hypertention Flashcards

(16 cards)

1
Q

What is the most likely cause of her secondary hypertension?

A

Elevated cortisol levels,
weight gain, mood swings, and increased thirst are classic Cushing syndrome symptoms.

Cushing syndrome

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2
Q

Describe the pathophysiological mechanisms that lead to primary hypertension.

A

Primary hypertension is caused by:

Increased sympathetic activity leading to vasoconstriction

Increased renin secretion causing angiotensin II production

Resulting in vasoconstriction and aldosterone release, leading to salt and water retention

It’s often idiopathic, influenced by genetic and environmental factors.

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3
Q

How does smoking affect blood pressure and cardiovascular health?

A

Smoking affects blood pressure and cardiovascular health by:

Temporarily raising blood pressure

Damaging artery walls, leading to narrowing

Increasing risk of heart disease and stroke

Secondhand smoke also raises blood pressure

Quitting smoking can improve heart health and lower blood pressure.

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4
Q

Explain the significance of measuring blood pressure at different times for diagnosing hypertension.

A

Measuring blood pressure at different times is crucial for diagnosing hypertension because:

One high reading isn’t enough

Requires at least three elevated readings

Ensures accurate assessment while resting

Helps identify persistent elevation, known as hypertension

This approach prevents misdiagnosis and promotes early detection.

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5
Q

Discuss the impact of obesity on blood pressure levels.

A

Obesity impacts blood pressure by increasing blood volume, which raises pressure on artery walls. More weight requires more blood to supply oxygen and nutrients, leading to higher blood pressure levels. This can increase the risk of hypertension and related health issues.

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6
Q

How does stress influence blood pressure, and what are some coping strategies?

A

Stress can temporarily raise blood pressure. Coping strategies include:

Deep breathing exercises

Regular physical activity

Healthy eating

Mindfulness or meditation

Limiting alcohol and tobacco use

These methods help manage stress and can lower blood pressure over time.

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7
Q

What are the implications of having a family history of hypertension?

A

Implications of a family history of hypertension include:

Increased risk of developing high blood pressure

Potential earlier onset of hypertension

Greater likelihood of serious complications (e.g., stroke, heart attack)

Need for regular blood pressure monitoring and lifestyle management to mitigate risks

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8
Q

What are the potential complications of untreated hypertension?

A

Potential complications of untreated hypertension include:

Stroke

Heart attack

Heart failure

Kidney failure

Retinopathy

Peripheral vascular disease

Left ventricular
hypertrophy (LVH)

Regular monitoring is crucial to prevent these serious health issues.

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9
Q

What is the importance of potassium in relation to blood pressure regulation?

A

Potassium is important for blood pressure regulation because it helps balance sodium levels in the body. Adequate potassium intake can reduce sodium retention, which lowers blood pressure. Too little potassium can lead to higher sodium levels and increased blood pressure.

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10
Q

How does sleep apnea contribute to hypertension?

A

Sleep apnea contributes to hypertension by causing repeated breathing interruptions during sleep, leading to low oxygen levels. This triggers increased sympathetic activity and renin secretion, resulting in vasoconstriction and higher blood pressure.

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11
Q

Explain how aging affects the prevalence of hypertension in different genders. (اشرح كيف يؤثر الشيخوخة على انتشار ارتفاع ضغط الدم في الأجناس المختلفة)

A

Aging affects hypertension prevalence as follows:

Men: Higher risk until age 45

Women: Increased risk after age 65

Overall: Risk rises with age due to factors like weight, inactivity, and chronic conditions.

Thus, older age amplifies hypertension, especially in women post-menopause.

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12
Q

Discuss the role of physical activity in managing blood pressure.

A

Physical activity helps manage blood pressure by:

Lowering heart rate

Reducing arterial pressure

Aiding weight control

Improving blood vessel function

Decreasing stress levels

Regular exercise can lead to better overall
cardiovascular health and lower blood pressure.

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13
Q

What are the signs and symptoms of a hypertensive crisis?

A

Signs and symptoms of a hypertensive crisis include:

Severe headache

Shortness of breath

Nosebleeds

Severe anxiety

Chest pain

Vision changes

Confusion

Blood pressure readings are typically ≥180/120 mmHg.

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14
Q

What medications are commonly prescribed for treating hypertension?

A

Common medications for treating hypertension include:

Diuretics

ACE inhibitors

Angiotensin receptor blockers (ARBs)

Calcium channel blockers

Alpha adrenergic blockers

Direct vasodilators

Beta blockers

Centrally acting antihypertensives

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15
Q
A

hypertensive urgency=hypertensive emergency.

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16
Q
A

ذاكر اخر صوره في محاضره الضغط الفرق بين emergency and urency