What is the treatment target for hypertension?

The 2018 European guideline recommends a strict target systolic blood pressure (SBP) goal of at or below 130 mmHg for most hypertensive patients except for those with chronic kidney disease (CKD) and elderly over the age of 65 and recommended that diastolic blood pressure (DBP) should be controlled to between 70–80 …

What are the thresholds for initiating treatment for hypertension?

Key Points for Practice In patients with hypertension and diabetes, pharmacologic treatment should be initiated when blood pressure is 140/90 mm Hg or higher, regardless of age.

What is the recommended therapy in pregnancy related hypertension?

According to NHBPEP methyldopa, labetalol, beta blockers (other than atenolol), slow release nifedipine, and a diuretic in pre-existing hypertension are considered as appropriate treatment [1].

What is the first line treatment for hypertension in pregnancy?

Background: Hydralazine, labetalol, and nifedipine are the recommended first-line treatments for severe hypertension in pregnancy.

What are the new hypertension guidelines?

Blood pressure categories in the new guideline are:

• Normal: Less than 120/80 mm Hg;
• Elevated: Systolic between 120-129 and diastolic less than 80;
• Stage 1: Systolic between 130-139 or diastolic between 80-89;
• Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;

Why is labetalol first choice in pregnancy?

High blood pressure in pregnancy can cause complications for mother and baby. Labetalol is a blood pressure medication that is recommended for use in pregnancy as it has been shown to work well to lower blood pressure and it has a licence for use in pregnancy.

What are the new blood pressure guidelines for 2020?

Blood pressure categories in the new guideline are:

• Normal: Less than 120/80 mm Hg;
• Elevated: Top number (systolic) between 120-129 and bottom number (diastolic) less than 80;
• Stage 1: Systolic between 130-139 or diastolic between 80-89;
• Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;

When should treatment be given for hypertension?

You should aim for a blood pressure treatment goal of less than 130/80 mm Hg if: You’re a healthy adult age 65 or older. You’re a healthy adult younger than age 65 with a 10% or higher risk of developing cardiovascular disease in the next 10 years. You have chronic kidney disease, diabetes or coronary artery disease.

When should a pregnant woman take labetalol?

1 The National Institute for Health and Care Excellence (NICE) recommends labetalol as first-line antihypertensive treatment for non-severe (<160/110 mm Hg) gestational hypertension and pre-eclampsia once blood pressure exceeds 150/100 mm Hg.

Can labetalol be used in first trimester?

Use of labetalol in pregnancy is common and there is no concern that it causes harm. Labetalol belongs to a family of medicines called beta blockers. Studies have not shown that beta blockers cause birth defects, stillbirth, or preterm birth.

What are the new guidelines for blood pressure 2021?

The new blood pressure categories.

• Normal = less than 120 and less than 80.
• Elevated = 120-129 and less than 80.
• High Blood Pressure Stage 1 = 130-139 or 80-89.
• High Blood Pressure Stage 2 = 140 or higher or 90 or higher.
• Hypertensive Crisis (call your doctor immediately) = Higher than 180 and/or higher than 120.

What range of blood pressure requires medication?

If your blood pressure is equal to or higher than 140/90 mm Hg, you have Stage 2 high blood pressure. Your provider will most likely recommend that you take medicines and recommend lifestyle changes.

Do you need medication for stage 1 hypertension?

If you have stage 1 or stage 2 hypertension, your doctor will likely prescribe medications to lower your blood pressure and recommend healthy lifestyle changes.

Why is labetalol preferred in pregnancy?

Conclusions: Labetalol is better tolerated than methyldopa, gives more efficient control of blood pressure and may have a ripening effect on the uterine cervix.

What is the safest blood pressure medication during pregnancy?

Methyldopa has been used for decades to treat high blood pressure in pregnancy and it appears to be safe. Labetalol has been extensively studied and has become increasing prescribed in pregnancy. Labetalol is now commonly used as a first-line treatment choice. Nifedipine is also sometimes used in certain situations.

What is the most significant difference between stage 1 and stage 2 hypertension?

Stage 1 hypertension is a systolic pressure ranging from 130 to 139 mm Hg or a diastolic pressure ranging from 80 to 89 mm Hg. Stage 2 hypertension. More-severe hypertension, stage 2 hypertension is a systolic pressure of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher.

What is the labetalol protocol?

Administer labetalol 20mg as a slow IV bolus over 2 minutes. . Record HR and BP every 5 minutes until stable ≤ 155/95mmHg for 15 minutes. Repeat intravenous labetalol bolus of 20mg every 10 minutes as necessary to a maximum of 4 doses. The maximal effect usually occurs within 5 minutes of each injection.