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Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

الكلية كلية التمريض     القسم قسم العلوم الطبية الاساسية     المرحلة 3
أستاذ المادة عمار عباس شعلان الحميري       15/03/2016 10:48:13
The purpose of the Seventh Report of the Joint
National Committee on Prevention, Detection,
Evaluation, and Treatment of High Blood
Pressure (JNC 7) is to provide an evidence-based
approach to the prevention and management of
hypertension. The key messages of this report
are: in those older than age 50, systolic blood
pressure (SBP) of >140 mmHg is a more important
cardiovascular disease (CVD) risk
factor than diastolic BP (DBP); beginning
at 115/75 mmHg, CVD risk doubles for each
increment of 20/10 mmHg; those who are
normotensive at 55 years of age will have a
90 percent lifetime risk of developing hypertension;
prehypertensive individuals (SBP 120–139
mmHg or DBP 80–89 mmHg) require healthpromoting
lifestyle modifications to prevent the
progressive rise in blood pressure and CVD; for
uncomplicated hypertension, thiazide diuretic
should be used in drug treatment for most,
either alone or combined with drugs from other
classes; this report delineates specific
high-risk conditions, which are compelling
indications for the use of other antihypertensive
drug classes (angiotensin-converting enzyme
inhibitors, angiotensin-receptor blockers, beta
blockers, calcium channel blockers); two or
more antihypertensive medications will be
required to achieve goal BP (<140/90 mmHg,
or <130/80 mmHg for patients with diabetes
and chronic kidney disease); for patients whose
BP is >20 mmHg above the SBP goal or 10
mmHg above the DBP goal, initiation of therapy
using two agents, one of which usually will be a
thiazide diuretic, should be considered; regardless
of therapy or care, hypertension will only
be controlled if patients are motivated to stay on
their treatment plan. Positive experiences, trust
in the clinician, and empathy improve patient
motivation and satisfaction. This report serves
as a guide, and the committee continues to
recognize that the responsible physician’s
judgment remains paramount.

المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .