hypertension Flashcards
boundary of hypertension
greater than or equal o 140/90
large and medium vessels what type of stroke - why
sheer stress -> endothelial damage -> atherosclerosis -> blockage -> ischaemic stroke
small vessels what type of stroke
“lipohyalinosis” haemorrhagic - MCA normally, “lacunar strokes”
increased risk AF what type of stroke
embolic
what two things can you see on ophthalmoscope in hypertension
silver wire arterioles (lumen is compromised because walls have thickened)
cotton wool spots (sites of old capilaarry haemhorrages)
stage 1 hypertension
clinic >140-159 systolic
and/or 90-99 diastolic
home 135 -149 and 85-94
stage 2 hypertension
clinic 160-179
and/or 100-119
home 150 and 95
stage 3 hypertensino
180
120
why would you give drug treatment to someone with pre-hypertension
co-morbidities such as CVD, DM, obesity
what is 2ary hypertension
caused by underlying pathology
what is pheochromocytoma
tumour of muffin cells - secrete adrenaline
what other causes of 2ary hypertension
contraceptive pill
nsaids
Cushings
acrogmegaly
thyroid disease
what is acromegaly
too much GH
pituitary tumour?
what do most ppl with DM die of
CVD
pt <40 hypertensionq
investigate for 2ary cayse
Steps for type one treatment HTN
