Hypertension

hypertension-1

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Question 1 of 1

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Definition HTN is simply defined as a persistently abnormal elevation in blood pressure>

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Explanation

Definition HTN is simply defined as a persistently abnormal elevation in blood pressure, < 140/90mmHg. HTN is not diagnosed unless BP is elevated on multiple occasions (at least 2-3) or if the patient has complications of HTN (as with patients admitted with hypertensive emergency). We treat HTN because it is a major risk factor for stroke, MI, CCF, CKD, retinopathy and peripheral vascular disease. The risk of hypertensive complications increases continuously throughout the BP range.

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HTN is not diagnosed unless BP is elevated on multiple occasions (at least 2-3) or if the patient has complications of HTN (as with patients admitted with hypertensive emergency).

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We treat HTN because it is a major risk factor for stroke, MI, CCF, CKD, retinopathy and peripheral vascular disease

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The risk of hypertensive complications decreases continuously throughout the BP range.

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HTN is caused by a combination of.........and the latter 2 factors are more important,,All treatment of HTN targets these factors

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Types of Hypertension

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Explanation

Types of HTN  Essential (Primary) HTN – most common (95%) and due to a combination of genetic, environmental factors (salt intake, weight, exercise etc) and age. Usually develops after the age of 30 but can develop earlier.  Secondary HTN – HTN due to other causes. All patients < 30yo with HTN and those with HTN no sufficiently controlled on 3 drugs should be assessed for these conditions. o Renal – most common; can be related to CKD or renal artery stenosis o Cushing’s syndrome – hypercortisolemia o Crohn’s syndrome - hyperaldosteronemia o Coarctation of the Aorta o Pheochromocytoma – catecholamine producing tumor o Hyperthyroidism or hypothyroidism.

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Regarding essential/Primary hypertension

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Explanation

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Common conditions associated with Secondary HTN

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The most common condition occuring in secondary hypertension is

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Mild Grade 1 hypertension

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Moderate Grade 2 hypertension

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Severe Grade 3 hypertension

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Hypertensive urgency

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Hypertensive emergency

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Regarding emergency hypertension

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Explanation

Hypertensive Emergency – severe HTN with end organ damage o Usually does not occur unless sudden increase in DBP to < 130mmHg. Was called malignant HTN in the past. o Signs of end organ damage can include encephalopathy (confusion with severe HA), blurry vision/retinal hemorrhage, angina, pulmonary edema, aortic dissection and acute kidney injury

Hypertension

Question 1 of 1

Time Left

Definition HTN is simply defined as a persistently abnormal elevation in blood pressure>

Fill in the blanks

(0/0)

Explanation

HTN is not diagnosed unless BP is elevated on multiple occasions (at least 2-3) or if the patient has complications of HTN (as with patients admitted with hypertensive emergency).

Select the correct answer(s).

(0/0)

We treat HTN because it is a major risk factor for stroke, MI, CCF, CKD, retinopathy and peripheral vascular disease

Select the correct answer(s).

(0/0)

The risk of hypertensive complications decreases continuously throughout the BP range.

Select the correct answer(s).

(0/0)

HTN is caused by a combination of.........and the latter 2 factors are more important,,All treatment of HTN targets these factors

Fill in the blanks

(0/0)

Types of Hypertension

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Explanation

Regarding essential/Primary hypertension

Select the correct answer(s).

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Explanation

Common conditions associated with Secondary HTN

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Explanation

The most common condition occuring in secondary hypertension is

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Mild Grade 1 hypertension

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Moderate Grade 2 hypertension

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Severe Grade 3 hypertension

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Hypertensive urgency

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Hypertensive emergency

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Regarding emergency hypertension

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Explanation

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