Coronary heart disease secondary prevention blood pressure control: Difference between revisions
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=== AHA / ACC 2006 Guidelines - Coronary Heart Disease - Secondary Prevention with Blood Pressure Management (DO NOT EDIT)<ref name="pmid16697342">{{cite journal| author=AHA. ACC. National Heart, Lung, and Blood Institute. Smith SC, Allen J, Blair SN et al.| title=AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update endorsed by the National Heart, Lung, and Blood Institute. | journal=J Am Coll Cardiol | year= 2006 | volume= 47 | issue= 10 | pages= 2130-9 | pmid=16697342 | doi=10.1016/j.jacc.2006.04.026 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16697342 }} </ref> === | === AHA / ACC 2006 Guidelines - Coronary Heart Disease - Secondary Prevention with Blood Pressure Management (DO NOT EDIT)<ref name="pmid16697342">{{cite journal| author=AHA. ACC. National Heart, Lung, and Blood Institute. Smith SC, Allen J, Blair SN et al.| title=AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update endorsed by the National Heart, Lung, and Blood Institute. | journal=J Am Coll Cardiol | year= 2006 | volume= 47 | issue= 10 | pages= 2130-9 | pmid=16697342 | doi=10.1016/j.jacc.2006.04.026 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16697342 }} </ref> === | ||
{|class="wikitable" | {|class="wikitable" | ||
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| colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
|- | |- | ||
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' | | bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' All patients should be counseled regarding the need for lifestyle modification: weight control; increased physical activity; alcohol moderation; sodium reduction; and emphasis on increased consumption of fresh fruits, vegetables, and low-fat dairy products. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]]) <nowiki>"</nowiki> | ||
|- | |- | ||
| bgcolor="LightGreen"|<nowiki>"</nowiki>''' | | bgcolor="LightGreen"|<nowiki>"</nowiki>'''2.''' Patients with blood pressure ≥140/90 mm Hg should be treated, as tolerated, with blood pressure medication, treating initially with β-blockers and/or ACE inhibitors, with addition of other drugs as needed to achieve goal blood pressure. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: A]])<nowiki>"</nowiki> | ||
|} | |} |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Goal: <140/90 mm Hg or <130/80 mm Hg if patient has diabetes or chronic kidney disease.
Blood Pressure Control
- If blood pressure is > 120/80 mm Hg:
Initiate or maintain lifestyle modification (weight control, EtOH moderation, sodium reduction, increased physical activity, increased fruits, vegetables, low-fat dairy)
- If blood pressure > 140/90 mm Hg: As tolerated, add blood pressure medication (betablockers and/or ACE inhibitors initially).
AHA / ACC 2006 Guidelines - Coronary Heart Disease - Secondary Prevention with Blood Pressure Management (DO NOT EDIT)[1]
Class I |
"1. All patients should be counseled regarding the need for lifestyle modification: weight control; increased physical activity; alcohol moderation; sodium reduction; and emphasis on increased consumption of fresh fruits, vegetables, and low-fat dairy products. (Level of Evidence: B) " |
"2. Patients with blood pressure ≥140/90 mm Hg should be treated, as tolerated, with blood pressure medication, treating initially with β-blockers and/or ACE inhibitors, with addition of other drugs as needed to achieve goal blood pressure. (Level of Evidence: A)" |
References
- ↑ AHA. ACC. National Heart, Lung, and Blood Institute. Smith SC, Allen J, Blair SN; et al. (2006). "AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update endorsed by the National Heart, Lung, and Blood Institute". J Am Coll Cardiol. 47 (10): 2130–9. doi:10.1016/j.jacc.2006.04.026. PMID 16697342.