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Category Hypertension Normal < 130/< 85 Recheck in 2 years. High Normal 130–139/ 85–89 Recheck in 1 year Hypertension Stage 1 (mild) 140–159/90–99.

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Presentation on theme: "Category Hypertension Normal < 130/< 85 Recheck in 2 years. High Normal 130–139/ 85–89 Recheck in 1 year Hypertension Stage 1 (mild) 140–159/90–99."— Presentation transcript:

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5 Category Hypertension Normal < 130/< 85 Recheck in 2 years.
High Normal 130–139/ 85–89 Recheck in 1 year Hypertension Stage 1 (mild) 140–159/90–99 Confirm within 2 months Stage 2 (moderate) 160–179/100–109 Evaluate or refer within 1 month Stage 3 (severe) 180–209/110–119 Evaluate or refer within 1 week Stage 4 (very severe) > 210 /> 120 Evaluate or refer immediately

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13 MANAGEMENT OF HYPERTENSION
Primary (Essential) Hypertension Secondary Hypertension

14 Primary (Essential) Hypertension
Sympathetic nervous system hyperactivity Renin-angiotensin system Defect in natriuresis Intracellular sodium and calcium Exacerbating factors

15 Secondary Hypertension
Estrogen use Renal disease Renal vascular hypertension Primary hyperaldosteronism and Cushing's syndrome Pheochromocytoma Coarctation of the aorta Hypertension associated with pregnancy Other causes of secondary hypertension

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62 ANTIHYPERTENSIVE DRUG THERPY

63 Antihypertensive drugs
Diuretics. Beta-adrenergic blocking agents ACE inhibitors and angiotensin II blockers Calcium channel-blocking agents Alpha-adrenoceptor antagonists


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