L6: Systemic HTN (Pt 2) Flashcards
Def of Secondary HTN
- Hypertension with a known underlying cause
Incidence of Secondary HTN
It represents approximately 10% of all cases
When to Suspect Secondary HTN?
Causes of Secondary HTN
Causes of Secondary HTN
- Renal
Causes of Secondary HTN
- Endo
Causes of Secondary HTN
- CNS
- Increased ICT
- Transverse myelitis.
- Polyneuritis (porphyria & lead poisoning).
Causes of Secondary HTN
- Vascular
- Coarctation of the Aorta
- Polycythemia
- Polyarteritis nodosa
Causes of Secondary HTN
- Drugs
- Confraceptive pills
- Cortisone
- Catecholamine
- Calcium
- NSAIDS
- Cyclosporin
Causes of Secondary HTN
- Others
- Toxaemia of pregnancy (pre-eclampsia & eclampsia syndrome)
- Hypercalcemia
Renal Causes of Secondary HTN
Renal Causes of Secondary HTN
- Parenchymal (Causes, Mech.)
Renal Causes of Secondary HTN
- Renovascular
Clinical Features that Suggest Renal Artery Stenosis
Causes of Hypokalemic hypertension
Clinical features suggesting
Pheochromocytoma
Rule of 10% in Pheochromocytoma
Rule of Halves in HTN
Risks of HTN
Risks of HTN
- Cardiac
Risks of HTN
- CNS
Risks of HTN
- Others
CP of HTN
CP of HTN
- The most common
Asymptomatic then fatigue
CP of HTN
- Symptoms
CP of HTN
- Signs
CP of Secondary HTN
Complications of HTN
Complications of HTN
- CVS
Complications of HTN
- CNS
Complications of HTN
- Renal
Complications of HTN
- Retinal
INVx for HTN
INVx for HTN
- Labs
INVx for HTN
- Imaging
INVx for HTN
- ABI
INVx for HTN
- Secondary HTN
INVx for HTN
- Search for TOD
….
INVx for HTN
- Indications of Extensive INVx
Indicated when
- Secondary form is suspected
- To determine the significance of border kine HTN
- With symptoms of TOD
Hypertensive Patients can be categorized according To their Risk Profile
Assess for cardiovaseular risk factors which include ……..
