Classification of BP levels in adults
Category |
Systolic BP |
Diastolic BP |
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|
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Optimal |
<120 |
и |
<80 |
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||
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Normal |
120-129 |
и/или |
80-84 |
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High normal |
130-139 |
и/или |
85-89 |
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|
|
1st degree AH |
140-159 |
и/или |
90-99 |
2nd degree AH |
160-179 |
и/или |
100-109 |
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|
|
3rd degree AH |
≥180 |
и/или |
≥110 |
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ISH |
≥140 |
и |
<90 |
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|
Is assessed only in patients previously not receiving AHT
Arterial hypertension
Stable elevation of
SBP >140 and/or DBP >90 mmHg. In patients not receiving antihypertensive therapy,
At repeated visits to the doctor
Arterial hypotension
Causes:
Acute and chronic vascular insufficiency Acute and chronic adrenal gland insufficiency
Clinical presentation:Severe weaknesssyncopeSweating
Pulsus filiformisLow BP
Methods of BP measurement
Office |
|
Ambulatory: |
|
HBPM |
ABPM |
Self-monitoring of BP |
24-h monitoring |
Diagnosis of arterial hypertension
|
Systolic BP, mmHg |
Diastolic BP, |
|
|
mmHg. |
|
|
|
Office |
140 |
90 |
|
|
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24-hours (ABPM) |
130 |
80 |
|
|
|
daytime |
135 |
85 |
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|
|
nighttime |
120 |
70 |
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|
HBPM |
135 |
85 |
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|
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Applanation tonometry
Pulse wave contour analysis
Indications:
•Non-invasive measurement of central aortic BP
•Assessment of arterial stiffness
Main parameters:
•Central SBP and DBP
•Central pulse pressure
•Augmentation index
•Pulse wave velocity (PWV)
Applanation tonometry is a gold standard of central BP measurement
Aortic BP
Methods of arterial compliance measurement
Спасибо за внимание
Выберите положение, верное в отношении I тона:
A.возникает в диастолу
B.оценивается на основании сердца
C.совпадает с верхушечным толчком и пульсацией на сонной артерии
D.является добавочным тоном