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

More documents

Recommendations

Info

Module 7Drug Treatment for People with HypertensionBeta-blockerThe decision not to recommend Beta-blockers for first line therapy is based onevidence from head-to-head trials 19,20,21,22 that beta-blockers were less effectivethan the comparator drug at reducing major cardiovascular events, in particularstroke. An additional concern is the increased risk of developing diabetes,particular with the combination of thiazide-type diuretic. However, beta-blockersmay be considered in younger people, particularly 24 :‣ ¾ for those with an intolerance or contraindication to ACE inhibitors andangiotensin-II antagonists or‣ ¾ for women of child-bearing potential or‣ ¾ for patients who have previously had a heart attack, angina, heart failure or anirregular heart beatHK Reference Framework for Hypertension Care for Adults in Primary Care Settings4
Module 7Drug Treatment for People with HypertensionAppendix 1Class of DrugCompelling and Possible Indications and Contraindications for theMajor Classes of Antihypertensive Drugs 23CompellingIndicationsPossibleIndicationsCompellingContraindicationsPossibleContraindicationsACE Inhibitors(ACEI)Heart failure,Left ventriculardysfunction,Post myocardialinfarction,DiabeticnephropathyProteinuric renaldiseasePregnancy,Bilateral renalartery stenosis,HyperkalaemiaRenal impairmentAngiotensin IIReceptor Blockers(ARB)ACE inhibitorintolerancePregnancy,Bilateral renalartery stenosis,HyperkalaemiaRenal impairmentAlpha-BlockersBenign prostatichypertrophyOrthostatichypotensionBeta-BlockersAngina,Post myocardialinfarctionTachyarrhythmiasHeart failure(low dose)Asthma, chronicobstructivepulmonary disease,Heart blockPeripheral vasculardiseaseCalciumChannel Blockers(dihydropyridine)Elderly patients,Isolated systolichypertensionAngina,Peripheralvascular diseaseCongestive heartfailureCalciumChannel Blockers(rate limiting,e.g. verapamil,diltiazem)Angina Heart block Congestiveheart failure,combination withbeta-blockersThiazide/ thiazidelikeDiureticsHeart failure,Elderly patients,Isolated systolichypertensionGoutDyslipidaemia,Pregnancy,Sexually activemales5 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
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 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 66 and 67: Module 7Drug Treatment for People w
Page 74 and 75: Module 8Annual AssessmentLaboratory
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?