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cce_family medicine_hypertension (investigations ((fasting glucose, OGTT,…
cce_family medicine_hypertension
history
investigations
(fasting glucose, OGTT, HbA1c, lipid) cardiovascular
(heart: ECG, renal: RFT) HT complications
(renal, endocrine, 24 hour urine catecholamines) rule out
physical examination
blood pressure
BP in a week
x 1 day, 6 days morning, evening: average
confirm diagnosis
3 properly taken BP, 1 week apart
clinic
cubital fossa at the heart level
correct cuff
x clothing
sit 5 minutes, overcome psychological
x exercise, x smoking, x caffiene, x drugs
weight reduction (BMI 18.5-22.9)
disease x smoking x drinking
< 55 years old: ACEI/ARB (lisinopril) (losartan)
thiazide (indapamide)
beta blocker (atenolol)
stress reduction
diet
DASH diet (high fibre, low lipid, high K, Ca, Mg)
3 vegetables 2 fruits
low Na
exercise
at best every day, 3-5/week
30 minutes
moderate