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SYSTOLIC PRESSURE
BLOOD PRESSURE DURING HEART CONTRACTION
DIASTOLIC PRESSURE
BLOOD PRESSURE DURING HEART RELAXATION
NORMAL VALUE BLOOD PRESSURE
120/80
HYPOTENSION VALUE
80/50
SHOCK VALUE
60/30
PREHYPERTENSION VALUE
120-139 / 80-89
STAGE I HYPERTENSION VALUE
140-159 / 90-99
STAGE II HYPERTENSION
160 OU + / 100 OU +
2 PHYSIOLOGICAL CAUSES OF HYPERTENSION
→ INCREASE OF CARDIAC OUTPUT
→ INCREASE OF VASCULAR RESISTANCE (VASOCONSTRICTION)
RAPPEL CARDIAC OUTPUT =
HR X SYSTOLIC VOLUME
PRIMARY HYPERTENSION → % ? CAUSE ?
95% DES CAS
→ IDIOPATHIC ORIGIN
IDIOPATHIC ORIGN DEF
= UNKNOWN ORIGIN
SECONDARY HYPERTENSION : % ? CAUSE ?
5%
→ CAUSED BY AN UNDERLYING DISEASE
3 MAINS TYPES OF DISEASES CAUSING SECONDARY HYPERTENSION ?
RENAL DISEASE / ENDOCRINE DISEASE / DRUGS
GENERAL SYMPTOM W/ HYPERTENSION ?
GENERALLY ASYMPTOMATIC
SYMPTOMS APPEARS WHEN ?
WHEN THERE IS DAMAGE TO TARGET ORGANS
4 MAIN TARGET ORGANS
HEART
BRAIN
RETINA
KIDNEY
RAPPEL HYPOTENSION VALUE
<80 / <50
2 MAINS PHYSIOLOGICAL CAUSES OF BP DECREASE ?
CARDIAC OUTPUT ↓ = LESS BLOOD PUMPED
VASCULAR RESISTANCE ↓ = VASODILATATION
LOW BP + NO SYMPTOMS →
ASYMPTOMATIC HYPOTENSION
LOW BP + WEAKNESS WHEN CHANGING POSITION ?
ORTHOSTATIC HYPOTENSION
LOW BP + SYNCOPE →
SYMPTOMATIC HYPOTENSION
4 MAIN SIGNS HYPOTENSION SHOCK
WEAK PULSE
TACHYCARDIA
COLD SKIN
ALTERED MENTAL STATE
( + HYPOTENSION)
3 MAIN TYPES OF SHOCK
CARDIOGENIC
HYPOVOLEMIC
DISTRIBUTIVE
CARDIOGENIC SHOCK DEF
PUMP FAILURE → HEART NOT ABLE TO SEND ENOUGH BLOOD TO THE ORGANS
VALEUR DE LVEF DANS CARDIOGENIC SHOCK
LVEF < 20 %
HYPOVOLEMIC SHOCK DEF
SEVERE DECREASE OF CIRCULATING BLOOD VOLUME
2 MAIN CAUSE OF BLOOD VOLUME DECREASE ?
HEMMORHAGE / SEVERE DIARRHEA
DISTRIBUTIVE SHOCK DEF
VASCULAR TONE FAILURE → SEVERE VASODILATATION
2 TYPES OF DISTRIBUTIVE SHOCK
→ SEPTIC SHOCK
→ ANAPHYLACTIC SHOCK
TRIGGER SEPTIC SHOCK
SEVERE INFECTION + VASODILATATION + HYPOPERFUSION
TRIGGER ANAPHYLACTIC SHOCK
SEVERE ALLERGIC REACTION + MEDIATOR RELEASE + VASODILATATION