Hypertension Flashcards
Definition of Hypertension?
Systolic greater than 140
Diastole greater than 90
Hypertension is usually secondary to what problem?
Renal disease
What is malignant hypertension?
Rapidly rising B.P. with accelerated renal failure
Diastolic greater than 120
Retinal hemorrhagic exudates
Function of Atriopeptin?
Secreted by atria in response to volume expansion; leads to decrease in Na reabsorption
Function of renal vasopressor substances?
Counterbalances vasopressor response of angiotensin
What happens in Essential Hypertension?
Increase in cardiac output
Increase in peripheral resistance
What is Hyaline arteriosclerosis?
Leakage of plasma components, increased extracellular matrix in smooth muscle layers, seen in the kidney as benign nephrosclerosis
What is hyper plastic arteriolosclerosis?
Characteristic of malignant hypertension
Onionskin
Treatable causes of hypertension?
Thyroid disease Renal Stenosis Valvular disease Anxiety disorder Pheochromocytoma
Most common cause of hypertension in those older than 65?
Isolated systolic hypertension
Therapy for Isolated Systolic Hypertension?
Long acting calcium channel blockers
Thiazide diuretics
Beta blockers