Hypertension Flashcards

1
Q

what is BP value is hypertension defined as

A

140/90mmHg

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2
Q

what is stage 1 hypertension classed as

A

140/90mmHg

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3
Q

what is stage 2 hypertension classes as

A

160/100mmHg

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4
Q

what is stage 3 hypertension classes as

A

180/110mmHg

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5
Q

if someone has a clinic BP of 140/90mmHg what is the next step

A

offer ABPM to assess for white coat etc

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6
Q

how many measurements each day does ABPM offer

A

x2 readings every hour for at least 14 hours a day

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7
Q

does hypertension have an symptoms

A

no

ocassionally headaches

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8
Q

what risk factors increase chance of developing hypertension

A
male 
increased age 
smoking
diabetes 
hyperlipidaemia 
black origin 
high salt and alcohol intake
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9
Q

what are the end organ complications of hypertension

A
stroke 
MI
haemorrhage 
retinopathy 
renal failure 
peripheral vascular disease
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10
Q

what is the difference between primary and secondary hypertension

A

primary - no underlying cause

secondary - underlying pathology

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11
Q

what are some causes of secondary hypertension

A

Conns syndrome
Cushings syndrome
renal disease/stenosis

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12
Q

what is cushings syndrome

A

excess cortisol in the body

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13
Q

what is Conns syndrome

A

excess aldosterone in the body activating RAAS

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14
Q

what investigations are required for assessing someone with hypertensions overall CVD risk

A

urine sample for haematuria
blood glucose test
eye exam for retinopathy
ECG

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15
Q

what stage does someone receive treatment for hypertension

A

stage 2, when above 160/100mmHg

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16
Q

what happens to a patient with stage 1 hypertension

A

lifestyle advice for modifiable risk factors

annual review

17
Q

what is the target blood pressure of someone >80 on treatment

A

150/90mmHg

18
Q

what is the target blood pressure of someone <80 on treatment

A

140/90mmHg

19
Q

who gets an ACEi or ARB as their first drug

A

white person <55 years old

20
Q

who gets a Ca2+ channel blocker as their first drug

A

african/carribean person of any age

anyone over the age of 55

21
Q

what is the second tier of hypertension drugs

A

A+C

22
Q

what is the third tier of hypertension drugs

A

A+C+ diuretic

23
Q

what happens if still hypertensive after A+C+D

A

add spirnolactone or beta-blocker

24
Q

when is use of ACEi and ARBs contraindicated

A

child bearing females/pregnancy induced hypertension