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Cardio > Hypertension Guidelines > Flashcards

Hypertension Guidelines Flashcards

1
Q

What are the classifications of BP?

A

Normal, elevated, stage 1, and stage 2

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2
Q

What is a normal BP?

A

SBP less than 120 and DBP less than 80

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3
Q

What is an elevated BP?

A

SBP 120-129 and DBP less than 80

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4
Q

What is stage 1 HTN?

A

SBP 130-139 or DBP 80-89

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5
Q

What is stage 2 HTN?

A

SBP greater than or equal to 140 or DBP greater than or equal to 90

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6
Q

How do you classify a patient with a SBP and DBP in two different categories?

A

Use the higher category

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7
Q

What happens to BP with increasing age, and what study proved this finding?

A

It progressively increases as proven by the John Hopkins Precursor Study

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8
Q

What were the findings of the MESA study?

A

Prevalence of HTN was higher in African Americans and Hispanics compared to Whites and Chinese (African Americans, Hispanics, Whites, and then Asians).

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9
Q

How many BP readings are required to diagnose HTN?

A

At least two readings on two separate visits

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10
Q

What is the first line therapy for SIHD (Post-MI, CSA)?

A

ACE/ARB and beta blocker

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11
Q

What are the additional therapies for SIHD (Post-MI, CSA)?

A

CCBs, thiazide, or aldosterone inhibitor

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12
Q

What is the first line therapy for HF with reduced EF?

A

ACE/ARB and beta-blocker and aldosterone antagonist

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13
Q

What are the additional therapies for HF w/ reduced EF?

A

Diuretics for fluid overload

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14
Q

What meds are contraindicated in patients with HF w/ reduced EF?

A

Non-DHP CCBs

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15
Q

What is the first line therapy for HF w/ preserved EF?

A

ACE/ARB, beta-blocker

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16
Q

What are the additional therapies for HF w/ preserved EF?

A

Diuretics for fluid overload

17
Q

What is the first line therapy for CKD?

A

ACE

18
Q

What are the additional therapies for CKD?

A

ARB

19
Q

What constitutes CKD?

A

stage 3 or higher OR stage 1 or 2 with albuminuria >300 mg/d

20
Q

What is the first line therapy for stroke?

A

ACE/ARB, thiazide, or combo of the 2

21
Q

What are the additional therapies for stroke?

A

CCBs or aldosterone antagonist

22
Q

What is the first line therapy for diabetes?

A

ACE/ARB, thiazide, or CCB

23
Q

In a patient with HTN, diabetes, and the presence of albuminuria, what class do you use?

A

ACE/ARB

24
Q

What is the first line therapy for African Americans with HTN without CKD or HF?

A

CCBs or thiazides

25
Q

What is the first line therapy for pregnant women with HTN?

A

Methyldopa, nifedipine, or labetalol

26
Q

What medications are contraindicated in pregnant women with HTN?

A

ACE, ARB, and renin inhibitor

27
Q

What is the first line therapy for resistant HTN?

A

Spironolactone

28
Q

What are the additional therapies for resistant HTN?

A

Hydralazine or Minoxidil

Cardio (11 decks)

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