Asymptomatic hypertension

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

*HCTZ all

(2dary= B-blockers; Ca channel in AA)

(also ACE in CHF, DM)

Asymptomatic Hypertension (HTN)[/rename.php?renamepage=Asymptomatic%20Hypertension%20%28HTN%29 ]

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