fbpx
  • Hypertension

    Blood pressure (BP) levels are continuously related to the risk of cardiovascular disease (CVD).  Even within the normal range, people with higher levels of BP have higher rates of CVD.

    Classification of BP levels for adults aged 18 years and older.

    Category Systolic BP Diastolic BP
    Normal BP < 130 mmHg < 85 mmHg
    High-normal BP 130 – 139 mmHg 85 – 89 mmHg
    Grade 1 hypertension 140 – 159 mmHg 90 – 99 mmHg
    Grade 2 hypertension 160 – 179 mmHg 100 – 109 mmHg
    Grade 3 hypertension  =/> 180 mmHg  =/> 110 mmHg
    Isolated systoli hypertension  =/> 140 mmHg < 90 mmHg

    Routine clinical evaluation of a patient with elevated BP may include the following:

    1. Clinical and family history
    2. Full physical examination
    3. Laboratory investigations including:
      • Urine analysis
      • Renal function test (urea, creatinine, electrolytes), fasting glucose and lipids
      • eGFR
    4. Resting ECG
    5. Chest x-ray

    Treatment goals

    The recommended target BP treatment levels are:

    1. BP < 140/90 mmHg in persons under 80 years old
    2. BP < 150/90 mmHg in persons aged 80 years and above.

    Our hypertension chronic care programme will also look at the following:

    Essential Care Component Recommended Frequency
    1 Weight & BMI Assessment 6 monthly
    2 Smoking Assessment Annually
    3 Fasting glucose & lipid Profile At diagnosis
    4 Cardiac Assessment – ECG / others At baseline & when indicated
    Leave a reply →

Leave a reply

Cancel reply