British Hypertension Society guidelines

Williams B, Poulter NR, Brown MJ, Davis M, Mclimes GT, Potter JF et al. British Hypertension Society guidelines for hypertension management 2004 (BHS-IV) summary. BMJ 2004 328(7440) 634-40. 

The British Hypertension Society guidelines require that antihypertensive drug therapy be initiated ... 

The British Hypertension Society Guidelines are available in summary form in the BMJ 1999 319 630-635 or online at http / / www.bhsoc.org... 

A simple stepped regimen in keeping with the 1999 British Hypertension Society guidelines is the AB/CD schema illustrated in Figure 23.2 ... 

Adapted from Williams, B., Poulter, N.R., Brown, M.J. et al. (2004) The BHS Working Party British Hypertension Society guidelines for hypertension management, 2004-BHS IV summary. 

British Cardiac Society, British Hypertension Society, Diabetes UK, HEART UK, Primary Care Cardiovascular Society and The Stroke Association (2005) JBS 2 Joint British Societies guidelines on prevention of cardiovascular disease in clinical practice. Heart 91 vl-v52. 

As a general rule, the treatment of hypertension in patients with renal impairment follows the British Hypertension Society and NICE guidelines, as detailed below. 

Following the guidelines of the British Hypertension Society, Mr WD should be prescribed a thiazide diuretic and a calcium channel blocker, so a good combination might be nifedipine LA 20 mg or 30 mg once daily or amlodipine 5 mg once daily, plus bendroflumethiazide 2.5 mg once daily. However, we know that his renal function is poor, with a calculated GFR of approximately 25 mL/min, so he is borderline for thiazides to be clinically effective. In this instance, it might be prudent to prescribe an ACE inhibitor instead, for example, enalapril 5-fO mg twice daily. 

Hyperiipidaemia is a high risk factor for cardiovascular disease (CVD) and enhances other risk factors such as smoking, excessive alcohol consumption, lack of exercise, diabetes, hypertension, obesity and abdominal distribution of body fat. The risk of CVD over the next 10 years is estimated for an individual using guidelines produced by the British Hypertension Society (or the Joint British Societies Cardiac Risk Assessor ), which include age, gender, smoking history, blood pressure and TC HDL ratios. This estimate is used to determine suitable treatment. 

Notes-. ESH/ESC European Society of Hypertension-European Society of Cardiology guidelines, 2003 and 2007 JNC/7 seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure, 2003 BHS report of the fourth working party of the British Hypertension Society, 2004 and update of the NICE Hypertension Guidelines, 2006. 

Williams, B, Poulter, NR, Brown, MJ, Davis, M, Mclnnes, GT, Potter, JF, Sever, PS, McG, TS Guidelines for management of hypertension report of the fourth working party of the British Hypertension Society, 2004-BHS IV. J. Hum. Hypertens. 18 139-185, 2004. 

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