Abstract: . . .  at: http://www.healthservices.gov.bc.ca/cdm/patients/index.html. To assist in achieving the highest standard of care physicians should consider using A registry of their hypertensive patients Automated recall system Flowcharts and checklists Rationale Hypertension remains a major public health issue in Canada. Although the diagnosis and treatment of HT appears simple, this disease remains poorly managed (e.g.) only 50 % of Canadians are aware of their diagnosis and only 16 % have adequate BP control 2 . Heart disease and stroke are the second and third leading causes of death in BC accounting for1/3 of all deaths. 3 Hypertension is a significant and controllable risk factor for heart disease, stroke, heart failure, renal disease and recurrent cardiovascular events. 4 Hypertension is also the most common indication in Canada for visits by adults to doctors. 5 The benefits of lowering blood pressure, in certain settings with certain drugs have been well documented. Reductions in mortality, 6 cardiovascular events, 7 , 8 left ventricular hypertrophy, 9 stroke and myocardial infarction, 10 stroke recurrence, 11 Alzheimers dementia, 12 renal complications, 13 deterioration . . .
. . .  Salt intake Alcohol consumption Weight (target): Diuretic (first choice): Beta blocker ACE/ARB Combination ASA (81 mg) > 10% CHD risk < 70 yrs Other: Height/Weight Calculated BMI (< 27) Fasting glucose Microalbumin (ACR) Every 2nd yr if BP < 160; Annually if > 160 systolic Lipid ratio TC/HDL LDL-C Triglycerides eGFR TESTS RISK CLINICAL EV ALUA TION Ten-year coronary heart disease risk from risk chart (see over): Consider end-organ damage Eyes; Heart/Circulation; Kidneys: VISIT 1 VISIT 2 VISIT 4 VISIT 3 Based on the Guideline Hypertension . Web site: http://www.health.gov.bc.ca/protoguides/index.html High risk: = 20%, target TC/HDL 4 Moderate risk: < 20%, target TC/HDL 5 Page 6 10-year Coronary Artery Disease Risk (Framingham) 4 6 10 12 5 8 12 16 6 1 0 1 6 2 0 4 8 12 16 5 1 0 1 6 2 0 6 1 2 2 0 2 5 4 1 6 1 6 2 0 5 2 0 2 0 2 5 6 2 5 2 5 >30 4 1 2 2 0 2 0 5 1 6 2 5  . . .
--3000,2,750,3152,18425