Clinical Perspective - Evaluation of Hypertension Flashcards
These medications are highly effective in hypertensive patients with comorbid heart failure, diabetes with renal disease, and/or chronic kidney disease.
ACEIs, ARBs
What is the most common endocrine cause of hypertension?
Hyperaldosteronism
A patient has a BP of 180/110. What is the best step for management?
This patient is in a hypertensive emergency. If there are symptoms or signs of organ failure, they must be admitted to the hospital for immediate treatment
A patient is diagnosed with hypertension. They wish to defer medication treatment to try lifestyle modifications. The patient is deemed low CV risk. Is this an acceptable start to BP management?
Yes - lifestyle modifications are a good start for all patients. In patients with low CV risk, lifestyle modifications may be used before starting medications
What are the most common causes of secondary hypertension?
Chronic kidney disease, primary aldosteronism, sleep apnea
When is hypertension considered resistant to treatment?
When hypertension persists despite 3+ medications, including a diuretic, that are properly dosed and taken.
True/False. A patient is diagnosed with chronic hypertension and started on aggressive treatment by their PCP. This patient could be at risk for poor tissue perfusion.
True. In a patient with chronic hypertension, rapid lowering of BP could be beyond the autoregularity capacity of the body, thus leading to low BP and hypoperfusion
In what situations should workup for secondary hypertension?
Resistant hypertension despite medication and diet compliance, adequate dosing, etc.
What is the recommended target BP for hypertensive patients receiving treatment?
Less than 130/80
