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

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 Hypertension care in Ireland • BIHS • Annual meeting, Dublin Sept 2016 • Launch meeting, RCSI, Dublin January 2017

BIHS – Irish Network 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 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

Aged over er 55 55 year ears or or bla black per person of of Afr fric ican or or Car Carib ibbean fam amily ori origin of of an any ag age e Summary of Aged un under 55 55 year ears antihypertensive drug treatment C 2 A Step 1 Key + C 2 A + Step 2 A – ACE inhibitor or low-cost angiotensin II A receptor blocker (ARB) 1 C – Calcium-channel blocker (CCB) C A + + C C + + D Step 3 D D – Thiazide-like diuretic Step 4 Res esis istant hypertension ic 3, 4 4 or A + + C C + + D D + + consid ider fur further diu diuretic or alp alpha- or or beta-blocker 5 be Con onsid ider se seekin ing expert ad advi vice

CBPM ≥140/90 mmHg & CBPM ≥160/100 mmHg & ABPM/HBPM ABPM/HBPM ≥ 135/85 mmHg ≥ 150/95 mmHg Stage 1 hypertension Stage 2 hypertension If target organ damage present or 10-year Offer antihypertensive drug treatment cardiovascular risk > 20% Consider specialist referral If younger than 40 years Offer lifestyle interventions Offer patient education and interventions to support adherence to treatment Offer annual review of care to monitor blood pressure, provide support and discuss lifestyle, symptoms and medication

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