Diagnostic Criteria

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BP > 180/110; 140/90 (3OBPM) or 135/85 (3-6 AOBP); 130/80 (if Pt has DM)

• Hypertension Canada Decision Flow Chart: Dx of Hypertension </aside>

• R/O white coat hypertension: Home BP Measurement

  Positive for HTN When	HCP Present	HCP Abscent
  True HTN	Yes	Yes
  Masked HTN	No	Yes
  White-coat HTN	Yes	No

Additional Test

Kidney: Urine Analysis, sCr (60-100 umol/L), Electrolyte Glucose: Fasting glucose (≤ 7.0) +/- HbA1c (< 6.5) CVD: ECG 12 lead DLD: Lipid Profile +/- b-HCG (CI for ACEi), Echocardiogram , EF, ACR (<3) (if Pt has DM)

Key Complication (End-organ damage)

• !ICH - Hemorrhagic Stroke (if very high)
• CKD
• Erectile Dysfunction
• CVD - Atherosclerosis
  • Carotid Disease → !Ischemic Stroke
  • !MI
  • PAD - Peripheral Arterial Disease
• !Arrhythmia
• HF - Heart Failure (HFpEF (HF w/ preserved EF)

Approach

Hypertension Hx

Medication Hx

BP

Investigation