CVRISKPREDICTION
Assessing a patient with hypertension
1
History
IA Past History Strokes Mis bp during
pregnancy kidney disease
B Risk factors smoking etc
c
Drughistory NSAIDS Herbal remedies oral
contraceptive pill drug compliance
2
FamilyHistory
Hypertension CV events disease Endocrine
kidney
disease
3
Lifestyle
WeightlBMl Alcohol salt diet exercise
Possible symptoms
weakness Pheo Chest pain Heart
Sweating SOB Disease
Palpitations Oedema HF
Tremor Claudication ng
Thinning of skin Cush Postural dizziness
Flank pain
kidney disease
, Examination
Pulse Rate
rhythm symmetry both radial pulses
radio femoral
delay if wrist and femoral pulses
differ aortic
it could indicate
claudication
Blood pressure Supine both arms if major
difference C 710mmHg could furred up arteries
Standing postural hypotension
Heart Chest abdo
Fun dos
copy
Target organ damage B
Heart Left ventricular hypertrophy Heart fail ur
C CC features pronounced R and S waves ultrasound
or
echocardiogram
Kidney Protein leak in the urine micro
a albu
glomerular inuria
filtration rate T risk of
failure and acute CV event Indicated T
kidney by
micro albuminuria tr GER and T creatinine
Retinal disease
Eye
Assessing a patient with hypertension
1
History
IA Past History Strokes Mis bp during
pregnancy kidney disease
B Risk factors smoking etc
c
Drughistory NSAIDS Herbal remedies oral
contraceptive pill drug compliance
2
FamilyHistory
Hypertension CV events disease Endocrine
kidney
disease
3
Lifestyle
WeightlBMl Alcohol salt diet exercise
Possible symptoms
weakness Pheo Chest pain Heart
Sweating SOB Disease
Palpitations Oedema HF
Tremor Claudication ng
Thinning of skin Cush Postural dizziness
Flank pain
kidney disease
, Examination
Pulse Rate
rhythm symmetry both radial pulses
radio femoral
delay if wrist and femoral pulses
differ aortic
it could indicate
claudication
Blood pressure Supine both arms if major
difference C 710mmHg could furred up arteries
Standing postural hypotension
Heart Chest abdo
Fun dos
copy
Target organ damage B
Heart Left ventricular hypertrophy Heart fail ur
C CC features pronounced R and S waves ultrasound
or
echocardiogram
Kidney Protein leak in the urine micro
a albu
glomerular inuria
filtration rate T risk of
failure and acute CV event Indicated T
kidney by
micro albuminuria tr GER and T creatinine
Retinal disease
Eye
