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Abstract: . . . reminder/ recall system is mandatory as patients may revert to hypertension at any time. A reasonable regimen is weekly visits for two weeks, then fortnightly for two months, monthly visits for six months, and six monthly indefinitely. n Keep good records of all treatments used and their outcomes. n Use other drug therapies as appropriate to reduce cardiovascular disease risk: Diabetes: Good diabetic control lowers cardiovascular risk. Cholesterol lowering therapy: Lowering serum cholesterol reduces the risk of primary and secondary coronary heart disease (Refer to Lipid Management Guidelines 2001 at www.heartfoundation.com.au ). Aspirin: It is reasonable to use low dose aspirin in those patients with hypertension who have well controlled blood pressure, are at high or very high risk from coronary heart disease and are not particularly at risk of gastrointestinal or other bleeding. Aspirin is particularly indicated as a preventive measure in those patients who have already suffered a cerebrovascular event considered to be of ischaemic origin. (Modified from Guidelines Subcommittee of the WHO-ISH: 1999 WHO-ISH guidelines for the management of hypertension . J Hypertens 1999, 17:151-183.) Modified from: Guidelines Subcommittee of the WHO-ISH: 1999 WHO-ISH guidelines for the management of hypertension . J Hypertens 1999; 17: 151-183. Antihypertensive drug treatment initiated Goal blood pressure achieved Figure 3: Stabilisation, maintenance and follow-up after initiation of drug therapy. High . . . --3000,1,1500,1836,64497
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