Hypertension

Question 1

what is stage I hypertension

Answer 1

clinic BP of 140/90mmHg and ABPM or HBPM daytime average is 135/85mmHg or higher

Question 2

what is stage II hypertension

Answer 2

clinic BP of 160/100 or higher and ABPM or HBPM daytime average of 150/95mmHg or higher

Question 3

what is severe hypertension

Answer 3

clinic BP of 180mmHg or higher and clinic diastolic BP of 110mmHg or higher

Question 4

causes of secondary hypertension?

Answer 4

• renal
• endocrine
• coarctation
• drugs

Question 5

when to treat hypertension?

Answer 5

-when stage 2 hypertension
or 
-stage 1 end organ damage
or
-10 year CV risk >10%

Question 6

treatment if black/>55

Answer 6

1. CCB or thiazide diuretic
2. A + C or A + D (ACEI/ARB)
3. Triple therapy: CCB + ACEI/ARB + thiazide diuretic
4. Resistant hypertension: + low dose mineralcorticoid antagonist (spironolactone) or alpha blocker or beta blockers

Question 7

treatment if <55

Answer 7

1. ACEI/ARB
2. A + C or A + D
3. Triple therapy: CCB + thiazide diuretic + ARB/ACEI
4. Resistant hypertension: + low dose mineralcorticoid antagonist (spironolactone) or alpha blocker or beta blocker