Asymptomatic hypertension: Difference between revisions
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== JNC-7 Classification == | == 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 | {| style="width: 500px" border="1" cellpadding="1" cellspacing="1" | ||
|- | |||
| '''Class''' | |||
| ''' Systolic''' | |||
| '''<br/>''' | |||
| '''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 == | == 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? | |||
**CXR? | |||
*Chem 7 (creatinine) | |||
*UA (protein)? | |||
*ECG? | |||
*CXR? | |||
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 | 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 == | == Treatment == | ||
*HCTZ all | *HCTZ all | ||
*2dary= B-blockers; Ca channel in AA | |||
*also ACE in CHF, DM | |||
[[Category:Cards]] | |||
Revision as of 17:44, 9 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?
- CXR?
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