Ir Irish Network Group Dr Eamon Dolan Stroke and Hypertension Unit - - PowerPoint PPT Presentation

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Ir Irish Network Group Dr Eamon Dolan Stroke and Hypertension Unit - - PowerPoint PPT Presentation

Dec 13, 2022 132 likes •207 views

Ir Irish Network Group Dr Eamon Dolan Stroke and Hypertension Unit Connolly hospital Dublin Outline Background Irish Heart Foundation Council for High BP Hypertension landscape and structures National strategies for

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SLIDE 1

Ir Irish Network Group

Dr Eamon Dolan Stroke and Hypertension Unit Connolly hospital Dublin

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SLIDE 2

Outline

  • Background
  • Irish Heart Foundation
  • Council for High BP
  • Hypertension landscape and structures
  • National strategies for Hypertension care in Ireland
  • BIHS
  • Annual meeting, Dublin Sept 2016
  • Launch meeting, RCSI, Dublin January 2017
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SLIDE 3

Aims & Objectives

  • Closer links between the BIHS, the Irish Heart Foundation and its Council for High

Blood Pressure, and other related groups

  • To improve the diagnosis and management of high blood pressure in Ireland
  • To lobby policy makers to raise awareness and request funding for BP screening
  • To establish hypertension training programmes for healthcare professionals in

Ireland

BIHS – Irish Network

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SLIDE 4

Education

  • Provisional dates set at the end of November 2017 in Dublin for:
  • Afternoon/evening training session for GPs, 29 November
  • Full day training session for nurses/AHP the next day, 30 November

BIHS – Irish Network

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SLIDE 5

Step 4

Summary of antihypertensive drug treatment

Aged over er 55 55 year ears or

  • r bla

black per person of

  • f Afr

fric ican or

  • r Car

Carib ibbean fam amily ori

  • rigin of
  • f an

any ag age e Aged un under 55 55 year ears C2 A A + + C2 A + + C C + + D Res esis istant hypertension A + + C C + + D D + + consid ider fur further diu diuretic ic3, 4

4 or

  • r alp

alpha- or

  • r

be beta-blocker5

Con

  • nsid

ider se seekin ing expert ad advi vice

Step 1 Step 2 Step 3 Key A A – ACE inhibitor or low-cost angiotensin II receptor blocker (ARB)1 C C – Calcium-channel blocker (CCB) D D – Thiazide-like diuretic

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SLIDE 6

CBPM ≥160/100 mmHg & ABPM/HBPM ≥ 150/95 mmHg Stage 2 hypertension

Consider specialist referral

Offer antihypertensive drug treatment Offer lifestyle interventions If younger than 40 years If target organ damage present or 10-year cardiovascular risk > 20% Offer annual review of care to monitor blood pressure, provide support and discuss lifestyle, symptoms and medication Offer patient education and interventions to support adherence to treatment CBPM ≥140/90 mmHg & ABPM/HBPM ≥ 135/85 mmHg Stage 1 hypertension

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SLIDE 7

Focus

  • Research
  • Projects– PURE, TILDA, ABPM
  • Funding
  • Health Research Board
  • Research networks
  • Education
  • Registry
  • Referral centres
  • Chronic Disease Programmes
  • Public awareness