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12 Cards in this Set

  • Front
  • Back
Definition of HTN?
>140/90 for 3 consecutive visits

>130/80 if diabetic or renal diseased
How do we measure HTN in-office?
two readings
5 minutes apart
sitting in chair
confirm in contralateral arm
how many americans have HTN?
1 in 5 (1 in 4 adults) = 50 million
Mortality increase between 1989 and 1999?
21%
Most common cause of Essential HTN?
idiopathic 88%
Other causes of HTN?
Renal HTN (5%)
Endocrine HTN (6%)
Miscellaneous (1%)
4 main endocrine HTN causes?
Primary Aldosteronism
Cushing's
Pheochromocytoma
Estrogen Therapy (birth control)
2 miscellaneous causes of HTN?
Liddle's syndrome
Coarctation
Sx's of HTN?
none until end-organ damage

MI
HF
Thrombotic or Hemmorhagic Stroke
HTN Encephalopathy
Renal Failure
staging HTN?
normal = <120/80
PreHTN = 120-139/80-89
Stage 1 = 140-159/90-99
Stage 2 = >160/100
Clues to Renovascular HTN?
Onset < 30 or >55
Abrupt Onset
Severe or Resistant
Negative Family History
Smoker
Renal Failure
Goals of HTN Rx?
Get BP <140/90 in normal pts
or
Get BP <130/80 in diabetic or chronic kidney disease patients