The video version of this podcast can be found here: https://youtu.be/wjIbwy9SdAQ?si=hBe18dtUf_rPtRc8  This video makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE.  My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the NICE guideline [NG136] on Hypertension in adults, always focusing on what is relevant in Primary Care only. I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.    There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast:   ·      Redcircle: https://redcircle.com/shows/primary-care-guidelines ·      Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK ·      Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here:  The Practical GP YouTube Channel:  https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk   The resources consulted can be found here: Hypertension in adults: diagnosis and management - NICE guideline [NG136]:  ·      https://www.nice.org.uk/guidance/ng136 Chronic kidney disease: assessment and management - NICE guideline [NG203]: ·      https://www.nice.org.uk/guidance/ng203 The NICE hypertension flowcharts can be found here:   ·      Website: https://www.nice.org.uk/guidance/ng136/resources/visual-summary-pdf-6899919517   The Full NICE guideline Hypertension in pregnancy: diagnosis and management [NG133] can be found at: ·      https://www.nice.org.uk/guidance/ng133/chapter/Recommendations   The Clinic BP targets tables can be downloaded here: ·      https://1drv.ms/b/s!AiVFJ_Uoigq0mFtrsXeUGOB58DKE?e=J7filE   Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]  Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through   Transcript If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description. Hello and welcome, I’m Fernando, a GP in the UK. Today we are going to do an up-to-date review of the NICE guidelines on hypertension, including the changes introduced in November 2023, always focusing on what is relevant in Primary Care only.  Right, so let’s jump into it. First, this guideline does not cover specific recommendations in CKD, type 1 diabetes, or pregnancy. However, it does cover type 2 diabetes, given that the management of hypertension in type 2 diabetes is no different than in the general population. Let’s just remind ourselves that, when checking the BP, we should always palpate the pulse first and, if there is pulse irregularity, we should measure the BP manually, because automated devices are not accurate when the pulse is irregular like in AF. If there are symptoms of postural hypotension, like falls or dizziness: ·      We will measure their BP while lying on their back (although we can consider a seated position, if inconvenient) ·      And we will measure their BP again after standing for at least 1 minute.  If the systolic BP falls by 20 or more, or their diastolic BP by 10 or more: ·      we will consider the causes, and review their medication ·      we will manage the risk of falls ·      we will check future BP readings with the patient standing and ·      we will refer if necessary