PREHYPERTENSION

Management of prehypertension

• All patients should be managed with non-pharmacologic interventions/therapeutic lifestyle modifications to  

   lower BP. (see Chapter 5)                  

• There should be yearly follow-up in patients with prehypertension to detect and treat hypertension as early 

    as possible.  (Level III)

• Decisions regarding pharmacological treatment should be based on the individual patient’s global CVD risk. 

   In diabetes mellitus or chronic kidney disease, medical treatment is

  required if BP is above 130/80 mmHg. 25-27 (Level I) Similarly, in other high risk subjects such as those   

  with previous CVA or CAD, the threshold for commencing hypertension treatment should be lower in  

  patients with prehypertension. 28-31 (Level I)

Source: http://www.infosihat.gov.my/media/garisPanduan/CPG/CPG%20Hypertension/CPG%20Hypertension.pdf