2010 Hong Kong Reference Framework for Hypertension Care for ...
2010 Hong Kong Reference Framework for Hypertension Care for ... 2010 Hong Kong Reference Framework for Hypertension Care for ...
Chapter 7.Component 2: Early Identification Of People With HypertensionBlood pressureclassificationInitial BloodPressure(mmHg) Note 2Systolic DiastolicRecommendedminimum reviewperiod Note 3Action●●Treat within one160-179 100-109Evaluate withinone month●●monthLifestylemodification●●If high bloodpressure isconfirmed, drugtreatment shouldStage IIhypertension>180 >110Further evaluationwithin one week●●be commencedMay warranturgent referralif patientpresents featuressuggestiveof malignanthypertension(Refer to Box 2)●●Lifestylemodification7 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Chapter 8.Component 3: Clinical Care OfAdults With HypertensionEffective treatment of hypertension can prevent or delay many of itscomplications, especially cardiovascular and renal complications. Medicationfor the control of blood pressure also plays an important role. More importantly,the management of hypertension depends on the commitment of the patient toparticipate proactively in self-management, adopting healthy lifestyle practices,and prompt detection and treatment of emerging cardiovascular risk factors andcomplications.8.1 Initial assessment and investigation of patient with hypertensionUpon diagnosis, primary care practitioners should perform comprehensiveassessment to assess co-existing cardiovascular risk factors or other problemsthat may affect prognosis and treatment (Box 1). Module 3 denotes the findingssuspicious of secondary hypertension. Module 4 provides details regarding theassessment and investigations for individual newly diagnosed with hypertension.Box 1 Cardiovascular risk factors 1●●●●●●●●●●●●●●●●Cigarette smokingObesityPhysical inactivityDyslipidaemiaDiabetes mellitusMicroalbuminuria or estimated GFR < 60 m/minAge (older than 55 for men, 65 for women)Family history of essential hypertension and premature cardiovasculardisease (men under 55 or women under 65)HK Reference Framework for Hypertension Care for Adults in Primary Care Settings8
- Page 2: ContentPreface.....................
- Page 6 and 7: Key To Evidence Statements And Grad
- Page 8 and 9: Chapter 1.EpidemiologyHypertension
- Page 12 and 13: Chapter 6.Component 1: Prevention O
- Page 16 and 17: Chapter 8.Component 3: Clinical Car
- Page 18 and 19: Chapter 8.Component 3: Clinical Car
- Page 20 and 21: Chapter 8.Component 3: Clinical Car
- Page 22 and 23: Chapter 8.Component 3: Clinical Car
- Page 24 and 25: Chapter 8.Component 3: Clinical Car
- Page 26 and 27: Chapter 9.Component 4: Patient Empo
- Page 28 and 29: Appendix 1. Smoking Cessation Servi
- Page 30 and 31: AcknowledgmentsDr CHU Leung-wingDr
- Page 32 and 33: AcknowledgmentsDr CHAN Wai-manDr Jo
- Page 34 and 35: AcknowledgmentsDr Betty YOUNG Wan-y
- Page 36 and 37: AcknowledgmentsProfessor YU Cheuk-m
- Page 38 and 39: Reference10. Sacks FM, Svetkey LP,
- Page 40 and 41: Module 1 Framework for Population A
- Page 42 and 43: Module 1Framework for Population Ap
- Page 44 and 45: Module 2Blood Pressure Measurement2
- Page 46 and 47: Module 2Blood Pressure Measurement4
- Page 48 and 49: Module 3 Secondary Hypertension 1,2
- Page 50 and 51: Module 4Evaluation for All Newly Di
- Page 52 and 53: Module 4Evaluation for All Newly Di
- Page 54 and 55: Module 5Dietary InterventionFood Gr
- Page 56 and 57: Module 5Dietary InterventionMeals a
- Page 58 and 59: Module 5Dietary InterventionReferen
- Page 60 and 61: Module 6Exercise Recommendations to
- Page 62 and 63: Module 6Exercise Recommendations to
Chapter 7.Component 2: Early Identification Of People With <strong>Hypertension</strong>Blood pressureclassificationInitial BloodPressure(mmHg) Note 2Systolic DiastolicRecommendedminimum reviewperiod Note 3Action●●Treat within one160-179 100-109Evaluate withinone month●●monthLifestylemodification●●If high bloodpressure isconfirmed, drugtreatment shouldStage IIhypertension>180 >110Further evaluationwithin one week●●be commencedMay warranturgent referralif patientpresents featuressuggestiveof malignanthypertension(Refer to Box 2)●●Lifestylemodification7 HK <strong>Reference</strong> <strong>Framework</strong> <strong>for</strong> <strong>Hypertension</strong> <strong>Care</strong> <strong>for</strong> Adults in Primary <strong>Care</strong> Settings
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