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3 Cards in this Set

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Primary Hypertension
Causes:
Risk factors: family history, age, race, gender, diabetes, smoking, high salt intake, obesity, excessive alcohol consumption, and low dietary intake of potassium, calcium & magnesium

Interaction of environmental and genetic factors

Systolic: left ventricular failure (LV hypertrophy, O2 requirement not met)

Diastolic: decrease in cardiac perfusion (O2 delivery decreases, ATP down)
Manifestations:
Generally asymptomatic

Headache
Nocturia (urinating at night)
Angina pectoris
Edema
Dementia
Blindness

Disease Predisposition:
Atherosclerosis
Coronary heart disease
Nephrosclerosis
Kidney disease
Dementia & cognitive impairment
Secondary Hypertension
Causes:
Kidney disease
Adrenocorticosteroid dysfunction
Pheochromocytoma (NE releasing tumor)
Coarction of aorta
Oral contraceptives (↑ sodium retention)
Manifestations:
Generally asymptomatic

Headache
Nocturia (urinating at night)
Angina pectoris
Edema
Dementia
Blindness

Disease Predisposition:
Atherosclerosis
Coronary heart disease
Nephrosclerosis
Kidney disease
Dementia & cognitive impairment
Orthostatic Hypotension
Causes:
Fluid loss
Aging
Prolonged bed rest
Drugs
Manifestations:
Dizziness