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Hypertension Management

Background:

❱ In the US, about 77.9 million adults (one out of every three or 32%) have hypertension based on Joint National Committee 8. About 46% of the US adult have high blood pressure per American College of Cardiology/American Heart Association.

❱ Hypertension can lead to stroke, myocardial infarction (MI), or peripheral arterial diseases, chronic kidney disease (CKD) or retinopathy.

Common symptoms include the following:

  • Headache

  • Blurred vision

  • Chest pain

  • Dizziness or weakness

  • Trouble breathing

  • Nosebleeds

GOAL - Blood Pressure

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  • ACC/AHA Guidelines (2017)

    • Normal <120 and 80

    • Elevated BP=120-129 and <80

    • Stage 1  BP=130-139 or 80-89

    • Stage II  BP > =  140    or > = 90

 

  • ASH/ISH Guidelines

    • Age <80 years <140/90

    • Age >=80 years <150/90 mm Hg

                <140/90 mm Hg  if diabetes or CKD

 

  • JNC 8 Report

    • Age <60 years    <140/90

    • Age >=60 years   <150/90 mm Hg

                  <140/90 mm if diabetes/CKD

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ACC=American College of Cardiology

AHA=American College of Heart Association

ASH=American Society of Hypertension

ISH=International Society of Hypertension

JNC 8=Joint Nation Committee on Prevention, Detection, Evaluation and Treatment.

Maintain a healthy  weight and waist size

Be physically Active for at least 30 minutes                                3-days a week

Our board Certified Clinical Pharmacist Practitioners in collaboration  with physician:

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  • Evaluate and manage your hypertension based on clinical practice guidelines.

  • Recommend and individualize blood pressure goals based on patient‐specific need.

  • Evaluate evidence that influences the selection of blood pressure goals for individual patient.

  • Formulate patient‐centered treatment plans for complex patient with hypertension.

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Take your Blood Pressure at home:

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  • Relax, sitting (feet on floor, back supported) for >5 min

  • Should avoid caffeine, exercise, and smoking for at least 30 min

  • Ensure empty bladder

  • Should not talk during rest period or measurement

  • Remove all clothing covering the location of cuff placement

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