Heart disease primary prevention

Question 1

Prehypertension BP

Answer 1

120-139/ 80-89

Question 2

Stage 1 HTN BP

Answer 2

140-159/ 90-99

Question 3

Stage 2 HTN BP

Answer 3

> 160/ >100

Question 4

What effect does prehypertension have on LV mass, CRP, stroke risk and CHD mortality compared to normotensives?

Answer 4

LV mass is greater in pre-Hypertensives, CRP is increased, but stroke risk is NOT increased and CHD mortality is NOT increased

Question 5

What accounts for the decline in cardiovascular disease deaths in the last decade?

Answer 5

BP and lipid control

Question 6

Does raising HDL with drugs save lives?

Answer 6

No

Question 7

Good and bad: statins

Answer 7

Good: removal of routine monitoring of liver enzymes from drug labels. Bad: potential for increased blood sugar and glycosylated hemoglobin levels and cognitive side effects

Question 8

How does tight glycemic control affect macrovascular disease?

Answer 8

It does NOT reduce macrovascular disease

Question 9

What regulation should be used for diabetics to prevent heart disease?

Answer 9

systolic BP control

Question 10

How many antihypertensive drugs does it take to control BP in high risk patients?

Answer 10

3-Feb

Question 11

Benefits of aspirin in CV disease

Answer 11

NO CV death benefits of aspirin. Aspirin is beneficial in CAD and stroke patients, but not in diabetes patients. It is recommended by ASA but it is NOT FDA approved for primary prevention