For most people with any risk factors, the goal blood pressure and the blood pressure at which you start
treating is 130/80 by 2017 ACC/AHA guidelines. When is this not true?
Ans: Absolutely otherwise healthy people, start treating at 140/90, goal 130/80
Hx of stroke, start treating at 140/90, goal 130/80 (to perfuse some of those poorly perfused areas)
Old people, discard the diastolic goal; systolic goal 130
Hx of stroke
Quiz What were the JNC-8 guidelines for HTN?
Ans: <60yo, treat at and to 140/90
>60yo, treat at and to 150/90
Quiz First line HTN medications per JNC-8
Ans: Thiazide, CCB, ACEi, ARB
, (Black patients: Thiazide or CCB)
Quiz Children have hypertension if their blood pressure is >__%ile
Ans: 95th percentile
Quiz Most common cause of secondary hypertension in middle aged patients?
Ans: Primary hyperaldosteronism
--> We don't notice this because we often start them on ACEi/ARB, which blocks the RAAS system, fixing
the problem
Quiz How is primary hyperaldosteronism diagnosed?
Ans: Aldosterone/renin ratio
Quiz There are a bunch of causes of secondary hypertension. Name at least three
Ans: Primary hyperaldosteronism
Renal artery stenosis
Obstructive sleep apnea
Pheochromocytoma
Hypercortisolism
Hyperthyroidism
CKD
treating is 130/80 by 2017 ACC/AHA guidelines. When is this not true?
Ans: Absolutely otherwise healthy people, start treating at 140/90, goal 130/80
Hx of stroke, start treating at 140/90, goal 130/80 (to perfuse some of those poorly perfused areas)
Old people, discard the diastolic goal; systolic goal 130
Hx of stroke
Quiz What were the JNC-8 guidelines for HTN?
Ans: <60yo, treat at and to 140/90
>60yo, treat at and to 150/90
Quiz First line HTN medications per JNC-8
Ans: Thiazide, CCB, ACEi, ARB
, (Black patients: Thiazide or CCB)
Quiz Children have hypertension if their blood pressure is >__%ile
Ans: 95th percentile
Quiz Most common cause of secondary hypertension in middle aged patients?
Ans: Primary hyperaldosteronism
--> We don't notice this because we often start them on ACEi/ARB, which blocks the RAAS system, fixing
the problem
Quiz How is primary hyperaldosteronism diagnosed?
Ans: Aldosterone/renin ratio
Quiz There are a bunch of causes of secondary hypertension. Name at least three
Ans: Primary hyperaldosteronism
Renal artery stenosis
Obstructive sleep apnea
Pheochromocytoma
Hypercortisolism
Hyperthyroidism
CKD
