Podcast
Questions and Answers
What is hypertension?
What is hypertension?
- A condition caused by high blood sugar levels in the arteries
- A condition caused by low blood sugar levels in the arteries
- A chronic lowering of blood pressure in the arteries
- A chronic elevation of blood pressure in the arteries (correct)
What are the major contributors to the genesis of hypertension?
What are the major contributors to the genesis of hypertension?
- Climate and geography
- Age and gender
- Genetics and lifestyle factors (correct)
- Education level and income
What is the consequence of long-term hypertension?
What is the consequence of long-term hypertension?
- End-organ damage to the kidneys, heart, and brain (correct)
- End-organ damage to the liver and lungs
- End-organ damage to the skin and bones
- End-organ damage to the eyes and ears
How should blood pressure be measured for accurate diagnosis?
How should blood pressure be measured for accurate diagnosis?
What is white coat hypertension?
What is white coat hypertension?
What is masked hypertension?
What is masked hypertension?
What is the recommended initial treatment for hypertension?
What is the recommended initial treatment for hypertension?
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Study Notes
- Hypertension is the chronic elevation of blood pressure in the arteries and is a major risk factor for cardiovascular disease and death.
- Established hypertension is often asymptomatic, but long-term hypertension can cause end-organ damage to the kidneys, heart, and brain.
- The genesis of hypertension is polygenic, and lifestyle factors such as diet, salt intake, obesity, sedentary lifestyle, alcohol, poor sleep, and stress are major contributors.
- Accurate diagnosis begins with accurate measurement, and both in-office and out-of-office measurements are acceptable.
- White coat hypertension is suspected when clinic blood pressure is markedly elevated, and there is no evidence of target end-organ damage.
- Masked hypertension is suspected when clinic blood pressure is normal, but there is evidence of severe target end-organ damage.
- Blood pressure should be assessed in all adult patients to determine cardiovascular risk and monitor antihypertensive treatment.
- Hypertension treatment includes lifestyle modifications, managing risk factors, and pharmacotherapy.
- Initial antihypertensive therapy should be monotherapy or single pill combination, not multiple agents.
- Multiple drugs are often required, but lower doses of multiple drugs may be more effective and tolerable than higher doses of fewer drugs.
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