2012 canadian recommendations for the management of hypertension

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    2012Canadian Recommendations for

    the Management of Hypertension

    CHEP WhatsNew?WhatsStillReallyImpo

    Canadian Hypertension Education Program

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    Hypertension Care Pearls

    HypertensionInternetResourcesHypertension Canada

    www.hypertension.ca

    CompleteCanadianHypertension

    EducationProgram(CHEP)

    recommendations and slide decks

    Signupnowforregular

    HypertensionCanadaresource

    updates PatientandHCPResources

    Instructionsforpurchasingand

    usinghomebloodpressure

    measurement devices

    Haveyourpatientssignupto

    accessthelatesthypertension

    resources

    Heart and Stroke Foundation,

    My Heart&Stroke Blood

    Pressure Action Plan

    www.heartandstroke.ca/BP MyHeart&StrokeBloodPressure

    Action Plan

    www.heartandstroke.ca

    Generallifestylechange

    information

    Canadian Diabetes

    Association

    www.diabetes.ca/

    for-professionals/

    resources/2008-cpg/

    2008clinicalpracticeguidelines

    Canadian Stroke Network

    www.sodium101.ca

    PatientandHCPresourceon

    dietary sodium

    Public Health Agency of

    Canada

    www.PHAC-ASPC.gc.ca

    Resourcesonhypertensionand

    chronicdiseasepreventionand

    management

    Interprofessional team care

    Involvement of an interprofessional team improves adherence

    Lifestyle changes are important to make

    Frequent brief interventions double the rate of lifestyle changes

    All hypertensives require lifestyle assessment and ongoing support

    to initiate and maintain lifestyle changes

    50% of hypertensives < 45 years old are not treated

    with antihypertensives, even if they have multiple

    cardiovascular risks

    Start pharmacotherapy for hypertensives with multiple

    cardiovascular risks factors immediately, in addition to lifestyle

    changes

    In particular, reduce risk factors in smokers who cannot quit

    Combination therapy of ACE inhibitor with ARB

    Reassess all patients on this combination

    Consider other combinations

    Should only be considered in selected and closely monitored

    patients with advanced heart failure, or severe proteinuric

    nephropathy

    The web page below shows the initial assessment

    screen of The Heart and Stroke Foundations online

    consumer education tool My Heart&Stroke Blood

    Pressure Action Plan. It will help educate your patients

    about the importance of managing their blood pressure

    and provide ways to help them do so.

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    2012 Key Messages

    Assess blood pressure at all appropriate visits.

    Maintaining a healthy lifestyle and weight lowers blood pressure and prevents hypertension.

    Promote: smoking cessation, healthy diet, dietary sodium restriction and increased physical activity.

    Lower blood pressure to