4. Essential hypertension Flashcards

1
Q

How common is it?

A

Very common

1 in 3 UK adults

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2
Q

Who does it affect?

A

All ages

Most common >65s

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3
Q

What causes it?

A

Raised peripheral resistance
Prolonged smooth muscle contraction in small arterioles leads to structural changes eg thickening of vessel walls
Causing irreversible rise in PR

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4
Q

How does it present?

A

Usually asymptomatic

Headaches, fatigue, vision problems

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5
Q

What signs may the patient have on examination?

A

Irregular heartbeat

Haematuria

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6
Q

What other conditions might present similarly?

A

CKD
Renal artery stenosis
Pre-eclampsia
Coarctation of aorta

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7
Q

How would you investigate?

A

Taking bp reading

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8
Q

How would you investigate?

A

Taking bp reading in both arms - record lowest reading

ABPM

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9
Q

What treatments are there?

A

ACEis, A2RBs, beta blockers, calcium channel blockers, diuretics

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10
Q

What complications are there?

A
MI
Stroke
Heart failure
Peripheral vascular disease
Renal disease
AAs
Vascular dementia
Retinopathy
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