72 Questions
Which of the following is true regarding the blood pressure threshold for the diagnosis of hypertension?
Clinic blood pressure of 140/90 mmHg or higher
For which patients with stage 1 hypertension should antihypertensive drug treatment be considered?
Patients with target-organ damage, cardiovascular disease, renal disease, diabetes, or a 10-year cardiovascular risk ≥10%
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment in patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%?
140/90 mmHg
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment in patients over 80 years with a clinic blood pressure over 150/90 mmHg?
150/90 mmHg
What should be considered for patients under 40 years with stage 1 hypertension?
Specialist advice for evaluation of secondary causes of hypertension
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment according to SIGN (2017)?
140/90 mmHg
What is the clinic blood pressure range for stage 2 hypertension?
160/100 mmHg or higher but less than 180/120 mmHg
What is the clinic blood pressure threshold for severe hypertension?
180/120 mmHg or higher
When is same-day specialist referral needed for patients with suspected phaeochromocytoma?
Clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema
What should be estimated and assessed for all patients with confirmed hypertension using clinic blood pressure measurements?
Cardiovascular risk
What is the recommended clinic blood pressure threshold for patients under 80 years?
140/90 mmHg
What is the recommended ambulatory or home blood pressure monitoring threshold for patients over 80 years?
145/85 mmHg
Which of the following is true regarding the blood pressure threshold for the diagnosis of hypertension?
Clinic blood pressure of 140/90 mmHg or higher
For which patients with stage 1 hypertension should antihypertensive drug treatment be considered?
Patients with target-organ damage, cardiovascular disease, renal disease, diabetes, or a 10-year cardiovascular risk ≥10%
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment in patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%?
140/90 mmHg
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment in patients over 80 years with a clinic blood pressure over 150/90 mmHg?
150/90 mmHg
What should be considered for patients under 40 years with stage 1 hypertension?
Specialist advice for evaluation of secondary causes of hypertension
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment according to SIGN (2017)?
140/90 mmHg
What is the clinic blood pressure range for stage 2 hypertension?
160/100 mmHg or higher but less than 180/120 mmHg
What is the clinic blood pressure threshold for severe hypertension?
180/120 mmHg or higher
When is same-day specialist referral needed for patients with suspected phaeochromocytoma?
Clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema
What should be estimated and assessed for all patients with confirmed hypertension using clinic blood pressure measurements?
Cardiovascular risk
What is the recommended clinic blood pressure threshold for patients under 80 years?
140/90 mmHg
What is the recommended ambulatory or home blood pressure monitoring threshold for patients over 80 years?
145/85 mmHg
What is the clinic blood pressure threshold for diagnosing hypertension in patients according to NICE and SIGN guidelines?
140/90 mmHg
Which patients with stage 1 hypertension require antihypertensive drug treatment according to the guidelines?
Patients with target-organ damage
What is the clinic blood pressure threshold for considering antihypertensive drug treatment for patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%?
140/90 mmHg
What is the recommended clinic blood pressure threshold for considering antihypertensive drug treatment for patients over 80 years?
160/110 mmHg
For which patients with stage 1 hypertension should specialist advice for evaluation of secondary causes of hypertension be considered?
Patients under 40 years
What is the clinic blood pressure threshold for stage 2 hypertension according to the guidelines?
160/110 mmHg or higher
What is the clinic systolic blood pressure threshold for severe hypertension according to the guidelines?
180 mmHg or higher
What is the recommended action for patients with suspected phaeochromocytoma or clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema?
Same-day specialist referral
What is the recommended clinic blood pressure threshold for patients under 80 years according to the guidelines?
140/90 mmHg
What is the recommended ambulatory or home blood pressure monitoring threshold for patients over 80 years according to the guidelines?
150/90 mmHg
What is the recommended action for all patients with confirmed hypertension according to the guidelines?
Clinic blood pressure should be reduced and maintained below 140/90 mmHg
What is the recommended clinic blood pressure threshold for patients over 80 years according to the guidelines?
150/90 mmHg
What is the clinic blood pressure threshold for patients over 80 years to be considered for antihypertensive drug treatment?
150/90 mmHg
For which patients with stage 1 hypertension should antihypertensive drug treatment be considered according to NICE and SIGN guidelines?
All of the above
What should be considered for patients under 40 years with stage 1 hypertension?
Specialist advice for evaluation of secondary causes of hypertension
What is the clinic blood pressure range for stage 1 hypertension according to NICE and SIGN guidelines?
140/90 mmHg to 159/99 mmHg
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment according to SIGN (2017)?
140/90 mmHg
What is the recommended clinic blood pressure threshold for patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%?
140/90 mmHg
What is the recommended clinic blood pressure threshold for severe hypertension?
180/120 mmHg
When is same-day specialist referral needed for patients with suspected phaeochromocytoma?
Clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema
What is the recommended clinic blood pressure threshold for patients over 80 years?
150/90 mmHg
What is the recommended ambulatory or home blood pressure monitoring threshold for patients over 80 years?
145/85 mmHg
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment for patients over 80 years with a clinic blood pressure over 150/90 mmHg?
150/90 mmHg
What should be estimated and assessed for all patients with confirmed hypertension using clinic blood pressure measurements?
10-year cardiovascular risk
What is the clinic blood pressure range for stage 1 hypertension?
140/90 mmHg to 159/99 mmHg
For which patients under 60 years with stage 1 hypertension should antihypertensive drug treatment be considered?
Those with a 10-year cardiovascular risk ≥10%
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment in patients over 80 years with a clinic blood pressure over 150/90 mmHg?
150/90 mmHg
What should be considered for patients under 40 years with stage 1 hypertension?
Specialist advice for evaluation of secondary causes of hypertension
What is the clinic blood pressure threshold for severe hypertension?
180 mmHg or higher or clinic diastolic blood pressure of 120 mmHg or higher
When is same-day specialist referral needed for patients with suspected phaeochromocytoma?
Clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment according to SIGN (2017)?
Sustained clinic blood pressure over 140/90 mmHg and/or diastolic blood pressure over 90 mmHg regardless of age
What is the clinic blood pressure range for stage 2 hypertension?
160/100 mmHg or higher but less than 180/120 mmHg
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment in patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%?
140/90 mmHg
What should be estimated and assessed for all patients with confirmed hypertension using clinic blood pressure measurements?
Cardiovascular risk
What is the recommended clinic blood pressure threshold for patients under 80 years?
Below 140/90 mmHg
What is the recommended ambulatory or home blood pressure monitoring threshold for patients over 80 years?
Below 145/85 mmHg
What is the clinic blood pressure range for stage 1 hypertension?
140/90 mmHg to 159/99 mmHg
When should antihypertensive drug treatment be considered for patients under 60 years with stage 1 hypertension?
When the estimated 10-year cardiovascular risk is below 10%
What should be considered for patients under 40 years with stage 1 hypertension?
Specialist advice for evaluation of secondary causes of hypertension
What is the clinic blood pressure threshold for severe hypertension?
180 mmHg or higher or clinic diastolic blood pressure of 120 mmHg or higher
When is same-day specialist referral needed for patients with suspected phaeochromocytoma?
Clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment according to SIGN (2017)?
140/90 mmHg or higher
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment in patients over 80 years with a clinic blood pressure over 150/90 mmHg?
150/90 mmHg or higher
What is the recommended clinic blood pressure threshold for patients under 80 years?
Below 140/90 mmHg
What is the recommended ambulatory or home blood pressure monitoring threshold for patients over 80 years?
Below 145/85 mmHg
What is the recommended clinic blood pressure threshold for patients with sustained clinic blood pressure over 140/90 mmHg and/or diastolic blood pressure over 90 mmHg regardless of age?
140/90 mmHg or higher
What is the recommended clinic blood pressure threshold for antihypertensive drug treatment for patients with target-organ damage, cardiovascular disease, renal disease, diabetes, or a 10-year cardiovascular risk ≥10%?
140/90 mmHg or higher
What is the clinic blood pressure threshold for stage 2 hypertension?
160/100 mmHg or higher but less than 180/120 mmHg
Study Notes
Hypertension Management Recommendations and Thresholds
- Recommendations for hypertension management and blood pressure thresholds are from NICE and SIGN guidelines.
- Patients with a clinic blood pressure of 140/90 mmHg or higher should be offered ambulatory or home blood pressure monitoring to confirm diagnosis and stage of hypertension.
- Stage 1 hypertension includes clinic blood pressure ranging from 140/90 mmHg to 159/99 mmHg and requires antihypertensive drug treatment for patients with target-organ damage, cardiovascular disease, renal disease, diabetes, or a 10-year cardiovascular risk ≥10%.
- Antihypertensive drug treatment should be considered for patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%.
- Patients over 80 years with a clinic blood pressure over 150/90 mmHg should be considered for antihypertensive drug treatment.
- For patients under 40 years with stage 1 hypertension, specialist advice for evaluation of secondary causes of hypertension should be considered.
- SIGN (2017) recommends antihypertensive drug treatment for patients with sustained clinic blood pressure over 140/90 mmHg and/or diastolic blood pressure over 90 mmHg regardless of age.
- Stage 2 hypertension includes clinic blood pressure of 160/100 mmHg or higher but less than 180/120 mmHg and requires treatment for all patients.
- Severe hypertension includes clinic systolic blood pressure of 180 mmHg or higher or clinic diastolic blood pressure of 120 mmHg or higher and requires prompt treatment.
- Same-day specialist referral is needed for patients with suspected phaeochromocytoma or clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema.
- Cardiovascular risk should be estimated and assessed for all patients with confirmed hypertension using clinic blood pressure measurements.
- Clinic blood pressure should be reduced and maintained below 140/90 mmHg for patients under 80 years and below 150/90 mmHg for patients over 80 years. Ambulatory or home blood pressure monitoring should be maintained below 135/85 mmHg for patients under 80 years and below 145/85 mmHg for patients over 80 years.
Hypertension Management Recommendations and Thresholds
- Recommendations for hypertension management and blood pressure thresholds are from NICE and SIGN guidelines.
- Patients with a clinic blood pressure of 140/90 mmHg or higher should be offered ambulatory or home blood pressure monitoring to confirm diagnosis and stage of hypertension.
- Stage 1 hypertension includes clinic blood pressure ranging from 140/90 mmHg to 159/99 mmHg and requires antihypertensive drug treatment for patients with target-organ damage, cardiovascular disease, renal disease, diabetes, or a 10-year cardiovascular risk ≥10%.
- Antihypertensive drug treatment should be considered for patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%.
- Patients over 80 years with a clinic blood pressure over 150/90 mmHg should be considered for antihypertensive drug treatment.
- For patients under 40 years with stage 1 hypertension, specialist advice for evaluation of secondary causes of hypertension should be considered.
- SIGN (2017) recommends antihypertensive drug treatment for patients with sustained clinic blood pressure over 140/90 mmHg and/or diastolic blood pressure over 90 mmHg regardless of age.
- Stage 2 hypertension includes clinic blood pressure of 160/100 mmHg or higher but less than 180/120 mmHg and requires treatment for all patients.
- Severe hypertension includes clinic systolic blood pressure of 180 mmHg or higher or clinic diastolic blood pressure of 120 mmHg or higher and requires prompt treatment.
- Same-day specialist referral is needed for patients with suspected phaeochromocytoma or clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema.
- Cardiovascular risk should be estimated and assessed for all patients with confirmed hypertension using clinic blood pressure measurements.
- Clinic blood pressure should be reduced and maintained below 140/90 mmHg for patients under 80 years and below 150/90 mmHg for patients over 80 years. Ambulatory or home blood pressure monitoring should be maintained below 135/85 mmHg for patients under 80 years and below 145/85 mmHg for patients over 80 years.
Hypertension Management Recommendations and Thresholds
- Recommendations for hypertension management and blood pressure thresholds are from NICE and SIGN guidelines.
- Patients with a clinic blood pressure of 140/90 mmHg or higher should be offered ambulatory or home blood pressure monitoring to confirm diagnosis and stage of hypertension.
- Stage 1 hypertension includes clinic blood pressure ranging from 140/90 mmHg to 159/99 mmHg and requires antihypertensive drug treatment for patients with target-organ damage, cardiovascular disease, renal disease, diabetes, or a 10-year cardiovascular risk ≥10%.
- Antihypertensive drug treatment should be considered for patients under 60 years with stage 1 hypertension and an estimated 10-year cardiovascular risk below 10%.
- Patients over 80 years with a clinic blood pressure over 150/90 mmHg should be considered for antihypertensive drug treatment.
- For patients under 40 years with stage 1 hypertension, specialist advice for evaluation of secondary causes of hypertension should be considered.
- SIGN (2017) recommends antihypertensive drug treatment for patients with sustained clinic blood pressure over 140/90 mmHg and/or diastolic blood pressure over 90 mmHg regardless of age.
- Stage 2 hypertension includes clinic blood pressure of 160/100 mmHg or higher but less than 180/120 mmHg and requires treatment for all patients.
- Severe hypertension includes clinic systolic blood pressure of 180 mmHg or higher or clinic diastolic blood pressure of 120 mmHg or higher and requires prompt treatment.
- Same-day specialist referral is needed for patients with suspected phaeochromocytoma or clinic blood pressure of 180/120 mmHg or higher with signs of retinal haemorrhage or papilloedema.
- Cardiovascular risk should be estimated and assessed for all patients with confirmed hypertension using clinic blood pressure measurements.
- Clinic blood pressure should be reduced and maintained below 140/90 mmHg for patients under 80 years and below 150/90 mmHg for patients over 80 years. Ambulatory or home blood pressure monitoring should be maintained below 135/85 mmHg for patients under 80 years and below 145/85 mmHg for patients over 80 years.
Test your knowledge of hypertension management recommendations and thresholds with this quiz! From NICE and SIGN guidelines to treatment options and cardiovascular risk assessment, this quiz covers essential information to help healthcare professionals diagnose and manage hypertension. Sharpen your skills and stay up-to-date with the latest guidelines by taking this quiz today!
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