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| {{familytree/start}}
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| {{familytree | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | | | | | |A01= Adult aged >18 years with hypertension }}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | | | | B01 | | | | | | | | | | | | | | | | | | | | |B01= Implement lifestyle interventions<br> Continue throughout management).}}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | | | | C01 | | | | | | | | | | | | | | | | | | | | |C01= Set blood pressure goal and inititate blood pressure lowering-medication based on age, diabetes, and cgronic kidney disease (CKD) }}
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| {{familytree | | | | | | | | | | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | D01 | | | | | | | | | | D02 | | | | | | | | | | | | | | | |D01=General population(no diabetes or CKD) |D02= Diabetes or CKD present }}
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| {{familytree | | | | | | | |,|-|-|^|-|-|.| | | | | |,|-|-|^|-|-|.| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | E01 | | | | E02 | | | | E03 | | | | E04 | | | | | | | | | | | |E01= Age > 60 years |E02= Age < 60 years |E03= All ages <br> Diabetes present <br> No CKD |E04= All ages <br> CKD present with <br> or without diabetes }}
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| {{familytree | | | | | | | |!| | | | | |!| | | | | |!| | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | F01 | | | | F02 | | | | F03 | | | | F04 | | | | | | | | | | | |F01=<div style="text-align: left; line-height: 150%; width: 10em; height: 5em ">Blood pressure goal<br> SBP < 150mm Hg <br> DBP < 90mm Hg</div> |F02=<div style="text-align: left; line-height: 150%; width: 10em; height: 5em ">Blood pressure goal<br> SBP < 150mm Hg <br> DBP < 90mm Hg </div>|F03=<div style="text-align: left; line-height: 150%; width: 10em; height: 5em ">Blood pressure goal<br> SBP < 150mm Hg <br> DBP < 90mm Hg</div> |F04=<div style="text-align: left; line-height: 150%; width: 10em; height: 5em ">Blood pressure goal<br> SBP < 150mm Hg <br> DBP < 90mm Hg </div>}}
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| {{familytree | | | | | | | |`|-|-|-|-|-|+|-|-|-|-|-|'| | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | |,|-|-|^|-|-|.| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | A11 | | | | A12 | | | | | | | A13 | | | | | |A11=Nonblack |A12=Black |A13=All races }}
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| {{familytree | | | | | | | | | | |!| | | | | |!| | | | | | | | |!| | | | | | |}}
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| {{familytree | | | | | | | | | | G01 | | | | G02 | | | | | | | G03 | | | | | | | | | | | |G01=Initiate thiazide-type diuretic or ACEI or ARB or CCB, alone or in combination.|G02=Initiate thiazide-type diuretic or CCB, alone or in combination. |G03=Initiate ACEI or ARB, alone or in combination with otherdrug class.}}
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| {{familytree | | | | | | | | | | |!| | | | | |!| | | | | | | | |!| | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | |`|-|-|-|-| H01 |-|-|-|-|-|-|-|'| | | | | | | | | | | |H01=<div style="text-align: left; line-height: 150%; width: 28em; height: 10em ">Select a drug treatment titration strategy <br> A. Maximize first medication before adding second or <br> B. Add second medication before reaching maximum dose of first medication or <br> C. Start with 2 medication classes separately or as fixed-dose combination. </div>}}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | | | | I01 |-|-|-|-|-|-| I02 | | | | | | | | | | | |I01=At goal blood pressure? |I02=Yes }}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree |border=0 | | | | | | | | | | | | | | | | J01 | | | | | | | |!| | | | | | | | | | | | | | | | |J01=No }}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | | | | K01 | | | | | | | |!| | | | | | | | | | | | |K01=<div style="text-align: left; line-height: 150%" >Reinforce medication and lifestyle adherence. <br> For strategies A and B, add and titrate thiazide-type diuretic or ACEI or ARB or CCB (use <br> medication class not previously selected and avoid combined use of ACEI and ARB). <br> For strategy C, titrate doses of initial medications to maximum.</div>}}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | | | | L01 |-|-|-|-|-|-| L02 | | | | | | | | | | | |L01=At goal blood pressure? |L02=Yes }}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree |border=0 | | | | | | | | | | | | | | | | M01 | | | | | | | |!| | | | | | | | | | | | | | | | |M01=No }}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | | | | N01 | | | | | | | |!| | | | | | | | | | | | |N01=<div style="text-align: left; line-height: 150% ">Reinforce medication and lifestyle adherence. <br> Add and titrate thiazide-type diuretic or ACEI or ARB or CCB (use medication class <br> not previously selected and avoid combined use of ACEI and ARB).</div>}}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | | | | | O01 |-|-|-|-|-|-| O02 | | | | | | | | | | | |O01=At goal blood pressure? |O02= Yes }}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree |border=0 | | | | | | | | | | | | | | | | P01 | | | | | | | |!| | | | | | | | | | | | | | | | |P01=No }}
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| {{familytree | | | | | | | | | | | | | | | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | |,|-|-| A11 | | | | | | | |!| | | | | | | | | | | | |A11=<div style="text-align: left; line-height: 150%; ">Reinforce medication and lifestyle adherence.<br> Add additional medication class (eg, β-blocker, aldosterone antagonist, or others) <br> and/or refer to physician with expertise in hypertension management. </div>}}
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| {{familytree | | | | | | | | | | | | |!| | | |!| | | | | | | | |!| | | | | | | | | | | | | }}
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| {{familytree | | | | | | | | | | | | A33 |-| A12 |-|-|-|-|-|-| A22 |-| A44 | | | | | | | |A12=At goal blood pressure?|A22=Yes |A33=No |A44=Continue current treatment and monitoring. }}
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| {{familytree/end}}
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