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Wellington Hospital
Imperial College Healthcare NHS Trust
Clementine Churchill BMI (Harrow)
Lindo Wing, St Mary's Hospital

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Hypertension

Hypertension, or high blood pressure, is important as without treatment, it can lead to heart attack, stroke, heart failure and kidney failure. More than 10% of the whole population have hypertension. If your blood pressure is consistently above the target of 140/85 you need further assessment. If you have diabetes Mellitus, then any blood pressure over 130/80 probably needs further assessment.

Blood pressure should be assessed in the context of all your cardiovascular risk factors, including your age, gender, cholesterol level, smoking history and family history. In addition, some basic blood test, and electrocardiogram (ECG) and an echocardiogram (TTE), are often performed to assess your risk further. A 24-hour blood pressure monitor may help assess treatment quality, and to decide if treatment is really warranted in borderline cases.

Blood pressure is lowered by stopping smoking, losing weight and exercising. In addition a low salt, high fibre diet can lower blood pressure by as much as 5mm Hg. There are national guidelines on the choice of drug treatment (see below). Most patients will need more than one drug to achieve blood pressure control.

Blood Pressure Chart