Hypertension pt 1

Question 1

resistant hypertension definition

Answer 1

fail to attain goal BP while adherent to regiment that includes at least 3 agents at max (including diuretic) or when 4 or more agents are needed

Question 2

Modifiable hypertension risk factors

Answer 2

high sodium intake
obesity
low potassium intake
excess alcohol intake

Question 3

non-modifiable hypertension risk factors

Answer 3

age
ethnicity (black)
genetic predisposition
gender (under 55 greater risk for males and over 64 greater risk for women)

Question 4

what are substances that can increase BP

Answer 4

illicit drugs
caffeine
nicotine
decongestants
amphetamines
antidepressants
atypical antipsychotics
immunosuppressants
oral contraceptives
NSAIDS
steroids
oncology agents

Question 5

normal BP classification

Answer 5

< 120 AND < 80

Question 6

elevated BP classifications

Answer 6

120-129 AND < 80

Question 7

HTN stage 1 BP classification

Answer 7

130-139 OR 80-90

Question 8

HTN stage 2 BP classification

Answer 8

140+ OR 90+

Question 9

BP strategy for normal BP and when to reassess

Answer 9

promote healthy lifestyle
reassess in 1 year

Question 10

BP strategy for elevated BP and when to reassess

Answer 10

non-pharm therapy
reassess in 3-6 months

Question 11

BP strategy for stage 1 HTN and when to reassess

Answer 11

ASCVD >= 10 or comorbidity = non pharm and medication. reassess in 1 month
ASCVD < 10 = non pharm. reassess in 3-6 months

Question 12

BP strategy for stage 2 HTN and when to reassess

Answer 12

non pharm and 2 medications
reassess in 1 month

Question 13

ALLHAT trial take aways

Answer 13

thiazides should be first line
if patient cannot tolerate diuretic then consider CCB or ACEi
most patients with high BP need more than 1 drug