Hypertension + Heart Failure - Evaluation and Management Guidelines

Published by: Apollo Managed Care Consultants

Published: May. 1, 2007 - 111 Pages

Table of Contents

Hypertension

Incidence and prevalence

Diagnostic criteria for hypertension

Measuring BP

‘White Coat Hypertension

Ambulatory blood pressure monitoring (ABPM)

Prevention of hypertension

Magnesium intake

Home blood pressure readings

Primary or essential hypertension

Secondary hypertension

Renovascular hypertension

Nocturnal blood pressure levels

Hypertension in diabetes

Hypertension and pregnancy

Hypertension and renal disease

Hypertension and cardiac disease

Hypertension and lead exposure

Echocardiography

Follow-up visits for mild to moderate hypertension

Indications for additional lab or radiologic evaluation

Isolated systolic hypertension

Malignant hypertension

Hypertension definitions - Table I.

Retinopathy

Secondary Hypertension - Table II.

History, etiologic factors

Obesity - Hypertension relationships

Physical and laboratory evaluation

Patient education

Surgery in the hypertensive patient

Therapy - nonpharmacologic

Stress reduction

Exercise (update 4-05, 7-05)

Diet issues including sodium, calcium, potassium, soy, alcohol, folate, other

Dash diet

Mediterrean diet

Pharmacologic therapy

Anti-hypertensive therapy in black patients

Dual indications for common antihypertensive agents

Step Therapy

Common oral antihypertensive drugs by class (table)

Recommendations from JNC 7

Quality measures - HEDIS, AHA/AMA

Hypertension References and Resources

Scientific references

Patient Resources

Hypertension-related web sites

Heart Failure

Introduction

Symptoms and signs of HF

Staging or classification of HF

Diastolic HF (update 11-06)

Electrocardiogram as a predictor

Emotional stress can precipitate severe acute reversible left ventricular dysfunction

What about alcohol?

Treatment - nonpharmacologic

Diet - sodium, Dash diet

Biventricular Pacing/Resynchronization - Indications for pacing

Exercise training in HF

Case Management - comprehensive care to avoid readmissions

Treatment - Pharmacologic (overview)

Contra-indicated drug therapy

Nesiritide, B-Type Natriuretic Peptide, Natrecor ®

Viagra

Sleep apnea associated with HF

Hospital management: Admission and Discharge Criteria Guidelines

Post-discharge care

Case management

Quality care for heart failure

Clinical Performance Measures

Outcome Measures

Heart Failure References and Resources

References

Web resources

Abstract

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