Flashcards in Clinical Approach to Hypertension Deck (19)
What is the proper BP technique?
- Seated in a chair with feet on the floor
- Arm relaxed at heart level
- Done on skin
What are the classic symptoms of HTN?
Stage I HTN
Stage II HTN
≥160 systolic OR ≥100 diastolic
White Coat HTN
￼BP is higher in the office than at home￼
BP > 200/120 with papilledema
Idiopathic HTN or caused by complicated factors such as stress/weight/etc
The cause of the HTN is known and can be attributed to renal failure or cardiovascular disease, etc.
Arteries become rigid from atherosclerosis causing BP cuff to need to be at a higher pressure to compress the artery
Isolated Systolic HTN
Systolic BP tends to rise with age while diastolic will fall creating a widened pulse pressure
Failure to treat patients with full doses of anti-HTN drugs that includes a diuretic. Often indicates it is a secondary HTN.
Severe BP elevation without acute end organ damage
Severe BP elevation WITH acute end organ damage
What must be done in a hypertensive emergency?
Immediate lowering of BP but must be done gradually
What are the complications of HTN, especially untreated?
BP has a direct correlation with CVD
What are good methods of lifestyle changes to improve BP?
- Smoking cessation
- Diet changes
- Weight loss
What are the goals of treatment for pts under 60?
BP of less than 140/90