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
-
Diuretics are first Choice Medication
- 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