PHA 3112 Lecture Notes - Lecture 7: Systolic Hypertension, Pheochromocytoma, Hypertension
5 Jun 2017
School
Department
Course
Professor
Document Summary
Chronic elevated bp (200,000 kids/ 6. 7 mil adults/ 1 billion worldwide) Primary (essential) hypertension (92%): no identifiable cause, diagnosis is ruling out other specific causes of. Bp elevation: chronic, progressive gradual rise in bp seen in 30% of adults, risk factors: age, race (african/hispanic), menopause, drugs can successfully lower bo, cant eliminate underlying problem. Sleep apnea: may be possible to treat and cure, otherwise managed with drugs used for primary htn. Degree of injury related to degree of bp elevation. Silent killer; asymptomatic for years before overt pathology. Many who know don"t get rx until its too late. Systolic bp more of a predictor of morbidity and mortality than diastolic. 65% with htn > 60yo: isolated systolic hypertension several readings/visit x several visits confirm: contralateral arm pt in chair, not exam table (white coat htn) Particularly aggressive therapy if: target organ damage:
