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Hypertension

• National Institute for Health and Care Excellence •

  1. People with suspected hypertension are offered ambulatory blood pressure monitoring (ABPM) to confirm a diagnosis of hypertension.
  2. People with newly diagnosed hypertension receive investigations for target organ damage within 1 month of diagnosis.
  3. People with newly diagnosed hypertension and a 10-year cardiovascular disease risk of 20% or higher are offered statin therapy.
  4. People with treated hypertension have a clinic blood pressure target set to below 140/90 mmHg if aged under 80 years, or below 150/90 mmHg if aged 80 years and over.
  5. People with hypertension are offered a review of risk factors for cardiovascular disease annually.
  6. People with resistant hypertension who are receiving 4 antihypertensive drugs and whose blood pressure remains uncontrolled are referred for specialist assessment.

full quality standards including quality measures avaliable from…
National Institute for Health and Care Excellence, MidCity Place
Tel – http://www.nice.org.uk/guidance/qualitystandards/qualitystandards.jsp

National Institute for Health and Care Excellence. Quality Standards Programme: Hypertension. March 2013