Patient Details:
- Of Black African family origin, female, aged 53, in menopause,
non-smoker, BMI 34.2
- Left ventricular hypertrophy
- Cardiovascular disease risk: 8.2%
- No signs of renal disease or liver disease
- Not diabetic
- Initial clinic BP: 156/97 mmHg
- ABPM daytime average BP: 148/93 mmHg
- Diagnosed with
stage 1 hypertension
Treatment:
- Advice on lifestyle modifications
- Step 1 treatment: Calcium channel blocker
FIRST REVIEW APPOINTMENT (Effectiveness Of Step 1 Treatment)
The patient has been taking the calcium channel blocker for about a month and is now on the optimal tolerated dose.
You measure her blood pressure to see how well the treatment is working.
The patient's clinic blood pressure is now 146/92 mmHg.