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Nephro ICM
Hypertension
15
Medical
Graduate
11/07/2010

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Cards

Term
Who has the highest incidence of hypertension?
Definition
AA's
for < 50 yo: men>women
Term
define orthostatic change
Definition
SBP decreases 20mmHg or DBP decreases 10mmHg within 3 minutes of standing
Term
pulse wave velocity
Definition
obtains measure of arterial stiffness between 2 locations
more rigid = faster
Term
What does the pulse wave velocity between the carotid artery and the femoral pulse indicate?
Definition
aortic stiffness
Term
What is the significance of the pulse wave?
Definition
it reverses direction once it reaches a branch point, and amplifies diastolic pressure and facilitates blood flow to coronary arteries
Term
How is aortic PWV influenced by age?
Definition
PWV increases w/age
can reach origin before aortic valve closes and contribute to systolic pressure
Term
What is the clinical usefulness of PWV?
Definition
can detect subclinical arterial stiffening or HT and then prevent or delay the progression
Term
Define essential HT.
Definition
unknown cause of abnormal elevation in BP
Term
What is pre-eclampsia?
Definition
new onset hypertension w/proteinuria and rapid weight gain
Term
What is eclampsia?
Definition
pre-eclampsia and new onset seizures
Term
What normally happens to BP during sleep?
Definition
10-20% dip
no dip = ^ CV risk
Term
What BP is considered HT? What about in diabetes?
Definition
140/190
diabetes: 130/80
Term
What age increases your cardiovascular risk?
Definition
men > 55
women > 65
Term
What is the definition of resistant HT?
Definition
BP uncontrolled despite concurrent use of >3 different classes of drugs
Term
How is hypertensive emergency different from hypertensive urgency?
Definition
In hypertensive emergency, there is evidence of rapidly progressing organ damage, and patient needs to go to ICU to get IV anti-hypertensive meds
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