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Category Hypertension Normal < 130/< 85 Recheck in 2 years.
High Normal 130–139/ 85–89 Recheck in 1 year Hypertension Stage 1 (mild) 140–159/90–99 Confirm within 2 months Stage 2 (moderate) 160–179/100–109 Evaluate or refer within 1 month Stage 3 (severe) 180–209/110–119 Evaluate or refer within 1 week Stage 4 (very severe) > 210 /> 120 Evaluate or refer immediately
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MANAGEMENT OF HYPERTENSION
Primary (Essential) Hypertension Secondary Hypertension
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Primary (Essential) Hypertension
Sympathetic nervous system hyperactivity Renin-angiotensin system Defect in natriuresis Intracellular sodium and calcium Exacerbating factors
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Secondary Hypertension
Estrogen use Renal disease Renal vascular hypertension Primary hyperaldosteronism and Cushing's syndrome Pheochromocytoma Coarctation of the aorta Hypertension associated with pregnancy Other causes of secondary hypertension
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ANTIHYPERTENSIVE DRUG THERPY
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Antihypertensive drugs
Diuretics. Beta-adrenergic blocking agents ACE inhibitors and angiotensin II blockers Calcium channel-blocking agents Alpha-adrenoceptor antagonists
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