systemic hypertension Flashcards
what is a major cause premature vascular disease
hypertension
what is stage 1
BP >140/90
what is stage 2
BP >160/100
what is severe hypertension
BP >180
what investigations
- urinalysis
- blood test
- fundoscopy
- ECG
what does fundoscopy do
detect hypersensitivity retinopathy
lifestyle treatment of hypertension
- diet
- physical exercise
- reduce alcohol
- reduce sodium intake
- smoking cessation
- weight reduction
what is step 1 treatment for <55
ACE inhibitor or ARB
what is step 1 treatment for >55 or black African or Caribbean
calcium channel blocker
what is step 2 treatment
ACE inhibitor + calcium channel blocker
what is step 3 treatment
ACE inhibitor + calcium channel blocker + thiazide diuretic
what is step 4 treatment
+ more diuretic or alpha or beta blocker
when should patients be offered treatment
stage 2
what is given to women of child bearing age for treatment
beta blocker
what calcium channel blocker is given
amlodipine
