Systemic Hypertension Flashcards

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1
Q

Define systemic hypertension

A

Sustained elevation of resting systolic blood pressure (>140), diastolic (>90) or both.

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2
Q

What effect does hypertension have on the heart?

A

Strain. Leads to Hypertensive heart disease and coronary artery disease.

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3
Q

Systemic hypertension is a major risk factor for what?

A

Strokes. Aneurysms. Peripheral arterial disease. Chronic kidney disease.

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4
Q

Normal BP measurements?

A

<120 <80mmHg

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5
Q

Pre-hypertension BP measurements?

A

120-139, 80-89 mmHg

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6
Q

Stage 1 hypertension measurements?

A

140-159, 90-99 mmHg

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7
Q

Stage 2 hypertension measurements?

A

> 160, >100mmHg

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8
Q

Hypertensive emergency measurements?

A

> 220, >120mmHg

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9
Q

Another term for hypertensive crisis/accelerated hypertension?

A

Malignant hypertension

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10
Q

Measurements of malignant hypertension?

A

> 180, >110-120mmHg

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11
Q

Consequences of malignant hypertension?

A

Evidence of direct damage to one or more organs as a result of severely high BP.

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12
Q

Cause of primary/essential hypertension?

A

Idiopathic, no obvious underlying medical cause, 90-95% of cases

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13
Q

Possible causes of primary hypertension.

A
Genetic + Hypertensinogenic factors.
Black.
Obesity.
Smoking.
High sodium diet.
Alcohol.
Stress.
Physical inactivity.
Insulin resistance.
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14
Q

Causes of secondary hypertension.

A

Caused by other conditions that affect the kidneys, arteries, heart or endocrine system.
Pregnancy-induced hypertension.
Drugs.
Neurogenic.

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15
Q

Difference between benign and malignant hypertension.

A

Benign: no target organ damage.
Malignant: evidence of target organ damage.

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16
Q

Explain the term ‘onionskin’ appearance associated with hypertension.

A

The concentric thickening of renal arterioles, which is indicative of hyperplastic arteriolosclerosis with malignant hypertension.

17
Q

Risk factors of atherosclerosis.

A

Age, male, Hypertension, Smoking, diabetes, hyperlipidaemia

18
Q

True or false:

Atherosclerosis forms in larger and small sized arteries

A

False.

Atherosclerosis forms in medium and large sized arteries.