Summary HTN

Question 1

What does a family history of early CV issues suggest?

2

Answer 1

increased risk of dyslipidemia and HTN

even for fittest person

Question 2

When should patients with concerning family hx start being screened for HTN

Answer 2

20-30 years old

Question 3

When should you ask about family history of CV issues?

Answer 3

every periodic health exam (yearly)

Question 4

What types of diuretics are preferred in HTN?

Answer 4

Long acting like indapamide vs short acting like HCTZ

Question 5

What medication should be considered for inital treatment

Answer 5

monotherapy or single pill combination therapy

Question 6

Which is preferred?
ACE-I + long acting CCB
ACE-I + thiazide/thiazide-like diuretic

Answer 6

ACE-I+ long acting CCB

Question 7

In the case of resistent HTN what add on therapy should be considered?

Answer 7

Diuretic

Question 8

In the case of arrhythmia what may need to be done to take BP

Answer 8

additional readings with auscultation to estimate mean SBP and SBP

ignore extra beats when listening

Question 9

Why are beta blockers problematic in DM

2

Answer 9

• can block awareness of low sugars
• can raise glucose levels