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What is the most common chronic disease among adults in the United States? Answer:
Hypertension.
What are the major health risks associated with untreated hypertension? Answer:
Cardiovascular disease (CVD), stroke, and chronic kidney disease (CKD).
What is the definition of hypertension based on blood pressure readings? Answer: A
persistent systolic BP of 130 mm Hg or more, diastolic BP of 80 mm Hg or more, or
current use of antihypertensive medication.
What is primary hypertension? Answer: Also known as essential or idiopathic
hypertension, it is elevated BP without an identified cause and accounts for 90% to 95%
of all cases.
What are some contributing factors to primary hypertension? Answer: Increased
sympathetic nervous system activity, overproduction of sodium-retaining hormones,
increased sodium intake, greater-than-ideal body weight, diabetes, tobacco use, and
excessive alcohol intake.
What are some common risk factors for primary hypertension? Answer:
Hypercholesterolemia, advancing age, overweight/obesity, African American ethnicity,
poor dietary habits, chronic kidney disease, diabetes, sedentary lifestyles, excessive
alcohol consumption, smoking, stress, family history, male gender, and sleep apnea.
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,How does age affect blood pressure? Answer: Systolic BP rises progressively with age;
after age 50, SBP >140 mm Hg is a more important cardiovascular risk factor than DBP.
What is the recommended alcohol intake for males and females with hypertension?
Answer: Males should limit to 2 drinks per day, and females should limit to 1 drink per
day.
How does tobacco use affect hypertension? Answer: Smoking tobacco significantly
increases the risk of cardiovascular disease, and those with hypertension who smoke
are at even greater risk.
What is the relationship between diabetes and hypertension? Answer: Hypertension is
more common in patients with diabetes, and complications are more severe when both
conditions coexist.
What are elevated serum lipids, and how do they relate to hypertension? Answer: High
levels of cholesterol and triglycerides are primary risk factors for hypertension.
What dietary factor is associated with hypertension? Answer: Excess dietary sodium
intake.
How does gender influence the prevalence of hypertension? Answer: Hypertension is
more prevalent in men during young adulthood and early middle age, but after age 64, it
is more prevalent in women.
What role does family history play in the risk of developing hypertension? Answer:
Having a close blood relative with hypertension increases the risk of developing the
condition.
How does obesity relate to hypertension? Answer: Weight gain is associated with an
increased frequency of hypertension, especially with central abdominal obesity.
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, What ethnic group has a higher incidence of hypertension? Answer: African Americans
have an incidence of hypertension that is two times higher than other groups.
What lifestyle factor can help control weight and reduce cardiovascular risk? Answer:
Regular physical activity can help manage weight and may lower blood pressure.
What is the effect of the sympathetic nervous system on blood pressure? Answer: It
can cause vasoconstriction and increased heart contractility, leading to higher blood
pressure.
What are the effects of Alpha 1 receptors on blood vessels? Answer: Alpha 1 receptors
cause vasoconstriction in vascular smooth muscle.
What is the effect of Beta 1 receptors on the heart? Answer: Beta 1 receptors increase
heart contractility, heart rate, and conduction.
What is the effect of Beta 2 receptors on blood vessels? Answer: Beta 2 receptors
cause vasodilation in smooth muscle of blood vessels in the heart and lungs.
What is the role of dopamine in blood pressure regulation? Answer: Dopamine
primarily causes vasodilation in renal blood vessels.
What is secondary hypertension? Answer: Elevated blood pressure with a specific
cause that can often be identified and corrected, accounting for 5% to 10% of
hypertension in adults.
What are common causes of secondary hypertension? Answer: Medication abuse
(NSAIDs, cocaine), chronic kidney disease, coarctation of the aorta, obstructive sleep
apnea, pheochromocytoma, Cushing's syndrome, hyperaldosteronism, preeclampsia,
hyperparathyroidism, polycystic kidney disease, hyperthyroidism, prostatism, and renal
artery stenosis.
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