Hypertension

Hypertension Canada Guidelines

• For the diagnosis and management of hypertension (complicated and uncomplicated)

• Includes blood pressure targets for various populations (high risk, DM, non diabetic CKD,others) 

BC Guidelines 

• Provides recommendations on how to diagnose and manage hypertension (HTN) in adults. Management of secondary causes of HTN, accelerated HTN, acute HTN in emergency settings, and HTN in pregnancy are out of scope. 

Cardiovascular Disease Risk Assessment

These tools are the most reliable way to estimate CVD risk. Risk assessment is for primary prevention. Individuals with known CVD (i.e. secondary prevention) are automatically classified as high risk for recurrent events. 

Framingham Calculator (MD Calc) 

• For use in non-diabetic patients age 30-79 years with no prior history of coronary heart disease or intermittent claudication, as it is the most widely applicable to patients without previous cardiac events

Framingham PDF 

• Estimates 10-year CVD risk 

McGill MyHealthCheckup

• Interactive cardiometabolic age risk calculator 

Hypertension Canada Guidelines

• 2020 - 2025 guidelines

1. Which of the following accurately describes a diagnosis for hypertension?  

a) A diabetic patient with an OBPM >120/80 mmHg on 3 different occasions 

b) A nondiabetic patient with a 24-hr mean ABPM >130/80 mmHg 

c) A diabetic patient with an OBPM >120/90 mmHg on 3 different occasions  

d) A nondiabetic patient with an OBPM > 125/85 mmHg on 2 different occasions  

2. Which of the following are possible complications of untreated/uncontrolled hypertension?  

a) Dementia 

b) Primary hyperaldosteronism 

c) Osteoarthritis 

d) All of the above

3. Which of the following is correct regarding combination therapy for treating HTN?  

a. Multiple drugs are often required to reach target levels, particularly in T2DM patients 

b. Multiple antihypertensive agents should be replaced with single pill combination therapy  

c. Low doses of multiple drugs may be more effective and better tolerated than higher doses of fewer drugs  

d. All of the above 

4. Which is the most appropriate blood pressure target for treating hypertension in a patient with diabetes mellitus?  

a) BP <140/90 mmHg 

b) SBP <120 mmHg 

c) BP <130/80 mmHg 

d) SBP < 110 mmHg 

5. Under which conditions would a patient be considered "High Risk" for cardiovascular disease?  

a) Established CVD or CKD  

b) 10-yr CV risk > 15%  

c) Age > 75 years 

d) All of the above