Asymptomatic hypertension: Difference between revisions
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==JNC-7 Classification== | == JNC-7 Classification == | ||
{| width="451" | {| width="451" | ||
|- | |- | ||
| Normal <br /> | | Class<br/> | ||
| <120 <br /> | | Systolic<br/> | ||
| and | | <br/> | ||
| <80 <br /> | | Diasolic<br/> | ||
|- | |||
| Normal<br/> | |||
| <120<br/> | |||
| and<br/> | |||
| <80<br/> | |||
|- | |- | ||
| Pre-hypertension <br /> | | Pre-hypertension<br/> | ||
| 120-130 <br /> | | 120-130<br/> | ||
| or | | or<br/> | ||
| 80-89 <br /> | | 80-89<br/> | ||
|- | |- | ||
| Stage 1 <br /> | | Stage 1<br/> | ||
| 140-150 <br /> | | 140-150<br/> | ||
| or <br /> | | or<br/> | ||
| 90-99 <br /> | | 90-99<br/> | ||
|- | |- | ||
| Stage 2 <br /> | | Stage 2<br/> | ||
| ≥ 160 <br /> | | ≥ 160<br/> | ||
| or <br /> | | or<br/> | ||
| ≥ 100 <br /> | | ≥ 100<br/> | ||
|} | |} | ||
==Work-Up== | == Work-Up == | ||
<120 diastolic --> home, outpt rx | <120 diastolic --> home, outpt rx | ||
| Line 38: | Line 39: | ||
2) If diastolic >110-120: | 2) If diastolic >110-120: | ||
* Chem 7 (creatinine) | *Chem 7 (creatinine) | ||
* UA (protein)? | *UA (protein)? | ||
* ECG? | *ECG? | ||
* CXR? | *CXR? | ||
Note: | Note: | ||
| Line 47: | Line 48: | ||
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 == | ||
(2dary= B-blockers; Ca channel in AA) | (2dary= B-blockers; Ca channel in AA) | ||
(also ACE in CHF, DM) | (also ACE in CHF, DM) | ||
<div id="wikiedit" style="display: none"><div id="editor-panel" class="box"> | <div id="wikiedit" style="display: none"><div id="editor-panel" class="box"> | ||
= Asymptomatic Hypertension (HTN)[/rename.php?renamepage=Asymptomatic%20Hypertension%20%28HTN%29 ] = | |||
=Asymptomatic Hypertension (HTN)[/rename.php?renamepage=Asymptomatic%20Hypertension%20%28HTN%29 | |||
Revision as of 04:14, 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
<120 diastolic --> home, outpt rx
>210 systolic or >120-130 diastolic --> search end organ
1) Upreg
2) If diastolic >110-120:
- 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
(2dary= B-blockers; Ca channel in AA)
(also ACE in CHF, DM)