GPAC guideline: Hypertension—Diagnosis and Management

Issue: BCMJ, vol. 58 , No. 3 , April 2016 , Pages 152 News

The Guidelines and Protocols Advisory Committee’s (GPAC) guideline for Hypertension—Diagnosis and Management provides recommendations on how to diagnose and manage hypertension (HTN) in adults aged ≥ 19 years and is available to physicians across British Columbia via

Key recommendations
•    140/90 or lower is the desirable blood pressure reading for an adult with no comorbid conditions, diabetes, chronic kidney disease, or other target organ damage.
•    When taking office blood pressure readings, the use of an automated office blood pressure measuring electronic device is recommended.
•    Consider 24-hour ambulatory blood pressure monitoring or home blood pressure monitoring to confirm a hypertension diagnosis. 
•    Instigate pharmaceutical management in the context of the patient’s overall cardiovascular risk and not solely on their blood pressure.
•    Lifestyle management is recommended for those with mild hypertension (average blood pressure = 140 – 159/90 – 99), low risk for cardiovascular disease, and no comorbidities.

. GPAC guideline: Hypertension—Diagnosis and Management. BCMJ, Vol. 58, No. 3, April, 2016, Page(s) 152 - News.

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Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

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