HTN Study Outline

Hypertension in MRCP

Clinical Presentation

Mostly asymptomatic as the majority of cases are primary hypertension. Patient with secondary hypertension presents with the clinical features of causes of hypertension. Additionally, longstanding hypertensive patient can present with complications (Target Organ Damage) of hypertension. Few patients present with occipital headache.

Aims (basic principles) of Investigations in Hypertension

  • To diagnose: ( No Investigation is requires as Hypertension is diagnosed by measuring blood pressure)
  • To identify causes 0f secondary hypertension
  • To identify Target Organ Damage/ complication
  • To identify associated other cardiac risk factors or co morbidities

Management of Hypertension

All the categories of antihypertensive medications are NOT suitable for each patient. Choosing the appropriate antihypertensive drug depends upon following factors-

  1. Age
  2. Race
  3. Causes ( etiology) of hypertension
  4. Existing Target Organ Damage / complication
  5. Associated co morbidities ( eg – pregnancy etc)
  6. Adverse effect of drugs

Target Blood Pressure by Treatment

In general—-   less than 140/90 mm Hg

If age more than 80 years—— less than 150/90 mm Hg

If pregnant——– less than150/100 mm Hg, but if any associated Target Organ Damage- less than 140/90 mm Hg

Additional learning materials

  • DOAMS suggestions
  • DOAMS lecture slides
  • NICE guideline of Hypertension

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1 Comment

mahyoub

June 22, 2018 at 7:36 am

very nice slides

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