📌Free webinar on "Hypertension Management" High blood pressure is a common condition that affects the body's arteries. It's also called hypertension. If you have high blood pressure, the force of the blood pushing against the artery walls is consistently too high. The heart has to work harder to pump blood. A normal blood pressure level is less than 120/80 mmHg. The higher your blood pressure levels, the more risk you have for other health problems, such as heart disease, heart attack, and stroke. Purpose: The purpose of this webinar is to help participants learn how to reduce hypertension, prevents heart attack, stroke, and kidney damage, as well as other health problems.

1. Hypertension &
Management
Dr Sheikh Muhammad Huzaifa

2. When ever you think of Hypertension which
comes first in your mind ?

3. Overview
• High blood píessuíe, also called hypeítension,
is blood píessuíe that is higheí than noímal.
Youí blood píessuíe changes thíoughout the
day based on youí activities. Having blood
píessuíe measuíes consistently above noímal
may íesult in a diagnosis of high blood
píessuíe (oí hypeítension).

4. Working Definition By (WHO)
• Hypertension ̶ or elevated blood pressure ̶ is
a serious medical condition that significantly
increases the risks of heart, brain, kidney and
other diseases.
• Epidemiology : An estimated 1.28 billion adults
aged 30-79 years worldwide have hypertension,
most (two-thirds) living in low- and middle-
income countries

5. Types of Hypertension
• There are 2 Types
• 1.Primary
•2 Secondary
Primary
• 1.No underlying Cause
• 2.90% world Population
• 3.>25 Years

6. Types of Hypertension
Secondary
1.Renal : CKD, APKD, Nephritic syndrome, etc…
2.Congenital : Coarctation of Aorta
3.Endocrinal : Acromegaly, Phechromocytoma, DM,
Cushing, Conn syndrome (Hyperaldosteronism)
4.Drugs : OCPs, cocaine, NSAIDs
5.Obstetrical : Pre-eclampsia, etc….

8. Why Hypertension is knownas “Silent Killer”?

9. Classification
• Recommendationsregardingclassificationfor
Blood pressure and targetblood pressure differ
betweenclinicalpracticeguidelines.
• Guidelineswe used in this slides are :
• 1.British Hypertension society(B.H.S)
• 2.8thJoint National Committee(J.N.C)
• 3. International societyof Hypertension(I.S.H)
• 4.AmericanHeartAssociation(A.H.A)

14. Life style Modification
• 1.DASH Diet : Diet Rich in Fruits, Vegetables and
whole grains, Low saturated Fat and Trans Fat
Reduces BP approx 11 mmHg
• 2.Decrease sodium Intake <1500 mg Reduces BP
Approx 5-6 mmHg
• 3.Decrease Alcohol and Quit Smoking
• 4.Daily Excersice (Brisk walks 30 min) Minimum 3
Times/wk and (Leslie walk on YouTube)

17. Principle Of Treatment
• 1.Start an Appropriate Drug according to Age in
Lowest possible dose, Follow up every 2 weeks
• 2.Tritrate it upward slowly if needed
• 3.Failure of 1 Anti-Hypertensive (Max Dose) to
achieve Target BP Indications of Next step is to
add on 2nd drug
• 4. Failure of 3 Anti-Hypertensive in its Max dose
to Achieve Target BP is Known as Resistant HTN

18. Anti-Hypertensive Treat For Co-Morbidities
• 1.D.M : ACEI
• 2.CHF : ACEI, BB, Spiranolactone
• 3.IHD : ACEI , BB
• 4.Hyperthyrodism : BB
• 5.Migraine : BB, CCB
• 6.B.P.H : Alpha Blockers
• 7.Osteoporosis : Thiazide Diuretics
• 8.Pre-Operative HTN : BB
• 9.Dyslipisemia : Alpha Blockers
• 10.Renal Insufficiency : ACEI
• 11.(P.I.H) : Alpha Methyl Dopa

19. Contraindications
• 1.DM don’t give (B.B Mask Features of
Hypoglycemia )
• 2. Renal Artery stenosis don’t give ACEI
• 3.Depression don’t giveAlpha methyl Dopa
• 4.Chronic Renal Failure don’t give
Spiranolactone
• 5.Bronchospasm don’t give B.B

23. Thanks ....Any Questions ?