Hypertension In MRCP Part 1

Hypertension In MRCP Part 1

Category : MRCP Part 1

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
1) To diagnose: ( No Investigation is required as Hypertension is diagnosed by measuring blood pressure)
2) To identify causes of secondary hypertension
3) To identify Target Organ Damage/ complication
4) 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-
a) Age
b) Race
c) Causes ( etiology) of hypertension
d) Existing Target Organ Damage / complication
e) Associated co morbidities ( eg – pregnancy etc)
f) 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

For further information go through  NICE Guideline of Hypertension

Download DOAMSmrcp Suggestion – Hypertension Click Here



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