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Mangement Of Hypertension

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basil on Oct 16, 2009 Says :

good

gyaneshwar on Oct 08, 2009 Says :

nice prsentation covering Ato Z basics of HTN

gyaneshwar on Oct 08, 2009 Says :

Nice presentation covering A to Z regarding basics of HTN

qidatun on Sep 07, 2009 Says :

learn

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Notes

Show Notes

Slide 1 :

Introduction to HypertensionManagement Lt Col Rajesh Deshwal,MD

Slide 2 :

Objectives• Define Hypertension (HTN)• Learn how to measure blood pressure• Understand initial clinical evaluation• Identify causes of secondary HTN• Describe lifestyle modifications that lower blood pressure• Select appropriate anti-HTN medications• Provide appropriate follow-up care

Slide 3 :

What is Hypertension?

Slide 4 :

Hypertension• HTN = abnormal elevation of BP• BP limits are different in children andpregnancy.• BP goal is different if you have diabetes or chronic kidney disease.• JNC-7 Guidelines for adults.

Slide 5 :

JNC-7• Released May 2003• Reclassified BP– Normal <120/80– PreHTN 120-139/80-89– Stage 1 140-159/90-99– Stage 2 >160/100

Slide 6 :

JNC-7• Systolic is MORE important than diastolic• Risk of CV disease doubles for every 20/10 increase above 115/75• “PreHTN” emphasized• Thiazide diuretics• Goal BP <140/90 and <130/80 withDM/CKD• Start with 2 meds if BP >20/10 above goal

Slide 7 :

Why do we care?• Relationship b/w BP and CVD is positive and continuous.• We want to prevent: Stroke, MI, HF, kidney damage, retinopathy, peripheral artery dz, other morbidity of atherosclerosis.

Slide 8 :

Does treatment help?• YES• 35-40% decline in stroke• 25% decline in CAD/MI• >50% decline in HF

Slide 9 :

Hypertension: Predisposing factors Age > 60 years Sex (men and postmenopausal women) Family history of cardiovascular disease Smoking High cholesterol diet Co-existing disorders such as diabetes, obesity and hyperlipidaemia High intake of alcohol Sedentary life style

Slide 10 :

Clinical Evaluation

Slide 11 :

Accurate BP Measurement• How do you take a BP?

Slide 12 :

Proper BP Measurement• MD should check• Pt seated/quiet/calm• Arm resting at heartlevel• Proper cuff: shouldcover 2/3 of arm andbladder should circle80% of arm

Slide :

	drrajeshdeshwal@gmail.com 8 Months ago. Category: Internal Medicine

Tags:	Hypertension management

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