Term
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Definition
Usually asymptomatic
Diagnosis cannot be made on one high BP |
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Term
SECONDARY HYPERTENSION
pathophysiolgic causes |
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Definition
| Kidney disease, Cushing's dz, obstructive sleep apnea, parathyroid dz. coarctation of the aorta, primary aldosteronisms |
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Term
SECONDARY HYPERTENSION
medication causes |
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Definition
| steroids, amphetamines, appetite suppressants, decongestants, erythropoesis agents, NSAIDS |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Strong risk for _________ even with pre-hypertension. |
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Definition
| Stroke, heart failure, angina, sudden death,kidney failure |
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Term
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Definition
| Excess sodium, altered calcium balance, potassium depletion |
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Term
| Age of risk in men and women |
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Definition
Men 55 or older
Women 65 or older |
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Term
| Risk factors for HTN: disease states |
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Definition
| diabetes, dyslipidemia, obesity,microalbuminemia |
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Term
| Risk factors for hypertension: Lifestyle |
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Definition
| family history of early CV disease, tobacco, physical inactivity, previous BP in HTN category |
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Term
| Labs and diagnostic testing: methods |
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Definition
Blood glucose (fasting),BUN, serum creatinine, lipids, electrolytes
Patient may have normal values. |
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Term
| Diagnostic testing: methods |
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Definition
| 12-lead electrocardiogram, estimated glomerular filtration rate |
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Term
| 12-lead Electrocardiogram: definition and purpose |
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Definition
| Electric test to detect left ventricular hypertrophy |
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Term
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Definition
| Brain: Stroke, Eyes: Retinopathy, Heart:LVH/remodeling/failure, Kidney: Chronic Kidney Dz, PAD |
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Term
| Treatment Goals: Moat Patients |
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Definition
Reduce HTN morbidity/mortality
BP under 140/90 |
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Term
| Treatment goals: Patients, with kidney dysfunction, heart condition, vessel dz, etc. |
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Definition
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Term
| Treatment Goals: Patients with left ventricular dysfunction |
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Definition
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Term
| Stage 1 HTN therapy, no compelling indications |
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Definition
Thiazide diuretic
ACEI, ARB, CCB, or combo |
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Term
| Stage 2 HTN therapy, no compelling indications |
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Definition
Two drug combination
thiazide diuretic + (ACEI/ARB/CCB) |
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Term
| HTN therapy, Left Ventricular Dysfunction |
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Definition
Standard: Diuretic + ACEI, then add BB
Add-on: ARB or aldosterone antagonist |
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Term
| HTN therapy, post- myocardial infarction |
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Definition
Standard: BB, then add ACEI/ARB
Add-on: aldosterone antagonist |
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Term
| HTN therapy, Coronary Disease |
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Definition
Standard: BB then add ACEI/ARB
Add-on: CCB and diuretic |
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Term
| HTN therapy, diabetes mellitus |
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Definition
Standard: ACEI/ARB
Add-on: Diuretic
Compound: BB |
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Term
| HTN Treatment, Chronic Kidney Disease |
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Definition
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Term
| HTN Therapy, Recurrent Stroke Prevention |
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Definition
| Standard: Diuretic with ACEI or ARB |
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Term
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Definition
| Chlorthalidone, HCTZ, Indapamide, Metolazone |
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Term
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Definition
| Bumetanide, Furosemide, Torsemide |
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Term
| Potassium Sparing Diuretic |
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Definition
| Amiloride, Triamterine, both plus HCTZ |
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Term
|
Definition
Eplerenone, Spironolactone
Dose in AM/afternoon |
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Term
|
Definition
Anything ending in -pril
May cause dry cough, hyperkalemia. starting dose reduced for elderly/diuretic/volume depleted |
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Term
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Definition
Anything ending in -artan
Reduced dose in pts on diuretic/volume deplete/elderly, may cause hyperkalemia |
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Term
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Definition
Anything ending in -ipine
Diltiazem, Verapamil
ER preferred, block slow channels, reduce HR |
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Term
| B-Blockers, cardioselective |
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Definition
Atenolol, Betaxolol, Bisoprolol, Metoprolol
Rebound HTN, benefit atrial tachycardia, may exacerbate asthma |
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Term
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Definition
Nadolol, propranolol, timolol
Rebound HTN, exacerbate asthma, benefit tremor/migraine patients |
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Term
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Definition
Carvedilol, Labetalol
More orthostatic hypotension
Rebound HTN |
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Term
| Treatment for African-Americans |
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Definition
Combination therapy
Thiazide + ACEI/ARB/CCB
More prone to cough/angioedema |
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Term
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Definition
| Captopril, clonidine, labetalol |
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Term
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Definition
| IV: sodium nitroprusside, nicardipine, fenoldopam, nitroglycerin, labetalol, esmolol. |
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Term
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Definition
| Preferred agents: Methyldopa common, labetalol also |
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Term
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Definition
| BP> 140/90 after 20 weeks gestation and new onset proteinuria |
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Term
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Definition
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Term
|
Definition
| new onset HTN with no proteinuria |
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Term
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Definition
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