HTN Flashcards
What are the indications for renal artery stenting in RAS?
Rapidly worsening GFR, uncontrolled HTN, recurrent pulmonary edema
What is the treatment for GRA?
Dexamethasone+ Spironolactone
What is the forth best agent for resistant HTN?
Spironolactone
What is BP target in HTN emergency?
First hr: 25% reduction
2-6 hr: 160/100
24-48 hrs: <140/90
What is the best imaging modality for FMD?
CT angiogram> beading, aneurysm of middle arteries
What is the confirmatory imaging for PAN with renal involvment?
Arteriography of renal arteries
NOT MRA or CT scan
Young patient with new onset HTN with previous trauma, What to think?
Page Kidney, perinephric hematoma
Imaging of choice for PKD hemorrhage? per ASH
PET CT
When it comes to resistant HTN, there are 3 things that can be resistant.
Patient, Physician and Disease itself
What is the one renal parenchymal disease which causes secondary HTN despite normal Cr and normal UA?
PKD
Renin secreting tumor causes
JG cells from kidney, non kidney( testes and ovary)
Dx: MRA and renal angiogram
Causes of false elevation of plasma metanephrines/ non metanephrines
Medications: TCAs, Labetalol, Acetaminophen, Buspirone
Plasma testing can cause false +
What happens with BP in young women with primary aldosteronism when she goes into pregnancy?
-BP may normalize and she might not need medications because progesterone has anti aldosterone effect
Risk of developing cHTN after gestational HTN?
Risk of developing cHTN is 3 times in 10 yrs
Which ACE can you use in a lactating mother for Diabetic proteinuria?
Captopril, Enalapril, Benazepril, Quinapril - negligible breast milk secretion
