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''NICE 2012''
|stage|clinic|ABPM/HPBM|treatment|
|1|140/90|135/85|If <80yrs AND any of - target organ damage, CVS or renal disease, DM, 10yr CVS risk >20% - then give Rx, else lifestyle advice only|
|2|160/100|150/95|offer drugs to all|
|severe|180/110|||
If <40 - consider specialist referral to exclude secondary causes

''Aim''
over 80's aim for <150/90 (clinic)
under 80's aim for <140/90 (little evidence base)
diabetic aim for 140/80 and if end organ damage 130/80

''RF'' - DBP >120, microscopic haematuria, encephalopathy, pregnant, impending complications - TIA, LVF

''Check''
ECG
Bloods (FBC, U/E, cholesterol, glucose)
Urine - dip for protein, if young 24hr for catecholamines
Weight

''Lifestyle''
stop smoking, less alcohol, dec caffeine
balanced diet - F&V - cholesterol
low salt diet (3g/day ideal (certainly <6g/day, in UK average is 8-12g/day) dec intake by 6g/day dec SBP by 10mmHg
more exercise, loose weight
occupation
stress
FH