Clin Med (Cardio) Exam
1) assess patient's three points of cardiac evaluation of patient
overall risk (9
factors)
2) determine
end-organ
damage
3) rule out
identifiable and
often curable
secondary causes
of hypertension
1) hypertension what are the 9 cvd risk factors
2) dyslipidemia
3) diabetes mellitus
4) obesity (BMI more
than 30)
5) fam history of
sudden cardiac
death, premature
death (med under
55, women under
65)
6) smoking
7) sedentary lifestyle
8) microalbuminuria or
GFR<60
9)age (>55 for men
and >65 for
women)
norm categories of BP
al
eleva
1/9
,ted
hypertension stage 1
hypertension
stage 2
hypertensiv
e crisis
normal = <120 & <80 what are the numbers for each BP stage
elevated= 120-129 &
<80
hypertension stage 1=
130-139 or
80-89
hypertension stage
2= 140 or higher
or 90 or higher
hypertensive
crisis= higher than
180 &/or higher than
120
2/9
, stroke, MI, heart lower risk of ___,___ and ___ when you lower
failure blood pressure
>150 systolic if diastolic pressure >___ in the office
there's a very low chance that it's
white coat hypertension
>135/85 when awake at what average BP is an awake person
>120/75 when awake hypertensive, and at what average BP
when asleep
BP drops while what is dipping
asleep
-genetics/family what are risk factors for idiopathic
history hypertension
-age
-race (african)
-age
-gout
-diabetes
-personality:
hostility, impatience,
OCD
- drug induced secondary causes of hypertension that are
-med non-compliance modify-able
- smoking, alcoholic
- obesity
-sedentary
- obstructive sleep
apnea
- renovascular
hypertension
-psychological
factors
-dietary sodium and
fat intake
3/9
1) assess patient's three points of cardiac evaluation of patient
overall risk (9
factors)
2) determine
end-organ
damage
3) rule out
identifiable and
often curable
secondary causes
of hypertension
1) hypertension what are the 9 cvd risk factors
2) dyslipidemia
3) diabetes mellitus
4) obesity (BMI more
than 30)
5) fam history of
sudden cardiac
death, premature
death (med under
55, women under
65)
6) smoking
7) sedentary lifestyle
8) microalbuminuria or
GFR<60
9)age (>55 for men
and >65 for
women)
norm categories of BP
al
eleva
1/9
,ted
hypertension stage 1
hypertension
stage 2
hypertensiv
e crisis
normal = <120 & <80 what are the numbers for each BP stage
elevated= 120-129 &
<80
hypertension stage 1=
130-139 or
80-89
hypertension stage
2= 140 or higher
or 90 or higher
hypertensive
crisis= higher than
180 &/or higher than
120
2/9
, stroke, MI, heart lower risk of ___,___ and ___ when you lower
failure blood pressure
>150 systolic if diastolic pressure >___ in the office
there's a very low chance that it's
white coat hypertension
>135/85 when awake at what average BP is an awake person
>120/75 when awake hypertensive, and at what average BP
when asleep
BP drops while what is dipping
asleep
-genetics/family what are risk factors for idiopathic
history hypertension
-age
-race (african)
-age
-gout
-diabetes
-personality:
hostility, impatience,
OCD
- drug induced secondary causes of hypertension that are
-med non-compliance modify-able
- smoking, alcoholic
- obesity
-sedentary
- obstructive sleep
apnea
- renovascular
hypertension
-psychological
factors
-dietary sodium and
fat intake
3/9
