Kya apko sahi me hypertension

h ya over diagnosis h?
By Dr.Giriraj Kumawat
 Blood pressure monitoring can help avoid overdiagnosis of
hypertension by providing more accurate and consistent readings than
a single office measurement. Overdiagnosis of hypertension can lead
to unnecessary treatment, anxiety, and costs for people who do not
have a high risk of cardiovascular events.
 Some ways to avoid overdiagnosis of hypertension by blood pressure
monitoring are:
 Use ambulatory blood pressure monitoring (ABPM) or home blood pressure
monitoring (HBPM) to confirm the diagnosis of hypertension if the office blood
pressure is between 140/90 mm Hg and 180/120 mm Hg. ABPM and HBPM can also
detect white coat hypertension (high blood pressure in the office but normal at
home) or masked hypertension (normal blood pressure in the office but high at
home), which may affect treatment decisions.
 Use an average of multiple readings taken on different occasions to diagnose
hypertension, rather than a single reading. The American Heart Association
recommends taking two readings one minute apart and recording the results using a
printable tracker or a device with built-in memory.
 Follow the standard protocols for blood pressure measurement, such as sitting
correctly, resting for at least five minutes before measurement, avoiding smoking,
caffeine, or exercise within 30 minutes before measurement, and using a cuff that
fits properly.
 Use the appropriate thresholds for different measurement techniques to
diagnose hypertension. For example, the 2018 European Society of
Hypertension and 2019 National Institute for Health and Care Excellence
guidelines recommend using an average threshold of 140/90 mm Hg for office
diagnosis of hypertension, but 135/85 mm Hg for home and 130/80 mm Hg for
24-hour ambulatory monitoring.
 Consider the overall cardiovascular risk of the person before initiating
treatment for hypertension, rather than relying solely on blood pressure
readings. Factors such as age, sex, smoking status, cholesterol levels,
diabetes, kidney disease, and family history may affect the risk of
cardiovascular events and the potential benefits and harms of treatment.
THANK YOU