Patient discussions

Your Organizational Guidance

ebpracticenet urges you to prioritize the following organizational guidance:

Cardiovasculaire risicobepaling in de eerste lijnPublished by: Domus MedicaLast published: 2020Évaluation du risque cardiovasculaire en première lignePublished by: Domus MedicaLast published: 2010Globaal Cardiovasculair RisicobeheerPublished by: Domus MedicaLast published: 2007Gestion globale des risques cardiovasculairesPublished by: Domus MedicaLast published: 2007HypertensiePublished by: Domus Medica | SSMGLast published: 2009HypertensionPublished by: Domus Medica | SSMGLast published: 2009Évaluation du risque cardiovasculaire en première lignePublished by: Domus MedicaLast published: 2020

As with most chronic conditions, hypertension requires a lifelong commitment from both patient and physician to pursue aggressive management with healthy lifestyle choices and medical therapy.[8]​ Patients should be counseled about diet (Dietary Approaches to Stop Hypertension [DASH] diet, sodium ≤1.5 g/day, in consultation with a nutritionist) and physical activity.[61]

  • Smoking raises blood pressure (BP) acutely and transiently, but long-term studies have not found an association between smoking and the risk of developing chronic hypertension.[248] Nevertheless, smoking cessation should be encouraged to reduce cardiovascular risk.

  • Acute consumption of coffee and black tea has a mild pressor effect; however, long-term studies have found slightly lower BP in patients who consume caffeine daily.[101][249] Therefore, moderate caffeine consumption is acceptable.

  • Patients should be advised to begin and maintain aerobic exercise, with a goal of at least 30 minutes of moderate-intensity, dynamic aerobic exercise (walking, jogging, cycling, or swimming) 5 days per week to total 150 minutes as tolerated or recommended by a physician.

  • Medication adherence is important and it should be discussed with patients in whom drug therapy for hypertension is often a lifelong commitment.[250]

  • Regular use of acetaminophen has been associated with increased systolic BP in those with hypertension; continued regular use in these patients should be reviewed.[78]

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