Diagnosis is based on four sitting duplicate blood pressure measurements and confirmed by self-measurements or ambulatory monitoring. To reduce the overall cardiovascular risk, lifestyle-guidance is delivered. Drug treatment is initiated, if 1) the systolic pressure is at least 140 or diastolic at least 90 mmHg, and 2) home-measured or daytime ambulatory systolic pressure is at least 135 or diastolic at least 85 mmHg. The general goal is systolic/diastolic pressure below 140/90 mmHg. The goal is higher for the elderly and lower for patients with diabetes, kidney disease and albuminuria. Combination drug treatment is often needed.
Antti Jula (Chair)