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Theo dõi
It
is recommended to assess blood pressure control to check adherence to therapy,
to review the need for lifestyle and treatment regimen changes, and to identify
HMOD and necessary risk factor modifications. During the first 3 months after
initiation of treatment, it is recommended that clinic visits should be done
monthly or more frequently, depending on the patient’s hypertension grade,
cardiovascular risk, prior unsuccessful attempts at blood pressure control, and
other factors that would suggest treatment difficulties.
When
the blood pressure is controlled, the patient may follow up annually. More
frequent visits may be considered in patients at high cardiovascular risk or
those with difficult blood pressure control. Follow-up should be done more
frequently in patients with pre-existing HMOD while in those without
pre-existing HMOD, follow-up can be done at longer intervals (eg every 3
years).
Follow-up visits should consist of updates in the patient’s medical
history, including treatment side effects, physical examination, and standard
blood pressure measurements. The frequency of lab tests should depend on the
patient’s clinical condition and risk level (eg annual blood test and ECG in
low-risk patients).