THREAD: High blood pressure (hypertension) – what does the best evidence say❓
1/13 A practical tweetorial for clinicians, patients and carers
#hypertension #HTNevidence #MedEd 🩺👩⚕️
1/13 A practical tweetorial for clinicians, patients and carers
#hypertension #HTNevidence #MedEd 🩺👩⚕️
2/13 What is #Hypertension❓
Hypertension (high blood pressure) is a very common condition, and is associated with increased 📈 risk for strokes, heart attacks and premature death, so it's worth asking some questions 🤔
#HTNevidence #MedEd #prescribing
Hypertension (high blood pressure) is a very common condition, and is associated with increased 📈 risk for strokes, heart attacks and premature death, so it's worth asking some questions 🤔
#HTNevidence #MedEd #prescribing
3/13 What about SCREENING for #hypertension❓
Screening for high blood pressure might not be that helpful 😯 and early🕗detection of mild hypertension may not significantly impact health‐related costs in the long term nor improve health outcomes: bit.ly/35P2mcz
Screening for high blood pressure might not be that helpful 😯 and early🕗detection of mild hypertension may not significantly impact health‐related costs in the long term nor improve health outcomes: bit.ly/35P2mcz
4/13. Do you jump to a 💊right away❓
Lifestyle 🏃♀️🚴♂️ and blood pressure (antihypertensive)💊 can help
Evidence favours a low🧂diet to ↘️ blood pressure
Try to reduce your intake of processed foods🥫, which contain a lot of 🧂 bit.ly/2Wgrg1v
#HTNEvidence #MedEd
Lifestyle 🏃♀️🚴♂️ and blood pressure (antihypertensive)💊 can help
Evidence favours a low🧂diet to ↘️ blood pressure
Try to reduce your intake of processed foods🥫, which contain a lot of 🧂 bit.ly/2Wgrg1v
#HTNEvidence #MedEd
5/13 WHO benefits from TREATMENT❓🤔
Treating #hypertension generally ↘️ one's risks
The⬆️ benefit for treatment appears to come in 👨👩🏾 aged 60-80, but lower targets aren’t likely necessary bit.ly/2YJWmQL and bit.ly/2WHzoY3
#HTNevidence #prescribing #MedEd
Treating #hypertension generally ↘️ one's risks
The⬆️ benefit for treatment appears to come in 👨👩🏾 aged 60-80, but lower targets aren’t likely necessary bit.ly/2YJWmQL and bit.ly/2WHzoY3
#HTNevidence #prescribing #MedEd
6/13 What's the 1⃣st 💊 one should try❓
Most evidence supports thiazides/thiazide-like diuretics as 1⃣st-line #hypertension therapy bit.ly/2WdUIoQ
but, the “best” antihypertensive💊 is likely the one that a person feels good about taking 😀
#HTNevidence #MedEd
Most evidence supports thiazides/thiazide-like diuretics as 1⃣st-line #hypertension therapy bit.ly/2WdUIoQ
but, the “best” antihypertensive💊 is likely the one that a person feels good about taking 😀
#HTNevidence #MedEd
7/13 What about👩🏾👨🏻 w/ "MILD" #hypertension❓
A @Drug_Evidence TI Letter bit.ly/3dwIEoO on managing htn concluded that antihypertensive 💊for adults (primary prevention) w/ mild hypertension have NOT been proven to reduce mortality or morbidity in RCTs
#MedEd
A @Drug_Evidence TI Letter bit.ly/3dwIEoO on managing htn concluded that antihypertensive 💊for adults (primary prevention) w/ mild hypertension have NOT been proven to reduce mortality or morbidity in RCTs
#MedEd
8/13 What about PILL SPLITTING 💊❓
Much of the blood pressure ↘️ effect of antihypertensive drugs occurs at the lower end of the approved dose ranges.
Maybe consider pill splitting (breaking 💊 into smaller doses)? Special report: bit.ly/2YS78Vr
#MedEd
Much of the blood pressure ↘️ effect of antihypertensive drugs occurs at the lower end of the approved dose ranges.
Maybe consider pill splitting (breaking 💊 into smaller doses)? Special report: bit.ly/2YS78Vr
#MedEd
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