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24 Cards in this Set
- Front
- Back
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According to JNC7, if you're >50 yrs old, is a systolic value >140 more indicative of cardiovascular disease risk than a high diastolic value?
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Yes
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True or False:
Individuals with a systolic blood pressure of 120–139 mmHg or a diastolic blood pressure of 80–89 mmHg should be considered as prehypertensive and require health-promoting lifestyle modifications to prevent CVD. |
True
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True/False: Most patients with hypertension will require two or more antihypertensive
medications to achieve goal blood pressure (<140/90 mmHg, or <130/80 mmHg for patients with diabetes or chronic kidney disease) |
True
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If I have diabetes or chronic kidney dsease, what is my target blood pressure going to be?
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<130/80
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What is a "normal" blood pressure?
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Systolic: <120 AND
Diastolic: <80 |
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What are the prehypertensive blood pressure values?
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SBP: 120-139 OR
DBP: 80-89 |
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Would I ever give a medication to someone who is normotensive or prehypertensive?
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Yes - if there was a compelling indication.
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What are the compelling indications?
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Heart failure.
Post-MI. High coronary disease risk. Diabetes. Chronic kidney disease. Recurrent stroke prevention. |
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What are the values for stage 1 hypertension?
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SBP: 140-159 OR
DBP: 90-99 |
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What are the values for stage 2 hypertension?
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SBP: >=160 OR
DBP: >=100 |
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What are the major cardiovascular risk factors?
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Hypertension.
Cigarette smoking. Obesity. Physical inactivity. Dyslipidemia. Diabetes mellitus. Microalbuminuria. Age (>55 for men, >65 for women). Family history of premature cardiovascular disease (men under 55, women under 65). |
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What does DASH stand for?
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Dietary approaches to stop hypertension. Diet rich in potassium and calcium, dietary sodium reduction.
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How do we classify a child or adolescent as hypertensive?
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HTN is defined as BP that is =>95th percentile for age, height and gender.
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What are some conditions in younger children that can cause HTN?
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Kidney disease.
Coarctation of the aorta. |
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What is an additional positive effect of the thiazide-type diuretics?
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Slowing demineralization in osteoporosis.
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Beta-blockers can be used to treat HTN. What other potential favorable effects can BB be used for?
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Treatment of atrial tachyarrhythmias/fibrillation.
Migraine. Thyrotoxicosis (short term). Essential tremor Perioperative hypertension. |
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Calcium channel blockers can also be used for?
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Raynaud's syndrome.
Certain arrhythmias. |
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Alpha blockers may be useful in ______________.
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Prostatism.
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Use thiazide-type diuretics with caution in?
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Patients with gout.
Patients with a history of severe hyponatremia. |
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When should I avoid giving a beta-blocker?
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My patient has asthma, reactive airway disease or second or third degree heart block.
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Can I use an ACE or ARB in a woman likely to become pregnant or who is pregnant?
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No.
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When we talk about target end organ damage to the heart, what are we talking about?
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*Left ventricular hypertrophy.
*Angina or prior MI. *Prior coronary revascularization. *Heart failure. |
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When we talk about target end organ damage to the brain, what are we talking about?
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Stroke or TIA
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Are chronic kidney disease, peripheral arterial disease and retinopathy target end organ damage?
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Yes.
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