2013 Hypertension Advisory

2013 Hypertension Advisory

This is a review of the advisory released by the AHA, ACC and CDC on hypertension in November 2013.

Please do keep in mind that medical information provided by this video must be considered as an educational service only. This video is not designed to substitute the advice of a qualified health care professional. Do not disregard or avoid professional medical advice or delay seeking it because of materials made available through this video.

I find myself saying this a lot but the biggest problem we have with Hypertension is the way we try and treat it. Rather than masking the symptoms we need to look at actually treating the root cause.

The information contained in this video is not intended to be used as the basis for making any medical decision and must not be relied upon for medical advice. You are solely responsible for the use you choose to make of the information provided in the video.

Write up:

today we’ll review a quick hypertension update it’s not Jane c8 but it’s the advisory that was released by the a HACC and CDC on hypertension in November 2013 we’ll jump right to the algorithm that was developed for hypertension management there’s more details in the update and to review these click on the link in the description below for stage 1 hypertension defined as a systolic of 140 to 159 or a diastolic of 90 to 99 lifestyle modifications should be attempted and thigh azides should be considered the blood pressure should be rechecked in 3 months if not at golden start a thiazide ACE inhibitor ARB and/or a calcium channel blocker if the patient is already on medication titrate and/or add a drug from a different class the blood pressure should then be checked in two to four weeks if still not at goal optimize the dosages or add medications adherence self monitoring and home reading should be reviewed secondary causes should be considered at this point and a possible referral to a hypertension specialist for stage 2 hypertension defined as a systolic greater than 160 or a diastolic greater than 100 drugs are preferred in addition to lifestyle modifications consider a thiazide plus either an ACE inhibitor angiotensin receptor blocker or calcium channel blocker alternatively an ACE inhibitor plus calcium channel blocker can be started the blood pressure should be checked in two to four weeks if not at gaulden follow the remainder of the algorithm certain medical conditions have suggested medications traditionally known as compelling indications for coronary artery disease beta blockers and ACE inhibitors for systolic heart failure aces or ARBs beta blockers aldosterone antagonists and designs for diastolic heart failure ACE inhibitors are ARBs beta blockers and thigh sites for diabetes aces are ARBs thiazide beta blockers and calcium channel blockers for kidney disease ACE inhibitors are ARBs or for stroke and TIAA thiazide and ACE inhibitors..

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