Some items in this lecture may have come from the lecturers personal academic files or. Apr 01, 2012 effects of alcoholic liver disease, liver cirrhosis causes portal hypertension. Office blood pressure bp, outofoffice bp measurement with ambulatory bp monitoring, and selfbp measurement at home are reliable and important data for assessing hypertension. Ppt hypertension powerpoint presentation free to download. Failure to recognise secondary causes can lead to resistant hypertension, cardiovascular complications or complications of the underlying condition.
Food and drug administration can help you better understand blood pressure medicines and talk to a health care provider about what is right for you. Resistant hypertension rh is defined as abovegoal elevated blood pressure bp in a patient despite the concurrent use of 3 antihypertensive drug classes, commonly including a longacting calcium channel blocker, a blocker of the reninangiotensin system angiotensinconverting enzyme inhibitor or angiotensin receptor blocker, and a diuretic. Guideline for the diagnosis and management of hypertension in. Propose an initial diagnostic workup for a patient with a new diagnosis of high blood pressure to determine if there is a secondary cause for hypertension versus essential hypertension 7. Genetic factor may play an important role in the development of essential hypertension. Apr 15, 2016 hypertension and resistant hypertension. Blood pressure is the force of blood against your artery walls as it circulates through your body.
Home class notes medical surgical nursing medical surgical nursing hypertension lecture 11. Hypertension is one of the most common health problems in the world. Jul 22, 2019 hypertension or high blood pressure can lead to heart disease, stroke, and death and is a major global health concern. Hypertensionfrom bethel university nursing students 2. It is preventable by medication and lifestyle modification. Heart leading to heart attacks brain leading to stroke kidneys leading to kidney trouble and dialysis eyes leading to eye trouble and blindness brain eyes heart kidneys. Outside the scope of this guideline is the management of secondary causes of htn, accelerated htn, acute htn in emergency. The effects are due to increase hydrostatic pressure and back up of blood flow which are unable to flow through the. A global brief on hypertension international society of. It can speed up blocking of the arteries, which can damage the. Hypertension updated 2016 learning objectives you should be able to define hypertension and how it is diagnosed differentiate primary hypertension from secondary hypertension understand the rationale for treating hypertension, and recommended bp goals. Hypertension guideline resources uncontrolled high blood pressure bp can lead to heart attack, stroke, heart failure and other serious life threats. It contributes to the burden of heart disease, stroke and kidney failure and premature mortality. Professor of medicine, kharkov state medical university.
We aim to provide a clinically oriented guide to the drug treatment of hypertension in pregnancy. It contains definitions, causes, when to take bp in a child, stages of htn, investigations for htn both essential and optional, treatment options etc. May be related to ht associated with pregnancy eclampsia attributed to oestrogen activation of reninangiotensinaldosterone system. Arterial hypertension arterial hypertension defines as an elevation of. The regional consultation on hypertension prevention and control held in abu dhabi, united arab emirates, 2022 december 2003, acknowledged the need for a standardized response to the growing challenge of hypertension see annex 1. Jnc 8 guidelines for the management of hypertension. Hypertension remains one of the most significant causes of mortality worldwide. High bp means that the heart is working harder than normal, putting the heart and the blood vessels under strain. A global brief on hypertension executive summary 7 executive summary hypertension, also known as high or raised blood pressure, is a global public health issue. The updated guideline recommends bplowering medication for those with stage 1 hypertension with clinical cvd or a 10year risk of ascvd 10% or greater, as well as for those with stage 2. This pdf file on the pharmacological management of hypertension was written by the pharmacology opencourseware initiative at harvard medical school mit hypertension.
Links to pubmed are also available for selected references. My blood pressure medicine medicines and treatment high. Federal bureau of prisons management of hypertension clinical practice guidelines may 2015 2 the blood pressure should be taken in both arms at least once. Hypertension or high blood pressure can lead to heart disease, stroke, and death and is a major global health concern. Secondary hypertension is a common cause of hypertension in adults, occurring in about 10% of hypertensive patients. In adults, exists when systolic blood pressure is equal to or greater than 140 mmhg or diastolic blood pressure is equal to or greater than 90 mmhg for extended periods of time. Hypertension and resistant hypertension louisville lectures. Clinical practice guidelines for the management of. Recognize that htn is the leading contributor to global mortality and disability and is increasing in prevalence in the u. Estimates of exactly how many americans have high blood pressure varythe american heart association and the national heart, lung, and blood. If you continue browsing the site, you agree to the use of cookies on this website. Describe the effects of hypertension on endorgans and how to assess a patient for these.
Understand that while htn control rates have improved in the past 30 years, these rates remain unacceptable. Fact sheets about hypertension and related conditions and behaviors. This pdf file on the pharmacological management of hypertension was written by the pharmacology opencourseware initiative at harvard medical school mit. Hypertension sufia husain pathology department ksu, riyadh march 2014 a free powerpoint ppt presentation displayed as a flash slide show on id.
Treatment of secondary forms of hypertension differs widely. Aug 28, 2015 this feature is not available right now. Hypertension hypertension also known as high blood pressure is a chronic medical condition that is caused by a persistent elevation of the pressure inside the circulatory system. Hypertension in children lecture on causes investigations. Full text is available as a scanned copy of the original print version. Shahabuddin mahmud assistant professor, paediatric nephrology in rajshahi medical college. Introduction high blood pressure, or hypertension as the disease is known medically, is our most common chronic illness.
Amera alkaisi hypertension definition abnormally high arterial blood pressure that is usually indicated by an adult systolic blood pressure of 140 mm hg or greater or a diastolic blood pressure of 90 mm hg or greater systolic pressure. Uncontrolled hypertension results in end stage organ damage, which leads to significant mortality. Arterial hypertension lecture in internal medicine for v course students m. Know the facts about high blood pressure 1 what is high blood pressure. When hypertension is caused by another condition or disease process, it is called secondary hypertension. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.
A range of risk factors may increase the chances of a person developing. Primary chronic high blood pressure without a source or associated with any other disease most common form of. Hypertension guideline resources american heart association. Blood pressure normally rises and falls throughout the day, but it can cause health problems if it stays high for a long time.
In adults, exists when systolic blood pressure is equal to or greater than 140 mmhg or diastolic blood pressure is equal to or. A global brief on hypertension the international society. Excess renin produced by the kidney contributes to essential hypertension. June 22, 2016 scope this guideline provides recommendations on how to diagnose and manage hypertension htn in adults aged. Drug treatment of hypertension in older people saves lives and prevents unnecessary morbidity. Hypertension is very common, occuring in over 50% of older people, and is a major risk factor for stroke and ischaemic heart disease. Jnc 8 guidelines for the management of hypertension in adults. Hypertension and resistant hypertension april 15, 2016 laura bishop. Secondary hypertension in adults pubmed central pmc. High blood pressure typically does not cause symptoms.
Types of hypertension affects 50 million people in the us types. Blood pressure when the heart beats diastolic pressure. Department of internal medicine 2, clinical immunology and allergology. Treatment of systemic hypertension 162 am j cardiovasc dis 2012. Get a printable copy pdf file of the complete article 940k, or click on a page image below to browse page by page. Thus, about one out of four hypertensive patients are adequately controlled. Diagnosis criteria the diagnosis of hypertension must be accompanied by an appropriate family. This is the lecture of hypertension in children taken by our teacher dr. In the case of an active competitive athlete, it is recommended that once the blood pressure is well controlled, regular followup should be continued with by. Hypertension lecture free download as powerpoint presentation. Hypertension that has no apparent medical cause persistent bp14090. Approximately 30% or more of all american adults have hypertension and unfortunately, many do not.
Effects of alcoholic liver disease, liver cirrhosis causes portal hypertension. The normal difference in blood pressure between arms is 5 mm hg or less, and sometimes as much as 10 mm hg. Stay up to date on the latest facts about hypertension from the cdc high blood pressure. Longterm high blood pressure, however, is a major risk factor for coronary artery disease, stroke, heart failure, atrial fibrillation, peripheral arterial disease, vision. Medical surgical nursing hypertension lecture 11 the. The treatment of arterial hypertension should start before significant cardiovascular damage develops and is usually lifelong. Guideline for the diagnosis and management of hypertension in adults 2016 2016 national heart foundation of australia slide 2 guideline aim to provide health professionals with the latest evidence for controlling blood pressure including methods for diagnosis, monitoring, and effective. Fewer than 10% of patients have secondary hypertension. Treating isolated systolic hypertension also saves lives. A variety of factors, such as gestational age, postconceptional age and birth weight needs to be taken into account when deciding if a blood pressure is normal in a newborn. Jan basile covers resistant hypertension including 24hour ambulatory measurements, workup for secondary causes and evidence for pharmacologic treatments. Detailed summary from the 2017 guideline for the prevention. Hypertension diagnosis and management effective date. Guideline for the diagnosis and management of hypertension.
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