The abridged South African hypertension guideline 2011
Journal Article
2013
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Authors
Journal Title
South African Family Practice
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Journal ISSN
Volume Title
Publisher
South African Academy of Family Physicians
Publisher
University of Cape Town
Department
Faculty
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Abstract
Extensive data from randomised controlled trials have shown the benefit of treating hypertension. The target blood pressure (BP) for antihypertensive management is < 140/90 mmHg, and < 130/80 mmHg in patients with end-organ damage, coexisting risk factors, and co-morbidity. Benefits of management include reduced risk of death, stroke, cardiac failure, chronic kidney disease, and coronary heart disease. The correct BP measurement procedure is described, and evaluation of cardiovascular risk factors and recommendations for antihypertensive therapy, are stipulated. Lifestyle modification and patient education are cornerstones in the management of every patient. Major indications, precautions, and contraindications to each recommended antihypertensive drug are listed. Combination therapy should be considered ab initio if the BP is ≥ 20/10 mmHg above goal. First-line drug therapy for uncomplicated essential hypertension includes low-dose thiazide-like diuretics, calcium-channel blockers, angiotensin-converting enzyme inhibitors, or angiotensin-receptor blockers. The guideline was developed by the Southern African Hypertension Society.
Description
Reference:
Seedat, Y. K., & Rayner, B. L. (2013). The abridged South African hypertension guideline 2011. South African Family Practice, 55(2), 111-116.