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NICE hypertension guidelines 2006 |
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NICE hypertension guidelines 2006 |
NICE guideline for
management of hypertension in adults in primary care
Quick reference guide to NICE
hypertension guideline
Ask patients about their diet and exercise patterns, and offer guidance and written or audiovisual information.
Ask about alcohol consumption and encourage patients to cut down if they drink excessively.
Discourage excessive consumption of coffee and other caffeine-rich products.
Encourage patients to reduce their salt intake or use a substitute.
Offer smokers advice and help to stop smoking.
Tell patients about local initiatives (for example, run by healthcare teams or patient organisations) that provide support and promote lifestyle change.
Urine test for protein (using test strip)
Plasma glucose, electrolytes, creatinine, serum total cholesterol and HDL cholesterol.
12-lead electrocardiography.
Offer drug therapy to patients with:
persistent high blood pressure of 160/100 mmHg or more
persistent blood pressure above 140/90 mmHg and raised cardiovascular risk (1 0-year risk of cardiovascular disease of at least 20%, existing cardiovascular disease or target organ damage).
See flow chart below for choice of drugs.
Aim to reduce blood pressure to 140/90 mmHg or less, adding more drugs as needed, until further treatment is inappropriate or declined.
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