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12 Cards in this Set
- Front
- Back
Definition of HTN?
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>140/90 for 3 consecutive visits
>130/80 if diabetic or renal diseased |
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How do we measure HTN in-office?
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two readings
5 minutes apart sitting in chair confirm in contralateral arm |
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how many americans have HTN?
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1 in 5 (1 in 4 adults) = 50 million
|
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Mortality increase between 1989 and 1999?
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21%
|
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Most common cause of Essential HTN?
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idiopathic 88%
|
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Other causes of HTN?
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Renal HTN (5%)
Endocrine HTN (6%) Miscellaneous (1%) |
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4 main endocrine HTN causes?
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Primary Aldosteronism
Cushing's Pheochromocytoma Estrogen Therapy (birth control) |
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2 miscellaneous causes of HTN?
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Liddle's syndrome
Coarctation |
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Sx's of HTN?
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none until end-organ damage
MI HF Thrombotic or Hemmorhagic Stroke HTN Encephalopathy Renal Failure |
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staging HTN?
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normal = <120/80
PreHTN = 120-139/80-89 Stage 1 = 140-159/90-99 Stage 2 = >160/100 |
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Clues to Renovascular HTN?
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Onset < 30 or >55
Abrupt Onset Severe or Resistant Negative Family History Smoker Renal Failure |
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Goals of HTN Rx?
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Get BP <140/90 in normal pts
or Get BP <130/80 in diabetic or chronic kidney disease patients |