ABSTRACT
The manifestations of hypertension include cerebrovascular haemorrhage or infarction, renal failure, plus coronary heart and peripheral arterial diseases. High blood pressure contributes to the development of atheroma, which in turn can lead to heart attacks, strokes and peripheral artery disease. Because decisions about treatment are made on small differences in blood pressure it is important that it is taken consistently and accurately. There are several questions which need to be asked when assessing a patient with possible hypertension. Initial investigations should therefore include a urine test, full blood count, profile and an ECG. The aims of management are to reduce the patient’s blood pressure and their overall risk of heart disease and stroke, while maintaining or improving their quality of life. To achieve the detection, assessment, management and follow-up of patients with high blood pressure in general practice requires careful organization.
