Cardiac HTN ❤️

what is required to diagnose HTN

SBP of 140 mm Hg or higher or DBP of 90 mm Hg or higher (average of two or more measurements taken 1 to 4 weeks apart by a health care provider)

isolated HTN

• one time thing. ex stressful situation. white coat phenomenon, anxiety, pain

primary HTN

• primary= essential=idiopathic= coronary artery disease 

  • ????

  • i have no idea what this means 

secondary hypertension

• specific cause. aorta narrowing, pregnancy, drug induced, liver, endocrine, neuro, renal disease 

HTN has highest prevelance in

African Americans

symptoms of HTN

• Usually no symptoms other than elevated blood pressure

• “Silent Killer”

• Symptoms related to organ damage are seen late and are serious 

  • eye changes 

  • renal damage 

  • CI, CVA

  • cardiac hypertrophy 

when managing HTN in older adults what shoud you keep in mind

older adults want to keep bp higher to prevent hypotension and falls

HTN urgency

• severely elevated BP with no evidence of secondary organ damage 

  • if not treated organ injury may result 

• decrease BP SOON

HTN emergecny

• severely elevated BP with evidence of organ injury 

what happens if you decreae BP to fast

cant decrease too much to quickly bc it can cause them to faint or become dizzy

what is the rate and time frame you should decrease BP at

in first hour reduce MAP by 25%

reduce BP over span of 24-48 hours 

what medications manage HTN

• Diuretics

• Beta-Blockers

• Ace inhibitors / ARBs

• Vasodilators

• Calcium Channel Blockers