Hypertension Questionnaire

HYPERTENSION QUESTIONNAIRE

You may assume;

(1)  The patient’s described below have had a recorded elevated blood pressure recording on three separate occasions.

(2)  Lifestyle modifications have been optimised.

(3)  The patient is on no other anti-hypertensive medication.

(4)  The patient has essential hypertension.

(5)  The patient has no contra-indications to any of the medications.

Please identify your job title

General Practitioner Y

Hospital Physician Y Specialty______

For the following scenarios please choose which class of drug(s) you would prescribe in the following clinical scenario.

Please circle as appropriate.

Scenario 1; A 42 year old man who is otherwise well. BP 165/95.

Comment______

Scenario 2; A 65 year old white obese type II diabetic with hypercholesterolaemia. BP 165/90

Comment______

Scenario 3; A 72 year old female with no past medical history. BP 170/85

Comment______

Table 1; Survey response rates from different doctor groups. * GIM – General Internal Medicine. Responders comprised Gastroenterology (7), Respiratory medicine (8) and general medicine (15).

Table 2; Survey results for scenario 1: A 42 year old white man with no past medical history and a blood pressure of 165/95 mmHg.

Table 3; Proportion of physicians who selected ACE-Inhibitor/Angiotensin Receptor Blocker (ACE/ARB) over all other options in scenario 1.

Table 4; Survey results for scenario 2: A 65 year old white obese type II diabetic with hypercholesterolaemia and a blood pressure of 165/90 mmHg. (* One GIM physician answered scenario 1 but did not answer scenarios 2 or 3.)

Table 5; Proportion of physicians who selected ACE/ARB over all other options in scenario 2.

Table 6; Survey results for scenario 3: A 72 year old white female with no past medical history and a blood pressure of 175/80 mmHg. (* One GIM physician answered scenario 1 but did not answer scenarios 2 or 3.)

Table 7; Proportion of physicians who selected Calcium Channel Blocker (CCB)/Diuretic over all other options in scenario 3.

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