Hypertension

Question 1

What blood pressure should be treated for hypertension?

Answer 1

All who are greater than 160/100

If 150/95 the decision depends on risk of coronary events

Question 2

What is malignant hypertension?

Answer 2

A rapid rise in blood pressure causing direct damage to the blood vessels e.g. visual changes from vascular haemorrhages

Question 3

What is essential hypertension?

Answer 3

This is cause unknown 95% of the time

Question 4

What are the secondary causes of hypertension?

Answer 4

It can be caused by:

• Renal
• Endocrine
• Others e.g. coarctation

Question 5

What is the treatment goal of hypertension treatment?

Answer 5

less than 140/90
130/80 in diabetics
150/90 in over 80s

Question 6

What are the drugs used to treat hypertension?

Answer 6

If older than 55 or black then use calcium channel blockers first
If younger than 55 then use ace-I e.g. lisinopril
Then add a thiazide e.g. chlortalidone
Then add beta blocker e.g. bisoprolol

Question 7

What is an example of an arb?

Answer 7

Candesartan