part 1 Flashcards

1
Q

As BP increases so does the risk of what 4 things?

A

MI
heart failure
stroke
renal disease

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2
Q

BP = ?

A

CO x SVR (systemic vascular resistance)

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3
Q

How does the sympathetic nervous system (SNS) effect BP?

A
  • activation increases HR and cardiac contractility
  • vasoconstriction and renin release
  • increases CO and SVR
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4
Q

How do baroreceptors (part of SNS) influence BP?

A
  • sense stretching

- send impulses to sympathetic vasomotor center

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5
Q

How does vascular epithelium influence BP?

A
  • platelet adhesion
  • coagulation regulation
  • immune function
  • regulation of fluid control
  • regulation and maintenance of vasodilating and vasoconstricting substances
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6
Q

How does the renal system regulate BP?

A
  • control sodium excretion and ECF volume
  • RAAS
  • A-II results in remodeling of vessel walls resulting in primary hypertension
  • prostaglandins
  • Natriuretic peptides (ANP and BNP)
  • creatinine (0.7-1.4)
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7
Q

How does the endocrine system influence BP?

A
  • epinephrine and norepinephrine from adrenal medulla
  • aldosterone from adrenal cortex
  • ADH from posterior pituitary
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8
Q

How do we diagnose hypertension?

A

2 or more readings accurately performed on both arms on 2 separate occasions

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9
Q

What is another name for primary hypertension?

A

-essential or idiopathic

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10
Q

Elevated BP without a specific cause

A

Primary HTN

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11
Q

What percent of all cases is primary hypertension?

A

90-95%

-exact cause is unknown but there are several contributing factors

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