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9 Cards in this Set
- Front
- Back
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What are the most common causes of secondary HTN?
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- Renal/renovascular disease (renal artery stenosis)
- OCPs |
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Describe the pathophysiological effects of HTN on the heart
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1. ↑ SVR
2. Concentric LVH 3. ↓ LV function 4. Ventricular chamber dilation 5. Heart failure Sx |
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What are the major complications of HTN?
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- CAD
- CHF w/ LVH - Stroke - Renal failure |
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What organs are insidiously affected by HTN and how?
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- Heart: CAD
- Eyes: Papilledema - CNS: Stroke, intercerebral hemorrhage - Kidneys: Renal failure |
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What is the definition of HTN?
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General population:
- BP > 140/90 DM, renal disease: - BP > 130/80 |
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What must be done before starting antihypertensive medication?
Why? |
Pregnancy test
Contraindications: - Thiazides - ACEi - Calcium channel blockers - ARBs |
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What antihypertensive medication is safe to use in pregnant women?
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- β-blockers
- Hydralazine |
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What are the cardiovascular risk factors?
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- Smoking
- DM - Hypercholesterolemia - Age > 60 - + FHx - Male |
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Describe lipid screening protocol
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Everyone screened with fasting lipid profile every 5 years starting at age 20
(Start earlier and perform more frequently if strong FHx and/or obesity) |
