part 1 Flashcards
As BP increases so does the risk of what 4 things?
MI
heart failure
stroke
renal disease
BP = ?
CO x SVR (systemic vascular resistance)
How does the sympathetic nervous system (SNS) effect BP?
- activation increases HR and cardiac contractility
- vasoconstriction and renin release
- increases CO and SVR
How do baroreceptors (part of SNS) influence BP?
- sense stretching
- send impulses to sympathetic vasomotor center
How does vascular epithelium influence BP?
- platelet adhesion
- coagulation regulation
- immune function
- regulation of fluid control
- regulation and maintenance of vasodilating and vasoconstricting substances
How does the renal system regulate BP?
- 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)
How does the endocrine system influence BP?
- epinephrine and norepinephrine from adrenal medulla
- aldosterone from adrenal cortex
- ADH from posterior pituitary
How do we diagnose hypertension?
2 or more readings accurately performed on both arms on 2 separate occasions
What is another name for primary hypertension?
-essential or idiopathic
Elevated BP without a specific cause
Primary HTN
What percent of all cases is primary hypertension?
90-95%
-exact cause is unknown but there are several contributing factors