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7/29/2019 2012 Canadian Recommendations for the Management of Hypertension
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2012Canadian Recommendations for
the Management of Hypertension
CHEP WhatsNew?WhatsStillReallyImpo
Canadian Hypertension Education Program
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Hypertension Care Pearls
HypertensionInternetResourcesHypertension Canada
www.hypertension.ca
CompleteCanadianHypertension
EducationProgram(CHEP)
recommendations and slide decks
Signupnowforregular
HypertensionCanadaresource
updates PatientandHCPResources
Instructionsforpurchasingand
usinghomebloodpressure
measurement devices
Haveyourpatientssignupto
accessthelatesthypertension
resources
Heart and Stroke Foundation,
My Heart&Stroke Blood
Pressure Action Plan
www.heartandstroke.ca/BP MyHeart&StrokeBloodPressure
Action Plan
www.heartandstroke.ca
Generallifestylechange
information
Canadian Diabetes
Association
www.diabetes.ca/
for-professionals/
resources/2008-cpg/
2008clinicalpracticeguidelines
Canadian Stroke Network
www.sodium101.ca
PatientandHCPresourceon
dietary sodium
Public Health Agency of
Canada
www.PHAC-ASPC.gc.ca
Resourcesonhypertensionand
chronicdiseasepreventionand
management
Interprofessional team care
Involvement of an interprofessional team improves adherence
Lifestyle changes are important to make
Frequent brief interventions double the rate of lifestyle changes
All hypertensives require lifestyle assessment and ongoing support
to initiate and maintain lifestyle changes
50% of hypertensives < 45 years old are not treated
with antihypertensives, even if they have multiple
cardiovascular risks
Start pharmacotherapy for hypertensives with multiple
cardiovascular risks factors immediately, in addition to lifestyle
changes
In particular, reduce risk factors in smokers who cannot quit
Combination therapy of ACE inhibitor with ARB
Reassess all patients on this combination
Consider other combinations
Should only be considered in selected and closely monitored
patients with advanced heart failure, or severe proteinuric
nephropathy
The web page below shows the initial assessment
screen of The Heart and Stroke Foundations online
consumer education tool My Heart&Stroke Blood
Pressure Action Plan. It will help educate your patients
about the importance of managing their blood pressure
and provide ways to help them do so.
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2012 Key Messages
Assess blood pressure at all appropriate visits.
Maintaining a healthy lifestyle and weight lowers blood pressure and prevents hypertension.
Promote: smoking cessation, healthy diet, dietary sodium restriction and increased physical activity.
Lower blood pressure to