2010 Hong Kong Reference Framework for Hypertension Care for ...

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