![]() ![]() CVD For all other patients with a blood pressure persistently ≥ 130/80 mmHg, treatment decisions should be based on their five-year CVD risk calculated using New Zealand primary prevention equations:.≥ 160/100 mmHg), antihypertensive treatment should be initiated immediately, in addition to lifestyle changes, regardless of the patient’s CVD risk (although CVD risk should still be calculated) For patients with severe hypertension (e.g. ![]() However, this may not be achievable for all patients. Early adoption of meaningful changes could delay or prevent the need for antihypertensive medicines later in life. weight loss, increased exercise, dietary changes including reducing sodium intake, limiting alcohol consumption, smoking cessation. Any patient with persistently elevated blood pressure readings should be encouraged to make lifestyle changes, e.g.Consider using 24-hour ambulatory or at-home monitoring to confirm persistently elevated clinic blood pressure readings, if resources are available.The balance between these two factors will influence subsequent management decisions. Consider any elevated readings in the context of a patient’s overall cardiovascular disease (CVD) risk. The line separating blood pressure measurements from being “normotensive” and “hypertensive” is not clear-cut. ![]()
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