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Hypertension_Guideline the Final Version 16 11 2010 Elena-1

Hypertension_Guideline the Final Version 16 11 2010 Elena-1

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Published by: Tsoggerel Sangi on Jan 21, 2012
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Clinical guideline on Arterial hypertension in adults
ARTERIAL HYPERTENSION IN ADULTS
Clinical guideline
Ulaanbaatar, 2010
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Clinical guideline on Arterial hypertension in adultsCONTENT
Summary points ......................................................................................................................5
A.4. The aims of the guideline .................................................................................................6A.7. List and contact information of authors and persons that participated in the guideline’sdevelopment ...........................................................................................................................6A.8. Definitions and terminology used in guideline: ................................................................7A9. Epidemiologic information: ...............................................................................................7
C.1. Classification of hypertension ........................................................................................10C.2. Blood pressure measurement.........................................................................................10C.3. Primary prevention.........................................................................................................12C.3.1. Lifestyle changes ....................................................................................................12C.3.1.1. Salt reduction....................................................................................................13C.3.1.2. Other dietary recommendations........................................................................13C.3.1.3. Alcohol consumption.........................................................................................13C.3.1.4. Weight reduction ..............................................................................................14C.3.1.5. Physical exercise...............................................................................................14C.3.1.6. Smoking cessation............................................................................................14C.3.1.7. Environmental support for lifestyle changes.....................................................15C.4. Screening of hypertension .............................................................................................16C.5. Evaluation of a patient with hypertension.......................................................................16C.5.1. Family and clinical history........................................................................................16C.5.2. Physical examination...............................................................................................17C.5.3. Laboratory and other investigations .......................................................................17C.5.4. Indications for specialist referral .............................................................................18C.5.5. Searching for subclinical TOD..................................................................................18C.5.6. Estimation of the CVD risk.......................................................................................19C.6. Antihypertensive Treatment ..........................................................................................21C.6.1. Lifestyle modification...............................................................................................21C.6.2. Antihypertensive drug therapy ...............................................................................21C.6.3. Treatment of associated risk factors .......................................................................26C.7. Management of HTA in special conditions......................................................................26C.7.1. Essential hypertension without complications..........................................................26C.7.2. Elderly......................................................................................................................27C.7.3. Diabetes mellitus.....................................................................................................27C.7.4. Renal diseases.........................................................................................................28C.7.5. Cerebrovascular diseases .......................................................................................28C.7.6. Cognitive dysfunction and dementia........................................................................28C.7.7. Coronary heart disease ..........................................................................................28C.7.8. Heart failure.............................................................................................................28C.7.9. Artial fibrillation ......................................................................................................29C.7.10. Metabolic syndrome ..............................................................................................29C.7.11. Hypertension in women ........................................................................................29C.7.12. Hypertension in pregnancy ...................................................................................29C.7.13. Secondary hypertension........................................................................................30C.7.14. Resistant hypertension .........................................................................................31C.7.15. Hypertensive Crisis................................................................................................32C.8. Follow up of patients with hypertension unless hypertensive emergencies or urgencies..............................................................................................................................................33
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Clinical guideline on Arterial hypertension in adults
Annex 1. Instrumental signs of target organ damage............................................................35Annex 2. Outline curriculum for schools of patients with hypertension .................................36Annex 3. Pharmacotherapy of Hypertension..........................................................................38Annex 4. Pharmacotherapy of Hypertensive emergency.......................................................48Annex 5. Pharmacotherapy of Hypertensive urgency............................................................52
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