Hypertension 2021 Guidelines Flashcards
How frequent does ABPM cycle blood pressure?
30 minutes
What is BP cut off for AOBP? 24 hour?
> 135 / 85 mmhg (awake)
> 130 / 80mmhg (24 hour)
What is BP cut off for office measurement?
140 / 90 mmhg
How to diagnose hypertension?
- HTN urgency/emergency
- 3 visits > 160/100mmhg
- OBP > 140/90mmhg
- AOBP > 135/85mmhg
- 24hr AOBP > 130/80mmhg
How to diagnose hypertension in diabetes?
3 readings > 130/80 mmhg
5 diagnosis that should be ordered in Hypertension?
ECG
Urinalysis
Hba1c
Lytes and renal function
Lipid panel
In which patients are BB first line BP agents?
< 60 years old
In which patients are ACEi not a first line agent?
Black patients
What two combo pills are recommended?
ACE/ARB-CCB
ACEi/ARB-Diuretic
What DBP level should you be concerned about in CAD patients?
< 60mmhg
What are two agents preferred for post stroke management?
ACEi/Thiazide
< 140/80mmhg
When can Renal artery angioplasty recommended for RAS?
Uncontrolled hypertension resistant to maximally tolerated pharmacotherapy
Progressive renal function loss
Acute pulmonary edema
When to assess for renovascular hypertension?
2 or more of the following:
>55 <30 Absence of abdominal bruit Hypertension resistant to 3 drugs Increase in serum Cr 30% with ACE/ARB Other ASCVD Recurrent pulmonary edema with hypertensive surges
4 reasons to screen for FMD?
Significant > 1.5 cm unexplained asymmetry in kidney sizes
Abdominal bruit without apparent atherosclerosis
FMD in another vascular territory
Family history of FMD
When to screen for primary hyperaldosteronism? (3)
- spontaneous hypokalemia with K < 3.5, diuretic-induced K < 3
- Resistance to treatment with 3 drugs
- An incidental adrenal adenoma