Hypertension: investigations and starting treatment

Β· SICS Editore
Π•-ΠΊΠ½ΠΈΠ³Π°
57
Π‘Ρ‚Ρ€Π°Π½ΠΈΡ†ΠΈ
Π‘ΠΎΠΎΠ΄Π²Π΅Ρ‚Π½Π°
ΠžΡ†Π΅Π½ΠΈΡ‚Π΅ ΠΈ Ρ€Π΅Ρ†Π΅Π½Π·ΠΈΠΈΡ‚Π΅ Π½Π΅ сС ΠΏΠΎΡ‚Π²Ρ€Π΄Π΅Π½ΠΈ Β Π”ΠΎΠ·Π½Π°Ρ˜Ρ‚Π΅ повСќС

Π—Π° Π΅-ΠΊΠ½ΠΈΠ³Π°Π²Π°

Identify risk factors and concomitant diseases and calculate total cardiovascular risk. The aim is to reduce the total cardiovascular risk. Motivate the patient to make lifestyle changes, which may lower blood pressure (BP) and reduce other risk factors. Exclude secondary hypertension. Start drug treatment if systolic BP is =Β 160 mmHg or diastolic BP =Β 100 mmHg. A lower threshold (140/90) is used in diabetes, renal disease, target organ damage, clinically significant cardiovascular disease and when the patient’s risk of fatal cardiovascular disease remains high (=Β 5%/10 years according to the SCORE risk chart ) despite lifestyle changes and modification of other risk factors. The goal of treatment is to reduce systolic BP to below 140 mmHg and diastolic pressure to below 85 mmHg. The target BP is lower if the patient has diabetes, renal disease or a history of a stroke or myocardial infarction.

ΠžΡ†Π΅Π½Π΅Ρ‚Π΅ ја Π΅-ΠΊΠ½ΠΈΠ³Π°Π²Π°

ΠšΠ°ΠΆΠ΅Ρ‚Π΅ Π½ΠΈ ΡˆΡ‚ΠΎ мислитС.

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Π•-Ρ‡ΠΈΡ‚Π°Ρ‡ΠΈ ΠΈ Π΄Ρ€ΡƒΠ³ΠΈ ΡƒΡ€Π΅Π΄ΠΈ
Π—Π° Π΄Π° Ρ‡ΠΈΡ‚Π°Ρ‚Π΅ Π½Π° ΡƒΡ€Π΅Π΄ΠΈ со Π΅-мастило, ΠΊΠ°ΠΊΠΎ ΡˆΡ‚ΠΎ сС Π΅-Ρ‡ΠΈΡ‚Π°Ρ‡ΠΈΡ‚Π΅ Kobo, ќС Ρ‚Ρ€Π΅Π±Π° Π΄Π° ΠΏΡ€Π΅Π·Π΅ΠΌΠ΅Ρ‚Π΅ Π΄Π°Ρ‚ΠΎΡ‚Π΅ΠΊΠ° ΠΈ Π΄Π° ја ΠΏΡ€Π΅Ρ„Ρ€Π»ΠΈΡ‚Π΅ Π½Π° ΡƒΡ€Π΅Π΄ΠΎΡ‚. Π‘Π»Π΅Π΄Π΅Ρ‚Π΅ Π³ΠΈ Π΄Π΅Ρ‚Π°Π»Π½ΠΈΡ‚Π΅ упатства Π²ΠΎ Π¦Π΅Π½Ρ‚Π°Ρ€ΠΎΡ‚ Π·Π° помош Π·Π° ΠΏΡ€Π΅Ρ„Ρ€Π»Π°ΡšΠ΅ Π½Π° Π΄Π°Ρ‚ΠΎΡ‚Π΅ΠΊΠΈΡ‚Π΅ Π½Π° ΠΏΠΎΠ΄Π΄Ρ€ΠΆΠ°Π½ΠΈ Π΅-Ρ‡ΠΈΡ‚Π°Ρ‡ΠΈ.