Hypertension: the silent killer

Transcript

1. JULY 15, 2012 UCHC TRAINING SERIES hypertension the silent killer
2. persistently high blood pressure MULTIPLE READINGS AT +1 MONTH INTERVALS at rest
3. what causes hypertension?
4. 5% 95% Essential Hypertension Secondary Hypertension
5. Genetic factors
7. Genetic factors lifestyle factors
8. secondary hypertension • chronic renal insufficiency • thyroid syndromes • 1* aldosteronism • pheochromocytoma • cushing’s syndrome
9. normotensive 120 80
10. jnc7 class I hypertension 140 90 jnc7 class ii hypertension 160 100
11. hypertensive crisis/emergency 180 120
12. total peripheral resistance × CARDIAC OUTPUT = BP
14. total peripheral resistance × CARDIAC OUTPUT = BP
15. 1. diuretics esp. thiazide-like diuretics hydrochlorothiazide chlorthalidone
16. 1. diuretics ace inhibitors ex: lisinopril arb (angiotensin II receptor blocker) ex: losartan 2. renin-angiotensin system blocker
17. a aldosterone s system a angiotensin r renin
18. 1. diuretics ace inhibitors ex: lisinopril arb (angiotensin II receptor blocker) ex: losartan 2. renin-angiotensin system blocker
19. 1. diuretics 2. renin-angiotensin system blocker 3. β blockers decrease heart rate ∴ reduce cardiac output ex: metropolol & atenolol
20. 1. diuretics 2. renin-angiotensin system blocker 3. β blockers 4. calcium channel blockers vasodilators ∴ reduce tpr ex: amlodipine (norvasc)
21. salt
22. weight
23. smoking
24. alcohol