hypertension

Question 1

hypertension definition numbers

Answer 1

> 140/ and OR >90

Question 2

hypertensive urgency definition

Answer 2

> 180/120 - no evidence of end organ damage

Question 3

hypertensive emergency

Answer 3

> 180/120 + evidence of end organ damage

treatment: labetalol, nitrates, fenoldopam (AKI) – stimulates D1 in the kidney vasodilation

Question 4

What are the end organ disease in hypertension?

Answer 4

Heart: concentric LVH, diastolic heart failure (beta myosin heavy chain), coronary artery disease, aortic dissection.

Brain: lacunar: posterior limb internal capsule. retinopathy
AV nicking

Renovascular: chronic kidney disease, hyperplastic arteriosclerosis (onion skin appearance)

Question 5

Secondary HTN ddx

Answer 5

aortic coarctation, cushing, hyperaldosteronism, renal artery stenosis, obstructive sleep apnea, pheochromocytoma, hyperthyroidism.

Question 6

Which hypertensive drugs can be used in pregnancy

Answer 6

Hydralazine, Methyldopa, Labetalol, and Nifedipine

Hypertensive moms love nifedipine