Hypertension Etiology and Incidence Analysis

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Questions and Answers

What is the primary etiology of hypertension?

  • Specific diseases like Cushing's syndrome
  • Essential (or primary) hypertension (correct)
  • Comorbid conditions
  • Unknown genetic factors

How does essential hypertension differ from secondary hypertension?

  • It results from unknown pathophysiologic etiology. (correct)
  • It can be cured.
  • It can be controlled.
  • It is caused by a specific disease.

Which condition accounts for less than 10% of patients with high blood pressure?

  • Obstructive sleep apnea
  • Parathyroid disease
  • Primary aldosteronism (correct)
  • Renovascular disease

What is the first step in managing secondary hypertension?

<p>Treating comorbidities (B)</p> Signup and view all the answers

Which class of drugs can be associated with elevated blood pressure?

<p>Corticosteroids (B)</p> Signup and view all the answers

What is the definition of hypertension?

<p>A sustained elevation of arterial blood pressure (A)</p> Signup and view all the answers

Why is controlling hypertension important?

<p>To lower the risk of myocardial infarction (MI) (B)</p> Signup and view all the answers

What can exacerbate underlying hypertension in some patients?

<p>Calcineurin inhibitors (A)</p> Signup and view all the answers

What is the prevalence of hypertension among Jordanian adults according to a 2017 study?

<p>33.8% among men and 29.4% among women (B)</p> Signup and view all the answers

Which of the following is NOT a component of the topic outline for Hypertension discussed in the text?

<p>Pharmacotherapy (A)</p> Signup and view all the answers

What is one of the most significant risk factors for cardiovascular disease according to the text?

<p>Hypertension (C)</p> Signup and view all the answers

Why are preventive and interventional programs for hypertension in Jordan limited?

<p>Due to lack of awareness about hypertension (B)</p> Signup and view all the answers

What is the role of systolic blood pressure (SBP) in the arterial wall?

<p>Peak value during cardiac relaxation (C)</p> Signup and view all the answers

How is diastolic blood pressure (DBP) defined?

<p>Minimum value during cardiac relaxation (A)</p> Signup and view all the answers

Which term refers to the average pressure throughout the cardiac cycle?

<p>Mean arterial pressure (MAP) (C)</p> Signup and view all the answers

What does MAP stand for in terms of blood pressure?

<p>Mean Arterial Pressure (A)</p> Signup and view all the answers

When treating pheochromocytoma, what should be used first according to the text?

<p>β-blocker without α-blocker (B)</p> Signup and view all the answers

Which drug withdrawal is related to developing elevated blood pressure?

<p>Nicotine withdrawal (A)</p> Signup and view all the answers

What is the major determinant of systolic blood pressure (SBP)?

<p>Stroke volume (C)</p> Signup and view all the answers

Which equation represents the mathematical definition of arterial blood pressure (BP)?

<p>BP = CO × TPR (D)</p> Signup and view all the answers

What happens to cardiac output (CO) when total peripheral resistance (TPR) increases?

<p>CO decreases (A)</p> Signup and view all the answers

What component largely determines diastolic blood pressure (DBP)?

<p>Total peripheral resistance (TPR) (C)</p> Signup and view all the answers

How is mean arterial pressure (MAP) calculated?

<p>(SBP × 1/3) + (DBP × 2/3) (B)</p> Signup and view all the answers

Which factor is NOT included in the determination of cardiac output (CO)?

<p>Total peripheral resistance (TPR) (A)</p> Signup and view all the answers

What was the awareness rate of hypertension in Jordan according to the 2017 study?

<p>57.7% of men and 62.5% of women (D)</p> Signup and view all the answers

What percentage of Jordanian adults aged ≥50 years were more likely to have hypertension compared to younger patients?

<p>30.7% of men and 35.1% of women (C)</p> Signup and view all the answers

What percentage of hypertensive patients in the USA are at their goal blood pressure?

<p>54.1% (A)</p> Signup and view all the answers

How many deaths worldwide per year are accounted for by complications of hypertension?

<p>9.4 million (D)</p> Signup and view all the answers

What was the overall hypertension prevalence in Arab countries?

<p>Varied from 18% to 79.8% (D)</p> Signup and view all the answers

What reasons were provided for poor hypertension control in Jordan?

<p>Inadequate management, not using evidence-based practices, poor medication adherence (D)</p> Signup and view all the answers

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Study Notes

  • Essential hypertension accounts for over 90% of high blood pressure cases, with unknown pathophysiology and genetic factors potentially playing a role.
  • Secondary hypertension affects less than 10% of patients and can be caused by comorbid diseases or certain drugs/products, allowing for a cure by removing the underlying cause.
  • Arterial blood pressure is measured in mm Hg and includes systolic (SBP) and diastolic (DBP) values, with mean arterial pressure (MAP) being important in clinical settings, calculated as (SBP × 1/3) + (DBP × 2/3).
  • Hormonal and neuronal regulation, along with cumulative abnormalities, can contribute to the development of essential hypertension.
  • Clinical presentation of hypertension may not show symptoms but can have risk factors like age, diabetes, dyslipidemia, family history of CV disease, overweight, or obesity.
  • Preventive programs for hypertension in Jordan are limited, with around one-third of Jordanian adults having hypertension, and awareness/control rates showing improvement but still room for enhancement.
  • In Jordan, poor control of hypertension is attributed to inadequate management, lack of evidence-based practices, and poor medication adherence, with older patients showing better disease awareness and control.
  • Hypertension complications globally contribute to millions of deaths annually, with a significant number of adults expected to suffer from hypertension-related complications by 2025.

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