Coronary heart disease secondary prevention blood pressure control: Difference between revisions
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| 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>'''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> | ||
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| 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> | | 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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Revision as of 18:07, 14 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
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).
2006 AHA/ACC Guidelines for Secondary Prevention for Patients with Coronary and other Atherosclerotic Vascular Disease (DO NOT EDIT) [1]
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)" |
| “ | Goal: <140/90 mm Hg or <130/80 mm Hg if patient has diabetes or chronic kidney disease. | ” |
Sources
- 2006 AHA/ACC Guidelines for Secondary Prevention for Patients with Coronary and other Atherosclerotic Vascular Disease (DO NOT EDIT) [1]
References
- ↑ 1.0 1.1 1.2 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.