n CME : Your SA Journal of CPD - Hypertension and its management : what a family physician needs to know : main article
|Article Title||Hypertension and its management : what a family physician needs to know : main article|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Publication Date||May 2006|
|Pages||244 - 249|
|Keyword(s)||Anti-hypertensive drugs, Causes, Contra-indications, Family physician, Hypertension, Indications, Management, Physical examination, Prevalence, Symptoms and Treatment|
In a nutshell, the following are the key points in family medicine and primary health care with regard to hypertension: <BR>Blood pressure should be recorded accurately. <BR>Most patients with hypertension have neither signs nor symptoms. <BR>Approximately 20% of patients who by all other criteria have essential hypertension have suppressed plasma renin activity. <BR>Investigations include: urinalysis - protein, glucose and blood, urea and electrolytes, creatinine, random blood glucose, electrocardiogram: there may be changes consistent with left ventricular hypertrophy secondary to hypertension. in the ECG SV<sub>1</sub> + RV<sub>5</sub> or RV<sub>6</sub> (whichever is tallest) > 35 mm (Sokolow Lyon criterion), random total cholesterol level. <BR>There are 3 important antihypertensive agents for the management of persons without compelling indications: diuretics (thiazide-like and thiazide), angiotensin-converting enzyme inhibitors (ACE-I) and calcium-channel blockers (CCBs). <BR>For a full discussion of antihypertensive treatment see the recent South African Hypertension Society Guideline 2006.
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