vascular-hypertension Flashcards
what values define systemic HTN
greater or equal to 140/90
list some risk factors for primary HTN
age race (increased risk in black, decreased in asians) obesity stress lack of PA high salt diet
how does the juxtaglomerular apparatus respond to renal artery stenosis
by secreting renin
what are 2 ways that angioII raises BP
- contract arteriolar smooth muscle (increasing TPR)
2. promoting adrenal release of aldosterone
how can you tell the diff between renal artery stenosis HTN and primary HTN
in renal artery stenosis you will have elevated plasma renin and unilateral atrophy
what is the most common cause of renal artery stenosis in males?
atherosclerosis
what is the most common cause of renal artery stenosis in females?
fibromuscular dysplasia
what is fibromuscular dysplasia
developmental defect of blood vessel wall, resulting in irregular thickening of large and medium sized arteries, esp the renal artery
what values define malignant HTN?
greater or equal to 200/120 BP
how does malignant HTN present?
acute end organ damage