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 ...
Module 1 Framework for Population Approach in the Prevention andControl of Hypertension across the Life CourseAgegroupLifestyleadviceRiskassessmentScreeningDiseasemanagementComplicationmonitoringRehabilitationcareAntenatal●●A balanced diet ●●Monitor●●Regular weight gainintake ofcarbohydrates●●Lower in fat●●Plenty of fruitsand vegetables●●Physicallyactive●●Watch outfor preeclampsia●●Early antenatalcare●●Blood pressureand lipid control●●Self-care●●Monitor fetalgrowth●●Obstetriccomplicationsin womenInfancy●●Breast feeding ●●Monitor●●Avoid obesity weight gain●●Regularexercise●●Adequate sleepChildhood●●Abstain fromsmoking●●Regularexercise●●Healthy eatinghabit●●Limit sodiumintake●●Monitor BMI●●Watch out ●●Treat secondaryfor secondary hypertensionhypertension ●●Monitorgrowth anddevelopment●●Carer educationand support●●Growth anddevelopment●●MalignanthypertensionsHypotension1 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Module 1Framework for Population Approach in the Prevention and Control ofHypertension across the Life CourseAgegroupLifestyleadviceRiskassessmentScreeningDiseasemanagementComplicationmonitoringRehabilitationcareAdulthood●●Abstain fromsmoking●●Smokingcessation forsmokers●●Healthy eatinghabit●●Limit sodiumintake●●Weightmanagement●●Regularexercise●●Limit alcoholconsumption●●Monitor BMI ●●Measure●●Monitor bloodabdominal pressurecircumference for all●●Family history individualsof diabetes aged ≥ 18every 2years 1●●Measurebloodpressurefor allindividualswithincreasedrisk a ofvasculardisease every12 months 1●●Measurebloodpressure forall patientsat high risk bof vasculardisease every6 months 1●●Opportunisticmeasurementof bloodpressure at allclinic visits●●Blood pressureand lipid control●●Monitor theadverse effect ofdrug treatment●●Self-care●●Target organdamage, e.g.nephropathy,neuropathy,cardiovascularcomplicationss●●Hypotension●●MalignanthypertensionaIncreased risk: Age >50 years; High normal BP 120-139mmHg/80-89mmHg; Diabetes at < 60 yearsbHigh risk: BP >180/110 or Diabetes at age>60 years or microalbuminuria; Moderate or severe chronic kidney disease; Familialhypercholesterolaemia; First degree relative (i.e. father, mother, sibling) who has had a vascular event or condition diagnosed180mmHg or DBP > 110mmHg; serum total cholesterol >7.5mmol/L or LDL-C > 4.9 mmol/L; Existingcardiovascular disease (previous event, atrial fibrillation, symptomatic cardiovascular disease)HK Reference Framework for Hypertension Care for Adults in Primary Care Settings2
- 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 14 and 15: Chapter 7.Component 2: Early Identi
- 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 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
- Page 64 and 65: Module 6Exercise Recommendations to
- Page 66 and 67: Module 7Drug Treatment for People w
- Page 68 and 69: Module 7Drug Treatment for People w
- Page 70 and 71: Module 7Drug Treatment for People w
- Page 72 and 73: Module 7Drug Treatment for People w
- Page 74 and 75: Module 8Annual AssessmentLaboratory
Module 1 <strong>Framework</strong> <strong>for</strong> Population Approach in the Prevention andControl of <strong>Hypertension</strong> across the Life CourseAgegroupLifestyleadviceRiskassessmentScreeningDiseasemanagementComplicationmonitoringRehabilitationcareAntenatal●●A balanced diet ●●Monitor●●Regular weight gainintake ofcarbohydrates●●Lower in fat●●Plenty of fruitsand vegetables●●Physicallyactive●●Watch out<strong>for</strong> preeclampsia●●Early antenatalcare●●Blood pressureand lipid control●●Self-care●●Monitor fetalgrowth●●Obstetriccomplicationsin womenInfancy●●Breast feeding ●●Monitor●●Avoid obesity weight gain●●Regularexercise●●Adequate sleepChildhood●●Abstain fromsmoking●●Regularexercise●●Healthy eatinghabit●●Limit sodiumintake●●Monitor BMI●●Watch out ●●Treat secondary<strong>for</strong> secondary hypertensionhypertension ●●Monitorgrowth anddevelopment●●<strong>Care</strong>r educationand support●●Growth anddevelopment●●MalignanthypertensionsHypotension1 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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