Managing Stage 1 Hypertension

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Questions and Answers

According to SIGN (2017), when should antihypertensive drug treatment be considered for patients aged under 60 years with stage 1 hypertension?

  • When they have a clinic blood pressure of over 150/90 mmHg
  • When they have established cardiovascular disease
  • When they have target-organ damage
  • When their estimated 10 year cardiovascular risk is below 10% (correct)

What is the definition of severe hypertension according to the text?

  • A clinic diastolic blood pressure of 90 mmHg or higher
  • A clinic systolic blood pressure of 140 mmHg or higher
  • A clinic systolic blood pressure of 180 mmHg or higher, or a clinic diastolic blood pressure of 120 mmHg or higher (correct)
  • An ambulatory daytime average or home blood pressure average of 150/95 mmHg or higher

When should antihypertensive drug treatment be offered according to SIGN (2017)?

  • To all patients with stage 1 hypertension
  • To patients with a sustained clinic systolic blood pressure over 140 mmHg and/or diastolic blood pressure over 90 mmHg regardless of age (correct)
  • To patients with a clinic blood pressure of over 150/90 mmHg
  • To patients who have had a haemorrhagic or ischaemic stroke, or transient ischaemic attack even when their baseline blood pressure is at a level that would be considered conventionally normotensive

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