treatment protocols paho countries - links community
TRANSCRIPT
Hypertension treatment protocols PAHO countries
As of May 2019Based on information provided at PAHO Regional Workshop
CUBA
Tomado de: Perel P., Avezum A. Huffman M, País P., Rudgers A.,Vedanthan R., Wood D., Yussuf S. Reducing premature cardiovascular morbidity and mortality in people wit atherosteroclerotic vasculardisease. The World Heart Federation Roadmap for secondary prevention of Cardiovascular Disease. Global Heart, Vol. 10, No. 2 2015: 99-110
files.sld.cu/hta/files/2018/02/Guia-Cubana-de-Diagnóstico-Evaluación-y-Tratamiento-de-la-HTA/2017.pdf
COLOMBIA
Protocol from Chile
Protocolos
Algoritmo terapéuticoPANAMA
ARGENTINA
Algoritmo terapéutico - ECUADOR
https://almacenamiento.msp.gob.ec/index.php/s/6PMXDNE3wvrrx9v
Fármaco Dosis inicial
Dosis de intensificación
Frecuencia
Losartán 50mg - BIDAmlodipina 5mg 10mg QDClortalidona 12,5mg 25mg QD
SI TA ≥140 o ≥90 **
LOSARTÁN 50MG cada 12 horas +CLORTALIDONA 12,5MG al día
SI mantiene TA ≥140 o ≥90LOSARTÁN 50MG cada 12 horas +
CLORTALIDONA 25MG al día
SI mantiene TA ≥140 o ≥90LOSARTÁN 50MG cada 12 horas +
AMLODIPINO 5 mg al día + CLORTALIDONA 25MG al día
PASO 1
PASO 2
PASO 3
SI mantiene TA ≥140 o ≥90LOSARTÁN 50MG cada 12 horas +
AMLODIPINO10 mg al día + CLORTALIDONA 25MG al día
PASO 4
TAMIZAJE A TODOS LOS ADULTOS
CONTROL EN 1 MES
CONTROL EN 1 MES
CONTROL EN 1 MES
Hypertension Algorithm – TRINIDAD & TOBAGO
8
Step 1• ACE - Lisinopril 10mg, plus• CCB - Amlodipine 5mg
Step 2• ACE - Lisinopril 20mg, plus• CCB - Amlodipine 10mg
Step 3• ACE - Lisinopril 40mg, plus• CCB - Amlodipine 10mg
Step 4
• ACE - Lisinopril 40mg, plus• CCB - Amlodipine 10mg• Bendrofluazide 2.5 mg or Hydrochlorothiazide
12.5mg
Step 5• If Uncontrolled, REFER
Step 1• ARB - Irbesartan 150mg (Candesartan 16mg)* , plus• CCB - Amlodipine 5mg
Step 2• ARB - Irbesartan 300mg (Candesartan 32mg)*, plus• CCB - Amlodipine 10mg
Step 3
• ARB - Irbesartan 300mg (Candesartan 32mg)*, plus• CCB - Amlodipine 10mg• Add Chlorthalidone 12.5mg
Step 4• ARB - Irbesartan 300mg (Candesartan 32mg)*, plus• CCB - Amlodipine 10mg• Increase to Chlorthalidone 25 mg
Step 5• If Uncontrolled REFER
ALGORITHM 1 – ACCEPTABLEIf BP > 140/90 with No Comorbidities.If uncontrolled (sBP>140mmHg OR dBP>90mmHg) after one month, move to next step;
ALGORITHM 1 – PREFERREDIf BP > 140/90 with No Comorbidities.If uncontrolled (sBP>140mmHg OR dBP>90mmHg) after one month, move to next step;
* Candesartan may be substituted if Irbesartan unavailableAVOID ACE inhibitors and ARBs in Pregnancy