Asymptomatic hypertension

JNC-7 Classification

Class	Systolic		Diasolic
Normal	<120	and	<80
Pre-hypertension	120-130	or	80-89
Stage 1	140-150	or	90-99
Stage 2	≥160	or	≥100

Work-Up

• Upreg
• <120 diastolic --> home, outpt rx
• >210 systolic or >120-130 diastolic --> search end organ
  • Chem 7 (creatinine)
  • UA (protein)?
  • ECG?

Note:

The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends an average of 2 or more properly measured, seated blood pressure readings on each of 2 or more office visits to establish the diagnosis

Treatment

• HCTZ all
• 2dary= B-blockers; Ca channel in AA
• also ACE in CHF, DM