II. Epidemiology
- Most common type of Hypertension in adults
III. Criteria
- Systolic Blood Pressure: >140 mmHg (previously >160)
- Diastolic Blood Pressure: <90 mmHg
IV. Complications: Cardiovascular Risk
-
General
- Systolic pressure predicts risk better than diastolic
- Wide Pulse Pressure best predicts cardiovascular risk
- Adverse Effects
- Doubles all cause mortality
- Triples cardiovascular mortality
- Increases cardiovascular morbidity 2.5 fold
V. Management
- Use lower antihypertensive dosages
- First Choice Medication: Diuretic
- Even better benefit in Diabetes Mellitus with ISH
- Study of 4736 type II diabetics
- Lower Incidence of cardiac events
- Lower Incidence of Cerebrovascular Accidents
- Lower Incidence of Myocardial Infarction
- Reference
- Lower Incidence of cardiac events
- Other Medications
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| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 194759009, 56218007 |
| Italian | Ipertensione sistolica |
| Japanese | 収縮期高血圧, ｼｭｳｼｭｸｷｺｳｹﾂｱﾂ |
| Czech | Systolická hypertenze |
| Hungarian | Systolés hypertonia |
| English | systolic hypertension, systolic hypertension (diagnosis), hypertension systolic, Systolic hypertension, Systolic hypertension (disorder), Systolic Hypertension |
| Spanish | hipertensión arterial sistólica (trastorno), hipertensión arterial sistólica, Hipertensión sistólica |
| Portuguese | Hipertensão sistólica |
| Dutch | systolische hypertensie |
| French | Hypertension systolique |
| German | Systolische Hypertonie |
