peter90036
Forum Elite
Topics: 28
Posts: 315
|
Classification,Treatment of hypertension follows the guidelines published in the JNC reports,
the HTN guidelines can be found at NHLBI Website, latest is JNC7 (2003)
get the JNC7 Full HTN Guidelines PDF, or the shorter version: JNC7 Express PDF
here's a quick info from it, there is alot more in the PDFs.
.jpg)
Edited by peter90036 on 05/11/08 - 05:05 PM
|
| hero
Forum Elite
Topics: 37
Posts: 400
|
about drugs of choice - some good tables there
http://www.emedicine.com/med/TOPIC1106.HTM
|
| Vietnamese
Forum Elite
Topics: 11
Posts: 277
|
In general, new classification lowers threshold of blood pressure figure.
Why?
___________________
Nothing is impossible.
|
| peter90036
Forum Elite
Topics: 28
Posts: 315
|
because of the "bad things" associated with HTN.
recognition of early disease & treatment has more benefits than adverse.
|
| Vietnamese
Forum Elite
Topics: 11
Posts: 277
|
In fact, blood pressure figures are just arbitrary. Hence, when threshold lowers, then HTN population increases significantly. The big issue is the one whether it is cost-effective or not? With new classification, 50,000,000 Americans are effected by HTN.
___________________
Nothing is impossible.
|
| peter90036
Forum Elite
Topics: 28
Posts: 315
|
i wouldn't think its "arbitrary"-random, i'd guess its based on the bell curve, standard deviations and all that statistical stuff,
as for cost effective, does that have to do with NNT (number needed to treat)?
there must be studies that research the point of cost-effectiveness...but i'm pretty sure they wouldnt "increase prevalence" without taking into account many variables such as cost.
|
| Vietnamese
Forum Elite
Topics: 11
Posts: 277
|
I mean that BP figures is not random, just a little "arbitrary" to the point that which BP level are really high blood pressure? It depends on many experts' generalized consent about many aspects.
___________________
Nothing is impossible.
|
| hero
Forum Elite
Topics: 37
Posts: 400
|
here is question.
Obese teen, 150/90 x3 times in office.
What should be done? HCTZ or only recommendations on diet-exercise?
|
| peter90036
Forum Elite
Topics: 28
Posts: 315
|
|
| hero
Forum Elite
Topics: 37
Posts: 400
|
that's algorythm for adults, what about obese 15 y.o. 150/90?
|
| peter90036
Forum Elite
Topics: 28
Posts: 315
|
hey guy/girl
you want me to read the jnc 7 guidelines and paste it here for you?
but i dont think its any different.
|
| hero
Forum Elite
Topics: 37
Posts: 400
|
no, i don't want you to do anything for me  It is different, but don't worry
|
| peter90036
Forum Elite
Topics: 28
Posts: 315
|
Lifestyle interventions should be recommended for
all children with hypertension, with pharmacologic
therapy instituted for higher levels of BP or
if insufficient response to lifestyle modifications
occurs. Teenage children with BP below but near
the 95th percentile should adopt healthy lifestyles
similar to adults with prehypertension.
well, u make me curious then say you dont want anything.... this is like emotional abuse 
i'd like to edit the first post to add the info, but this forum might mess up and lose the pictures and text, so here is the
Guidelines for Hypertension in Children and Adolescents
NHBPEP Working Group Report on Hypertension .PDF.]PPT[/url].
http://hp2010.nhlbihin.net/nhbpep_slds/menu.htm#h...
15yo obese 150/90 (what is the height  ) might be stage 2 HTN
it still says:
"Weight reduction is the primary therapy for obesity-related hypertension. Prevention of excess weight gain can limit future increases in BP"
as for drug therapy Stage2 peds HTN = initiate Tx.
but which goes first tho... lifestyle or drug... or concomitant...
Edited by peter90036 on 06/13/08 - 01:20 PM
|
|
| |
| | | | | | | | | | | | | |
