NICE on Hypertension: Can you pass the test?

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 a thorough review of the NICE guideline [NG136] on Hypertension in adults, with a series of multiple-choice questions. Each question is paired with quotation, aiming to clarify key concepts and enhance understanding. This informative segment is created to support continuous learning 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.
Tracks:
00:00 - Introduction and welcome
00:58 - MCQs section 1
17:08 - MCQs section 2
32:31 - MCQs section 3
49:26 - MCQs section 4
1:04:53 -Thank you and good-bye
There is a podcast version of this and other videos that you can access here:
Primary Care guidelines podcast:
• Redcircle: redcircle.com/shows/primary-c...
• Spotify: open.spotify.com/show/5BmqS0O...
• Apple podcasts: podcasts.apple.com/gb/podcast...
There is a RUclips version of this and other videos that you can access here:
• The Practical GP RUclips Channel:
/ @practicalgp
The resources consulted can be found here:
Hypertension in adults: diagnosis and management - NICE guideline [NG136]:
• www.nice.org.uk/guidance/ng136
The NICE hypertension flowcharts can be found here:
• Website: www.nice.org.uk/guidance/ng13...
The Clinic BP targets tables can be downloaded here:
• 1drv.ms/b/s!AiVFJ_Uoigq0mFtrs...

[@fatimaumar5587]

I got few correct. Though I couldn't finish watching as I had something doing. But will come back for it. Than you Doc .

[@practicalgp]

Thank you for your comment. It is a long video but I created time stamps every 15 minutes approximately so that you can do the revision in smaller chunks. We are all busy! Thanks again 🙏

[@NihalPeeris]

Very useful 🎉 GP in Sri Lanka

[@practicalgp]

Thank you for your comment. I really appreciate it 🙏

[@glowaesthetics9801]

At 5:06, why isnt it stop amlodipine and switch to acei, whkch would be step 1. Why still keep offending med and try step 2 drug

[@practicalgp]

Thank you for your comment. I never looked at it the way that you have interpreted it and I now think that the wording that NICE has used is confusing. What they actually mean is that, if the CCB is not tolerated, then you stop it and substitute it with a thiazide-like diuretic. So you are giving the thiazide-like diuretic for their hypertension, not for the oedema. The reason why you would favour a thiazide-like diuretic over an ACEI or ARB is because in this group (age >55 and Afro Caribbean people), thiazide-like diuretics are more effective than ACEIs and ARBs. I hope that his makes sense 🙏

[@glowaesthetics9801]

@practicalgp thank you Fernando! Clarifies and also useful to apply for exams - I am a reg x

[@practicalgp]

@@glowaesthetics9801​​⁠Thank you! You can’t be the only one that interpreted it like that so I’m going to see if I can insert a little pop up window in the video clarifying the issue 🙏. Good luck with your exams 🤞