11 Primary HTN

Question 1

grade 3 HTN

Answer 1

systolic >180

diastolic >110

Question 2

grade 2 HTN

Answer 2

systolic 160-179

diastolic 100-109

Question 3

grade 1 HTN

Answer 3

systolic 140-159

diastolic 90-99

Question 4

high normal BP

Answer 4

130-139/85-89

Question 5

normal BP

Answer 5

120-129/80-84

Question 6

optimal bp

Answer 6

<120/<80

Question 7

what age does diastolic BP start to decrease rather than increase

why?

Answer 7

about age 50, diastolic starts to decrease

loss of elasticity in vessels

Question 8

most important predictor of future CV events in aging population

Answer 8

“widening pulse pressure

loss of nocturnal dip is important too
“

Question 9

equation for MAP

Answer 9

1/3(SBP) + 2/3(DBP)

Question 10

general medications for primary HTN

Answer 10

• *ACEi**
• *ARBs**

BBs

CCBs

Diuretics

ACE/ARB/BB in general work better for whites

CCB/diuretics in general work better for blacks

Question 11

• compellingcontraindications*for**:
• *diuretics**

Answer 11

gout

Question 12

compelling contraindications for BBs

Answer 12

asthma, AV block(2 or 3)

Question 13

compelling contraindications for CCBs

Answer 13

AV block, LV dysfunction

Question 14

compelling contraindications for ACEis and ARBs

Answer 14

• *pregos**
• *hyperkalemia**

renal artery stenosis