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02 Mar 2020Registered users

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NICE stipulates that two of the following are required for the diagnosis of hypertension: clinic blood pressure (BP) ≥ 140/90 mmHg and ambulatory BP monitoring (ABPM) daytime average or home BP monitoring (HBPM) average ≥ 135/85 mmHg. If BP measured in the clinic is ≥ 140/90 mmHg a second reading should be taken and a third if the second is substantially different from the first. The lower of the last two measurements should be recorded as the clinic BP. ABPM should be used to confirm diagnosis unless clinic BP is very high (≥ 180/120 mmHg). HBPM is an option if ABPM is unsuitable or not tolerated. Evaluation of newly diagnosed hypertension includes an assessment of underlying cardiovascular disease (CVD) risk and target organ damage. QRISK3 should be used to predict the 10-year risk of a CVD event. 

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