高血压英文ppt精品课件hypertension and peripheral vascular

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1、HypertensionandPeripheralVascularDiseaseEMSProfessionsTempleCollegeHypertensionRestingBPconsistently>140systolicor>90diastolicEpidemiology20%ofadultpopulation~35,000,000people25%donotknowtheyarehypertensiveTwiceasfrequentinblacksthaninwhites25%ofwhitesand50%ofblac

2、ks>65y/oTypesPrimary(essential)hypertensionSecondaryhypertensionPrimaryHypertension85-90%ofhypertensivesIdiopathicMorecommoninblacksorwithpositivefamilyhistoryWorsenedbyincreasedsodiumintake,stress,obesity,oralcontraceptiveuse,ortobaccouseCannotbecuredSecondaryHyp

3、ertension10-15%ofhypertensivesIncreasedBPsecondarytoanotherdiseaseprocessSecondaryHypertensionCauses:RenalvascularorparenchymaldiseaseAdrenalglanddiseaseThyroidglanddiseaseAorticcoarctationNeurologicaldisordersSmallnumbercurablewithsurgeryHypertensionPathologyIncr

4、easedBPinflammation,sclerosisofarteriolarwallsnarrowingofvesselsdecreasedbloodflowtomajororgansLeftventricularoverworkhypertrophy,CHFNephrosclerosisrenalinsufficiency,failureHypertensionPathologyCoronaryatherosclerosisAMICerebralatherosclerosisCVAAorticathe

5、rosclerosisAorticaneurysmRetinalhemorrhageBlindnessSigns/SymptomsPrimaryhypertensionisasymptomaticuntilcomplicationsdevelopSigns/Symptomsarenon-specificResultfromtargetorganinvolvementDizziness,flushedface,headache,fatigue,epistaxis,nervousnessarenotcausedbyunco

6、mplicatedhypertension.HTNMedicalManagementLifestylemodificationWeightlossIncreasedaerobicactivityReducedsodiumintakeStopsmokingLimitalcoholintakeHTNMedicalManagementMedicationsDiureticsBetablockersCalciumantagonistsAngiotensinconvertingenzymeinhibitorsAlphablocker

7、sHTNMedicalManagementMedicalmanagementpreventsorforestallsallcomplicationsPatientsmustremainondrugtherapytocontrolBPCategoriesofHypertensionHypertensiveEmergency(Crisis)acuteBPwithsx/sxofend-organinjuryHypertensiveUrgencysustainedDBP>115mmHgw/oevidenceofend-organ

8、injuryMildHypertensionDBP>90but<115mmHgw/osymptomsTransientHypertensionelevatedduetoanunrelatedunderlyingconditionHypertensiveCrisisAcutelife-threatenin