Chapter 20

Question 1

Hypertension

Answer 1

systolic reading of 140+ mmGH, a diastolic reading of 90+mmHG or both

idiopathic disease, occurs without a known cause

1) anyone under the age of 35 with hypertension needs to be evaluated for one of the diagnosis
2) any client that is hypertensive must see a doctor

can lead to heart attack, stroke, kidney disease etc.

Question 2

Target organ cardiac disease

Answer 2

left ventricular thickening or hypertrophy due to untreated or inadequately treated hypertension…etc.

Question 3

beta blockers, calcium channel blockers, ACE inhibitors, ARBs diuretics, and alpha blockers

Answer 3

all lower blood pressure
can cause blood pooling, so need a longer cool down after walking, jogging and circuit weight training
also don’t elevate heart rate like normal

Question 4

Controlled hypertension

Answer 4

can exercise with limited restrictions

intensity: 40-50%maximal oxygen uptake, low intensity
contraindications: an activity that would increase intrathoracic pressure (no valsalva maneuver, breathe properly)
Safe exercises: wide variety available

Question 5

Comorbid conditions

Answer 5

1. musculoskeletal conditions or diseases: degnerative joint diseses, rheumatologic diseases
2. neurological disorders: stroke, myasthenia gravis, muscular dystrophy
3. Vascular diseases: carotid artery disease, cardiac conditions, aneurysms