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
- Clinic BP after step 1 treatment: 146/92 mmHg
Treatment:
- Advice on lifestyle modifications
- Step 1 treatment: Calcium channel blocker
- Step 2 treatment: Calcium channel blocker
PLUS angiotensin II receptor blocker
SECOND REVIEW APPOINTMENT (Effectiveness Of Step 2 Treatment)
The patient has been taking the combination of the following:
- Calcium channel blocker
- Angiotensin II receptor blocker
for about a month and is now on the optimal tolerated dose of each drug.
You measure her blood pressure to see how well the treatment is working.
The patient's clinic blood pressure is now 136/87 mmHg.