The Guidelines and Protocols Advisory Committee’s (GPAC) guideline for Hypertension—Diagnosis and Management provides recommendations on how to diagnose and manage hypertension (HTN) in adults aged ≥ 19 years and is available to physicians across British Columbia via BCGuidelines.ca.
Key recommendations
• 140/90 or lower is the desirable blood pressure reading for an adult with no comorbid conditions, diabetes, chronic kidney disease, or other target organ damage.
• When taking office blood pressure readings, the use of an automated office blood pressure measuring electronic device is recommended.
• Consider 24-hour ambulatory blood pressure monitoring or home blood pressure monitoring to confirm a hypertension diagnosis.
• Instigate pharmaceutical management in the context of the patient’s overall cardiovascular risk and not solely on their blood pressure.
• Lifestyle management is recommended for those with mild hypertension (average blood pressure = 140 – 159/90 – 99), low risk for cardiovascular disease, and no comorbidities.
Links
[1] https://bcmj.org/cover/april-2016
[2] https://bcmj.org/node/96
[3] https://bcmj.org/sites/default/files/BCMJ_Vol58_No_3_pulsimeter_3_1.pdf
[4] https://bcmj.org/print/news/gpac-guideline-hypertension%E2%80%94diagnosis-and-management
[5] https://bcmj.org/printmail/news/gpac-guideline-hypertension%E2%80%94diagnosis-and-management
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[8] https://bcmj.org/javascript%3A%3B
[9] https://bcmj.org/modal_forms/nojs/webform/176
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