Chronic hypertension resident survival guide

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S [2]

Overview

Classification

Classification Blood pressure (mmHg)
Normal < 120/80
Prehypertension 120-139/80-89
Stage 1 hypertension 140-159/90-99
Stage 2 hypertension ≥ 160/110
Isolated systolic hypertension
Isolated diastolic hypertension

Causes

Life Threatening Causes

Common Causes

Diagnosis

Shown below is an algorithm summarizing the diagnosis of

General Approach to Suspected Hypertension

 
 
 
 
 
 
Suspected hypertension
BP > 140/90 mmHg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Blood pressure measurement














 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Confirmed hypertension
 
Normotensive
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Classify the patient
based on the value of BP
 
White-coat hypertension
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Prehypertension



 
Stage 1 hypertension



 
Stage 2 hypertension



 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
{{{ }}}
Treatment














 
 
 
 
 
 
 
 
 
 

Complete Diagnostic Approach

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of

Do's

Don'ts

References


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