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Holistic Management of Hypertension: Non-Pharmacologic Approaches in Canada

This guide focuses on lifestyle modifications for hypertension, raising awareness about high blood pressure in Canada, and the importance of timing the initiation of therapy based on risk levels and target organ damage. It covers significant issues like choice of anti-hypertensive therapy, evidenced-based guidelines, efficacy, safety, and cost considerations. Educate yourself with the gold standard of hypertension care.

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Holistic Management of Hypertension: Non-Pharmacologic Approaches in Canada

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  1. Therapeutic Options in Hypertension Non-pharmacologic approaches © Continuing Medical Implementation …...bridging the care gap

  2. Awareness, Treatment and Control of High Blood Pressure in Canada 16% 42% 23% 19% Patients unaware of their high blood pressure 42% Aware but not treated and not controlled 19% Treated but not controlled 23% Treated and controlled 16% Adapted from: Am J Hypertens 1997; 10:1097-1102. © Continuing Medical Implementation …...bridging the care gap

  3. Lifestyle Modification for Hypertension • Lose Weight (BMI  25) • Limit alcohol < 2 drinks/day • Increase aerobic activity • Reduce sodium intake • Maintain K, Ca, Mg • Smoking cessation • Reduce intake of fats for overall health © Continuing Medical Implementation …...bridging the care gap

  4. Timing the Initiation of Therapy • Confirm diagnosis • Assess risk • Identify target organ damage • Retinopathy • Nephropathy • Vasculopathy-bruits or reduced ABI or pulses • S4 or LVH • Exclude secondary causes © Continuing Medical Implementation …...bridging the care gap

  5. © Continuing Medical Implementation …...bridging the care gap

  6. © Continuing Medical Implementation …...bridging the care gap

  7. © Continuing Medical Implementation …...bridging the care gap

  8. Timing the Initiation of Therapy • Initiate therapy in High Risk andVery HighRiskimmediately & f/u monthly till 2 visits at target • Initiate therapy in Medium Risk after diet/lifestyle trial ~ 3 months & f/u 1-2 monthly • Initiate therapy in Low Risk after diet/lifestyle trial ~ 6 months & f/u 3-6 monthly © Continuing Medical Implementation …...bridging the care gap

  9. © Continuing Medical Implementation …...bridging the care gap

  10. When you come to a fork in the road… ….take it. Yogi Berra

  11. Choice of Anti-hypertensive Therapy • Guidelines • Efficacy • Tolerability • Safety • Specific indications • Contra-indications • Outcome • Cost © Continuing Medical Implementation …...bridging the care gap

  12. Hypertension EvidenceThe Gold standard © Continuing Medical Implementation …...bridging the care gap

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