CV 8 Flashcards
Common drug induced HTN
NSAIDS, CS, Oral contraceptives, Antidepressants
Risk factors for HTN
DM, CKD, Low level of consumption of fresh fruits and vegies, sedentary behaviour
is awake BP higher or sleeping
awake
Automatic HTN diagnosis value
180/110
White coat HTN - Office BP, Daytime ABPM, 24 hr ABPM
greater than 140/90, less than 135/85, less than 130/80
Masked HTN - Office BP, Daytime ABPM, 24 hr ABPM
less than 140/90, greater than 135/85, less than 130/80
Study conclusion: Treating for BP does what
Reduce risk of CV outcomes
Health behaviours - sodium intake should be less than
2000mg/day
Health behaviours - K+
increase dietary K+ intake, but assess patients for risk of hyperkalemia first
Health behaviours - diet
DASH diet
- fruits and veggies
- grains nuts seeds
- low fat/non-fat dairy
- lean meat/poultry/fish
Health behvaiours - Dietary nitrate
Study with beetroot juice concluded that nitrates do lower BP!
One of the more significant contributer to HTN
Excess dietary sodium intake
Five first line drugs
Thiazide/thiazide-like diuretics
ACE-I
ARB
CCB (long acting)
B-blocker
What types of diuretics are preferred
Long-acting diuretics like indapamide and chlorthalidone are preferred over shorter acting ones like hydrochlorothiazide
When are B-blockers not indicated as first-line therapy
for ages 60 and above. Also not recommended in younger pts because they cause fatigue
