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 Hypertension  Part 2 Treatment:: Offer antihypertensive drug treatment in addition to lifestyle advice to adults of any age with persistent stage 2 hypertension. Use clinical judgement for people of any age with frailty or multimorbidity   Discuss starting antihypertensive drug treatment, in addition to lifestyle advice, with adults aged under 80 with persistent stage 1 hypertension who have 1 or more of the following: • target organ damage  • established cardiovascular disease • renal disease  • diabetes •an estimated 10-year risk of cardiovascular disease of 10% or more. Consider antihypertensive drug treatment in addition to lifestyle advice for people aged over 80 with stage 1 hypertension if their clinic blood pressure is over 150/90 mmHg  For adults aged under 40 with hypertension, consider seeking specialist evaluation of secondary causes of hypertension and a more detailed assessment of the long-term balance of treatment benefit and risks Meas...

 Hypertension:: Part 1::: Instructions before measuring BP:: When measuring blood pressure in the clinic or in the home, standardise the environment and provide a relaxed, temperate setting, with the person quiet and seated, and their arm outstretched and supported. Use an appropriate cuff size for the person's arm. people with symptoms of postural hypotension (falls or postural dizziness): • measure blood pressure with the person either supine or seated • measure blood pressure again with the person standing for at least 1 minute before measurement. Diagnosing hypertension:: When considering a diagnosis of hypertension, measure blood pressure in both arms:   • If the difference in readings between arms is more than 15 mmHg, repeat the measurements.   • If the difference in readings between arms remains more than 15 mmHg on the second measurement, measure subsequent blood pressures in the arm with the higher reading.  If blood pressure measured in the clinic is 140/9...

 Hypertension in pregnancy Advise pregnant women at high risk of pre-eclampsia to take 75–150 mg of aspirin daily from 12 weeks until the birth of the baby , those with any of the following: •hypertensive disease during a previous pregnancy •chronic kidney disease • autoimmune disease such as systemic lupus erythematosus or antiphospholipid syndrome • type 1 or type 2 diabetes • chronic hypertension. Advise pregnant women with more than 1 moderate risk factor for preeclampsia to take 75–150 mg of aspirin. Factors indicating moderate risk are: • first pregnancy • age 40 years or older • pregnancy interval of more than 10 years • body mass index (BMI) of 35 kg/m2• family history of pre-eclampsia •multi -fetal pregnancy Stop antihypertensive treatment in women taking ACE inhibitors or ARBs if they become pregnant (preferably within 2 working days of notification of pregnancy) and offer alternatives.   Advise women who take thiazide or thiazide-like diuretics:• that there may...