26 & 27: Drugs and Blood Pressure Flashcards
What is an important component of history in a woman with hypertension?
Pregnancy history (pregnancy induced hypertension is a marker of significant hypertension later in life)
Which other cardiovascular issues should be screened for in a history of someone with hypertension?
- Diabetes
- Cholesterol
- Stroke
- MI
- Diet
- Activity levels
- Alcohol
- Smoking (synergistic risk factor)
Diuretics can take ____ months to exert their full anti-hypertensive effects
2-3
What are treatment options for both hypertension and angina?
- Calcium channel blocker
- Beta blocker
Patients with coronary artery disease are most commonly on which medications?
Beta blocker + statin + antiplatelet
Paroxysmal nocturnal dyspnoea is usually associated with ____
Orthopnia
What are the risk factors for heart failure and AF?
- Coronary artery disease
- Valvular disease
- Hypertension
How can AF cause heart failure?
- AF causes fast ventricular rate
- Prolonged tachycardia can cause adverse remodelling of the heart
Which investigations can be used to diagnose heart failure?
- Echocardiogram
- CXR
- Blood tests
What are important secondary causes of hypertension in young people?
- Adrenal abnormalities (catecholamine production)
- Phaeo
- Thyroid
- Cushings
- Renal artery stenosis
- Aortic coarctation
- Medication (OCP)
- Alcohol
- Recreational drugs
- NSAIDs
- licorice
