Aucun titre de diapositive

1
2000 Canadian Recommendations for the Management
of Hypertension
DIAGNOSIS AND FOLLOW-UP OF HYPERTENSION
Jan 18, 2001
2
Blood Pressure Assessment
Patients should be assessed at all appropriate
visits To determine cardiovascular risk To
monitor antihypertensive treatment
3
Recommended Technique for Measuring Blood
Pressure
Standardized technique Have the patient rest
for 5 minutes Use an appropriate cuff size
Use a mercury manometer or a recently calibrated
electronic device
4
Recommended Technique for Measuring Blood
Pressure (cont.)
Position cuff appropriately Increase pressure
rapidly Support arm with antecubital fossa or
heart level To exclude possibility of
auscultatory gap, increase cuff pressure rapidly
to 30 mmHg above level of diseappearance of
radial pulse Place stethoscope over the
brachial artery
5
Recommended Technique for Measuring Blood
Pressure (cont.)
Drop pressure by 2 mmHg / beat - appearance
of sound (phase I Korotkoff) systolic
pressure - disappearance of sound (phase V
Korotkoff) diastolic pressure Take 2 blood
pressure measurements, 1 minute apart
6
Criteria for Diagnosis
7
Criteria for Diagnosis II
8
Criteria for Diagnosis III
9
Criteria for Diagnosis IV
10
Diagnosis of hypertension Summary
11
Recommendations for Follow-up
12
Routine and optional laboratory tests
13
Investigation for renovascular hypertension
14
Home Monitoring of BPSpecific Role in Selected
Patients
15
Home Monitoring of BPSpecific Role in Selected
Patients
16
Ambulatory Monitoring of BPTo Be Considered for
Specific Indications
17
Ambulatory Monitoring of BPTo Be Considered for
Specific Indications
18
The Role of EchocardiographyTo Be Considered
for Specific Indications