hypertension

Question 1

What is hypertension

Answer 1

High blood pressure at which the benefits of treatment of antihypertensive agents, outeweigh the risks of treatment

Question 2

What blood pressure is classified as hypertensive

Answer 2

140/90

Question 3

What is stage 1 hypertension values

Answer 3

Clinic BP 140/90
Ambulatory blood pressure monitoring - 135/85

Question 4

What is stage 2 hypertension values

Answer 4

Clinic BP 160/100
ABPM daytime average of 150/95

Question 5

What is stage 3 hypertension values

Answer 5

Clinic BP 180/120

Question 6

What is white coat hypertension

Answer 6

• Very high blood pressure when attending their doctor due to stress but usually have normal pressures otherwise

Question 7

What is the effect of alcohol on blood pressure

Answer 7

• Small amounts reduce blood pressure
• Large amounts of alcohol can increase blood pressure

Question 8

What is the correlation with birth weight and blood pressure in adulthood

Answer 8

Low birth weight is associated with higher likelihood of developing hypertension

Question 9

What is the antihypertensive treatment in >55 year olds or black people

Answer 9

1. Calcium channel blocker first line
2. Thiazide diuretic added such as indapamide
3. Add ACEi or ARBS
4. Add beta blocker such as bisoprolol

Question 10

What is the antihypertensive treatment in under 55 and not black

Answer 10

1. ACEi or ARBS
2. Add thiazide diuretic such as indapamide
3. Add CCB on such as amolodpine
4. Add beta blocker

Question 11

What are the side effects of calcium channel blockers

Answer 11

• Flushing
• headache
• ankle oedema
• reflux