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Flashcards in CR III - Primary Hypertension Deck (16):
1

What is the most modifiable risk factor for heart disease?

Primary hypertension

2

What are the 4 types of BP patterns?

Normotensive - normal both in office and at home
Sustained hyeprtension - Hypertension in office and home
Masked hypertension - no HTN in office, HTN at home
White coat hypertension - HTN in office, no HTN at home

3

What are indications for ABPM?

Suspected white coat HTN
HTN while on drugs
HTN resistant to increasing medication
Episodic HTN
Autonomic dysfunction

4

What two things are better predictors of CVD risk than office BP monitoring/taking?

ABPM > HBPM

5

What are risk factors for HTN?

Age
obsesity
Family Hx
Race (more common in blacks)
Physical inactivity
High Na diet
Excess alcohol intake
Secondary causes - meds

6

What tests/labs are used to diagnose HTN?

Accurate BP
12-lead EKG
CXR
10-year CVD risk - do on all pts
CBC, CMP
History and physical

7

What 4 majors things should be done in a HTN physical?

Eyes
Peripheral pulses
Thyroid
Cardiac
(additional - lungs, renal, extremities, skin, neuro)

8

What 7 labs/tests should be ordered?

Fasting glucose
CBC
Urinalysis
CMP and BMP
Lipid profile
TSH/FT4
EKG

9

What life-style modification should be done first? 2nd? Others?

1st - avoid smoking
2nd - reduce weight
Others: reduce Na, eat healthy, increase physical activity, limit alcohol

10

Most patients require at least home many meds for HTN?

2 or more

11

What is the BP goal of someone on meds if they are over 60? Less than 60?

>60 - 150/90
<60 - 130/80

12

If someone has an elevated BP, what treatment is recommended? When should they be re-evaluated?

Non-rxn treatment
Reasses 3-6 months

13

If someone is in stage 1 hypertension, what should be done? Depending on those results, what should be done next?

Clinical ASCVD 10-year risk
No - non-rxn treatment
Yes - non-rxn treatment and BP lowering medication

14

If someone is in stage 2 hypertension, what should be done?

Non-rxn treatment and BP lowering medication

15

If you start someone on BP meds, when should they be re-checked?

For stage 2 - more frequent
For stage 1 - less frequent
Monthly adjustments
Once stable every 3-6 months

16

What should also be checked 1-2 times a year with someone on HTN meds?

Serum Cr and K levels