Hypertension
The American Heart Association suggests that whenever you're taking and considering
diagnosing a patient with hypertension based upon these particular numbers, you want to utilize
the average of two readings on two separate visits. normal is less than 120 systolic and less
than 80 diastolic that 's considered normal whenever they have it between 120 to 129, over 80
to 89. Then we 're considering that to be somewhere around the elevated blood pressure range.
a 24hour ambulatory blood pressure monitor would be the gold standard for being able to rule
out mass hypertension white coat hypertension and truly diagnose someone with classic
hypertension. essential or primary hypertension accounts for about 95 percent of most of the
cases whenever you present it in your clinical vignette. It 's most likely essential hypertension. if
you have a lot of epinephrine binding onto the myocardial the contractile cells it increases the
contractility. And then they pump more blood out, so their stroke volume increases. high blood
pressure does to the kidneys? What happens is the kidneys Think oh the blood pressure 's high
I can probably probably probably can probably arrive high..
Low remnant hypertension is common in African American individuals who have low renin and
do n't respond to ace inhibitors and arbs as well. increasing age as people get older they start
actually causing less elastin to be present within the blood vessels. The thing that gives the
vessels a little bit of a stretch and give and then it also increases the collagen deposition and
collagen deposition. hypertension is not essential or primary hypertension that's a big big thing
to think about here okay now it 's important to remember that they 're not very common. They
only account for about five percent of those cases with hypertension. young women are more
predisposed to fibromuscular dysplasia and renal artery stenosis. These are poor renal blood
flow issues that lead to secondary hypertension.. Low GFrs actually cause a triggering of the JG
cells to say hey low Gfr we must. have to. we must have some low blood pressure. We got to
perfuse the kidneys better increase random production and so it causes a bump in renin renin.
the increased angiotensin Ii increases blood volume and increases your blood pressure..
A big one to remember here is sympathemetics so anybody who's you know doing a little bit of
booger sugar. The cocaine NmDa amphetamines also those drugs that we utilize to treat
patients with AdHd can be considered to be sympathomimetics or PCP. Any of these drugs, but
I would put a lot of an emphasis more on cocaine, especially in your clinical vignettes. when
someone takes Nsaids they inhibit this enzyme the cycleoxygenase. if you reduce your GFr. It 's
viewed as though there 's like low perfusion to the kidney and so maybe the blood pressure is
lower and so what happens is this bumps up your renin production and then renin leads to
angiotensin. adopting also trashes protons in the blood too so if you 're getting rid of protons,
then what 's going to happen to the ph. The ph will go up and that 's. A metabolic alkalosis' the
next one is a feochromocytoma, another adrenal issue..
Both hyper and hypothyroidism can cause hypertension.. Hyperthyroidism increases the activity
of the heart, but it actually decreased the tone of the vessels.. hyperparathyroidism works to
The American Heart Association suggests that whenever you're taking and considering
diagnosing a patient with hypertension based upon these particular numbers, you want to utilize
the average of two readings on two separate visits. normal is less than 120 systolic and less
than 80 diastolic that 's considered normal whenever they have it between 120 to 129, over 80
to 89. Then we 're considering that to be somewhere around the elevated blood pressure range.
a 24hour ambulatory blood pressure monitor would be the gold standard for being able to rule
out mass hypertension white coat hypertension and truly diagnose someone with classic
hypertension. essential or primary hypertension accounts for about 95 percent of most of the
cases whenever you present it in your clinical vignette. It 's most likely essential hypertension. if
you have a lot of epinephrine binding onto the myocardial the contractile cells it increases the
contractility. And then they pump more blood out, so their stroke volume increases. high blood
pressure does to the kidneys? What happens is the kidneys Think oh the blood pressure 's high
I can probably probably probably can probably arrive high..
Low remnant hypertension is common in African American individuals who have low renin and
do n't respond to ace inhibitors and arbs as well. increasing age as people get older they start
actually causing less elastin to be present within the blood vessels. The thing that gives the
vessels a little bit of a stretch and give and then it also increases the collagen deposition and
collagen deposition. hypertension is not essential or primary hypertension that's a big big thing
to think about here okay now it 's important to remember that they 're not very common. They
only account for about five percent of those cases with hypertension. young women are more
predisposed to fibromuscular dysplasia and renal artery stenosis. These are poor renal blood
flow issues that lead to secondary hypertension.. Low GFrs actually cause a triggering of the JG
cells to say hey low Gfr we must. have to. we must have some low blood pressure. We got to
perfuse the kidneys better increase random production and so it causes a bump in renin renin.
the increased angiotensin Ii increases blood volume and increases your blood pressure..
A big one to remember here is sympathemetics so anybody who's you know doing a little bit of
booger sugar. The cocaine NmDa amphetamines also those drugs that we utilize to treat
patients with AdHd can be considered to be sympathomimetics or PCP. Any of these drugs, but
I would put a lot of an emphasis more on cocaine, especially in your clinical vignettes. when
someone takes Nsaids they inhibit this enzyme the cycleoxygenase. if you reduce your GFr. It 's
viewed as though there 's like low perfusion to the kidney and so maybe the blood pressure is
lower and so what happens is this bumps up your renin production and then renin leads to
angiotensin. adopting also trashes protons in the blood too so if you 're getting rid of protons,
then what 's going to happen to the ph. The ph will go up and that 's. A metabolic alkalosis' the
next one is a feochromocytoma, another adrenal issue..
Both hyper and hypothyroidism can cause hypertension.. Hyperthyroidism increases the activity
of the heart, but it actually decreased the tone of the vessels.. hyperparathyroidism works to
