| | | ≥100 | ||
|} | |} | ||
== Work-Up == | == Work-Up == | ||
<120 diastolic --> home, outpt rx | *Upreg | ||
*<120 diastolic --> home, outpt rx | |||
>210 systolic or >120-130 diastolic --> search end organ | *>210 systolic or >120-130 diastolic --> search end organ | ||
**Chem 7 (creatinine) | |||
**UA (protein)? | |||
**ECG? | |||
*Chem 7 (creatinine) | |||
*UA (protein)? | |||
*ECG | |||
Note: | Note: | ||
| Line 50: | Line 45: | ||
== Treatment == | == Treatment == | ||
*HCTZ all | |||
*2dary= B-blockers; Ca channel in AA | |||
*also ACE in CHF, DM | |||
<div | </div></div> | ||
<br/>[[Category:Cards]] | |||
Revision as of 04:15, 12 March 2011
JNC-7 Classification
| Class | Systolic | Diasolic | |
| Normal | <120 | and | <80 |
| Pre-hypertension | 120-130 | or | 80-89 |
| Stage 1 | 140-150 | or | 90-99 |
| Stage 2 | ≥160 | or | ≥100 |
Work-Up
- Upreg
- <120 diastolic --> home, outpt rx
- >210 systolic or >120-130 diastolic --> search end organ
- Chem 7 (creatinine)
- UA (protein)?
- ECG?
Note:
The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends an average of 2 or more properly measured, seated blood pressure readings on each of 2 or more office visits to establish the diagnosis
Treatment
- HCTZ all
- 2dary= B-blockers; Ca channel in AA
- also ACE in CHF, DM