[29] Hypertension in the Adult Flashcards Preview

[OS 213] CVS Module > [29] Hypertension in the Adult > Flashcards

Flashcards in [29] Hypertension in the Adult Deck (28):
1

Prevalence of HPN in Adults

28%

2

% of Adults that are Unaware of HPN

9%

3

Increasing increments of SBP by how much doubles the risk of CVD?

20mmHg

4

Increasing increments of DBP by how much doubles the risk of CVD?

10mmHg

5

Treatment of HPN reduces risk of stroke by?

40%

6

Treatment of HPN reduces risk of MI by?

15%

7

Hypertension is defined by?

SBP >= 140
DBP >= 90

8

True Hypertension by home and by clinic?

Home: 130/80mmHg
Clinic: 140/90mmHg

9

Exact cause of Primary HPN?

Unknown

10

Factors Implicated in Pathogenesis of HPN

1. Increased sympathetic neural activity, with enhanced B-Adrenergic Responsiveness
2. Increased Angiotensin II Activity
3. Genetic Factors
4. Reduced Adult Nephron Mass

11

Risk Factors of HPN

1. Black Race
2. Hypertension in Parents
3. Sodium Intake
4. Excess Alcohol Intake
5. Obesity
6. Dyslipidemia
7. Certain attitudes

12

What largely determines systemic resistance?

Blood Vessel Tone

13

Formula: BP

BP = CO x TPR

14

Formula: CO

CO = SV x HR

15

[T/F] No matter how high the CO or TPR, renal excretion has the capacity to COMPLETELY return BP to normal by reducing intravascular volume

T

16

[T/F] Transplanting a kidney from a normotensive patient to a hypertensive one can improve BP

T

17

Sphygmomanometer Cuff Size Should Be?

Length of the bladder should be 80% and the width should be 40% of the circumference of the upper arm

18

Diagnosis of HPN by BP Reading should be?

3 Readings at least 1 Week Apart

19

White Coat Effect BP Measurement Difference

20/10 mmHg difference between clinic and average daytime ABPM or HBPM at time of diagnosis

20

Most Famous Risk Score used for Risk Assessment

Framingham 10 Year General Risk for CVD

21

[2013 ACC/AHA Lifestyle Management Guideline]

Diet

Mainly vegetables, fruits, and whole grains

Limited sweets, sugar-sweetened beverages, and red meats

22

[2013 ACC/AHA Lifestyle Management Guideline]

Physical Activity

Aerobic Physical Activity 3-4 Sessions a Week

40 Minutes/Session, involving moderate-to-vigorous intensity physical activity

LIFTING WEIGHTS DOES NOT COUNT

23

[2013 ACC/AHA Lifestyle Management Guideline]

Alcohol Consumption

1 oz. or 30 mL Ethanol

24

[First Drug of Choice for HPN]

African Americans (All Ages)

CCB or TZD

25

[First Drug of Choice for HPN]

Non African American < 60 Years

ARB or ACE

26

[First Drug of Choice for HPN]

Non African American > 60 Years

CCB or TZD

27

[First Drug of Choice for HPN]

HPN and Clinical CAD

BB with ARB or ACE

28

[First Drug of Choice for HPN]

HPN and Stroke

ARB or ACE