HTN Flashcards
(8 cards)
What are the definitions for various stages of HTN?
1) Normal BP < 120/80
2) Elevated BP 120-129/ >80
3) Stage 1 HTN: BP 130-139 / 80-89
4) Stage 2 HTN: BP >/= 140 / >/= 90
How should you determine BP goal/need for Tx for Primary Prevention of HTN?
Using ASCVD Score
IF ASCVD > 10% —> Use BP 130/80 as cut-off
IF ASCVD < 10% —> Use BP 140/90 as cut-off
What is the BP goal for Secondary Prevention for Patients?
BP < 130/80
What are the most common causes of resistant (secondary) HTN?
1) Drug/Medication Induced
2) Renal Parenchymal Disease
3) Renovascular Disease
4) Primary Aldosteronism
5) OSA
Less Common: but still consider:
6) Pheochromocytoma
7) Hypo/HyperThyroidism
8) Hyperparathyroidism
9) Cushing’s Disease/Syndrome
10) Aortic Coarctation
Patient with CAD, needing secondary prevention of HTN, should be using which medications to begin with? Then adding on which in addition from there?
1) Goal Directed Beta-Blocker
2) ACEi or ARB
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3) Dihydropyridine Ca-Blockers (ie: Amlodipine)
4) Thiazide Duiretics
5) Spironoloactone (possible, use others first).
What is the goal BP for pt with HTN and CKD? When should the patient be on ACEi?
BP = < 130/80
Start ACEi when:
1) Pt has CKD Stage 3 or Greater
2) CKD stage 1 or 2 + Microalbuminuria (ie: > 300 mg/d or > 300 mg/g (albumin:creatinine).
What are the class I recommendations with regard to treating HTN in African Americans, specifically?
1) HTN + DM, but WITHOUT CKD or CHF –> initial HTN medications should be either Thiazide or Ca-Channel Blocker.
2) Should use 2 or more anti-HTN medications to get BP < 130/80
What is the first line treatment for HTN in a patient with known thoracic aortic disease (i.e. Thoracic Aortic Aneurysm?), but NO aortic insufficiency?
Beta-Blockers!!
But be careful, as any development of Aortic Insufficiency will likely need Beta-Blocker dose to be decreased and potentially stopped depending on severity.
