38 HYPERTENSION General Discussion The relationship between blood pressure and the risk of cardiovascular disease is continuous, consistent, and independent of other risk factors. As the blood pressure rises, so does the risk of myocardial infarction, heart failure, stroke, and kidney disease. For individuals 40–70 years of age, each increment of 20 mmHg in systolic blood pressure or 10 mmHg in diastolic blood pressure doubles the risk of cardiovascular disease across the entire blood pressure range from 115/75 to 185/115 mmHg. The JNC 7 report has introduced a new classification that includes the term “prehypertension” for those with blood pressures ranging from 120 to 139 mmHg systolic and/or 80 to 89 mmHg diastolic. Normal blood pressure is defined as less than 120/80 mmHg. The evaluation of patients with hypertension has three objectives. First, the patient’s lifestyle and cardiovascular risk factors should be assessed. Second, identifiable causes of hypertension should be identified. Third, the presence or absence of target organ damage and cardiovascular disease should be assessed. Medications Associated with Hypertension Adrenal steroids Anorectics Cyclosporin Decongestants Erythropoietin NSAIDs Oral contraceptives Over-the-counter medicines (bitter orange, ephedra, ma huang) Tacrolimus Identifiable Causes of Hypertension Chronic kidney disease Chronic steroid therapy Coarctation of the aorta Cushing’s disease Obstructive sleep apnea Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: ARTHRITIS AND ARTHRALGIA HAIR LOSS INFERTILITY, MALE SYNCOPE Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Medicine Aug 17, 2016 | Posted by admin in PEDIATRICS | Comments Off on HYPERTENSION Full access? Get Clinical Tree
38 HYPERTENSION General Discussion The relationship between blood pressure and the risk of cardiovascular disease is continuous, consistent, and independent of other risk factors. As the blood pressure rises, so does the risk of myocardial infarction, heart failure, stroke, and kidney disease. For individuals 40–70 years of age, each increment of 20 mmHg in systolic blood pressure or 10 mmHg in diastolic blood pressure doubles the risk of cardiovascular disease across the entire blood pressure range from 115/75 to 185/115 mmHg. The JNC 7 report has introduced a new classification that includes the term “prehypertension” for those with blood pressures ranging from 120 to 139 mmHg systolic and/or 80 to 89 mmHg diastolic. Normal blood pressure is defined as less than 120/80 mmHg. The evaluation of patients with hypertension has three objectives. First, the patient’s lifestyle and cardiovascular risk factors should be assessed. Second, identifiable causes of hypertension should be identified. Third, the presence or absence of target organ damage and cardiovascular disease should be assessed. Medications Associated with Hypertension Adrenal steroids Anorectics Cyclosporin Decongestants Erythropoietin NSAIDs Oral contraceptives Over-the-counter medicines (bitter orange, ephedra, ma huang) Tacrolimus Identifiable Causes of Hypertension Chronic kidney disease Chronic steroid therapy Coarctation of the aorta Cushing’s disease Obstructive sleep apnea Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: ARTHRITIS AND ARTHRALGIA HAIR LOSS INFERTILITY, MALE SYNCOPE Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Medicine Aug 17, 2016 | Posted by admin in PEDIATRICS | Comments Off on HYPERTENSION Full access? Get Clinical Tree
