10: Hypertension. Case 2: Evelyn
Evelyn's review appointment
GP: Hello, Evelyn. You are here for your annual check up. As you know there are a few tests we need to do, so let’s get started. I’ll do your blood pressure first.
Evelyn: Okay, thanks doctor.
Evelyn’s blood pressure is 166/108 mmHg...
GP: Unfortunately, your blood pressure is higher than it has been, so just sit quietly for a few minutes then I’ll check it again.
Evelynn: Okay. I hope it comes down… I don’t want to start taking tablets.
GP: Try not to worry about that. We will see what it is in a few minutes, then we’ll decide what to do next.
GP: Your blood pressure is still a bit high, 164/105mmHG.
What would happen next?
Evelyn has all tests done, as per guideline, including referral for 24hr ABPM/HBPM. What else would happen as part of Evelyn's annual review?
- Bloods: U&Es, cholesterol
- FBC, LFTs, glucose
- Urine test
- Advice regarding:
- Eye tests
- Alcohol consumption
- Weight management
Information on GBPM/ABPM
ABPM: When using ABPM to confirm a diagnosis of hypertension, ensure that at least two measurements per hour are taken during usual waking hours of 8am-10pm.
HBPM: People using HBPM are asked to record two BP readings morning and night, at least one minute apart, for a period of 7 days (min 4 days). Measurements on the first day are discarded and an average of all remaining readings used to confirm diagnosis.