3. Hypertension Flashcards
True or false: Decreasing HTN decreases stroke risk greater than MI risk.
true
What are the compelling indications for treating HTN?
diabetes with proteinuria
CAD
CVA
CRI
What factor sets preload?
renal sodium handling
Jow does angiotensin II affect the renal function curve?
It shifts it rightward.
What is necessary to maintain HTN?
an altered renal set point
How does hyperaldosteronism manifest?
increased BP
suppressed and nonstimulable renin
low serum potassium
high and nonsuppressable aldosterone
How is pheochromocytoma diagnosed?
measuring urinary catecholamines
True or false: the vast majority of HTN cases are secondary.
false
Evidence of acute vascular injury is noted in a patient on a fundus exam. He has a history of HTN. What is he most likely suffering from?
malignant HTN
In what cases should a patient with HTN be evaluated for secondary causes?
early HTN
no family Hx
severe or difficult to control HTN
What is the gold standard for evaluating RV HTN?
arteriogram
What is a red flag for hyperaldosteronism?
hypokalemia in face of an ACE inhibitor
What other condition has the tightest link with hypertension?
stroke
