Transcription of Hypertension – Diagnosis and Management
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Hypertension – Diagnosis and Management
Guidelines & Protocols Advisory CommitteeHypertension Diagnosis and Management Effective Date: April 15, 2020 ScopeThis guideline provides recommendations on how to diagnose and manage Hypertension (HTN) in adults. Management of secondary causes of HTN,* accelerated HTN, acute HTN in emergency settings, and HTN in pregnancy are out of scope. For an algorithm of this guideline, refer to Appendix A: Diagnosis and Management of Hypertension Algorithm. Key Recommendations Hypertension is a modifiable risk factor for cardiovascular disease (CVD) and an important public health issue. Detection and measuring blood pressure in the office, the use of an automated office blood pressure (AOBP) electronic deviceis recommended in patients with regular heart 3 [Strong Recommendation, Strong Evidence] is diagnosed in adults when automated office blood pressure reading is 135/85 in the higher BP arm.
Management of hypertension based on the classification should be further informed and guided by the patient’s CVD risk, organ damage, and presence of co-morbidities. Figure 1: Hypertension Classification Epidemiology In BC, the age standardized prevalence rate for hypertension is 22.5 (per 100) and the age standardized annual incidence rate
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