BP Numbers
Blood Pressure that defines HTN Stage 2, per ACC/AHA guidelines
BP > 140/90 mmHg
Name 3 Cardioselective Beta-Blocker
Nevibulol, Metoprolol, Atenolol, Bisoprolol, Betaxolol
Group of medications to consider in patients with HTN and BPH
Alpha -1 Blockers (Doxazosin, Terazosin...)
HTN +Abdominal fullness in flanks + Family Hx of Cerebral Aneurysms
ADPKD
Which guideline are we using to base our clinical practice in the US?
2017 ACC/AHA guidelines
Elevated Blood Pressure, per ACC/AHA
SBP 120-129 mmHg and DBP < 80 mmHg
Antihypertensive Medications that increase risk of gout flare (Name at least 1)
Thiazide diuretics, Loop Diuretics, ACEi, Beta-blockers and ARBs (Except for Losartan) - Fun Fact
Thiazide diuretic with the longest half life
Chlorthalidone
Young female (<35 years old) + HTN + Cerebral Aneurysm + Abdominal bruit
Nonatherosclerotic Renovascular Disease (Fibromuscular hyperpalsia)
Mention the name of at least 3 interns participating in this TBL
:)
HTN Stage 1, per ACC/AHA
SBP: 130-139 mmHg and DBP: 80-89 mmHg
Which class of Antihypertensive should be avoided in HFrEF patients
CCBs. *Beta-blockers in Decompensated HF patients
Preferred diuretics in patients with resistance hypertension, signs of volume overload and eGFR <30 mL/min
Loop Diuretics
Acute onset HTN + Mydriasis + Tachycardia + Diaphoresis
Amphetamine/Cocaine use. Could also be Pheochromocytoma (episodic and usually associated with Adrenal Mass)
Nonpharmacological intervention that has the greatest effect in BP
DASH diet
Define Hypertensive Emergency
BP > 180/110-120 mmHg + evidence of Acute Target Organ Damage
Preferred antihypertensive medications during pregnancy (Name 2)
Methyldopa, Nifedipine and Labetalol
Preferred antihypertensive medication for patients with HTN and Chornic thoracic aortic disease
Beta-blockers
HTN + Hypokalemia + Muscle Cramps/Weakness: screening test for this type of secondary HTN
Plasma Aldosterone/Renin Ratio
After initiation of a new antihypertensive medication, how soon should we have the patient return to clinic to ensure BP goal are being met? (Or call, because COVID...)
~1 month
Nighttime ABPM threshold for HTN Diagnosis
BP > 110/65 mmHg
Preferred Initial Antihypertensive medication groups for black adults, with no albuminuria
CCBs and Thiazides
Mention at east 2 groups of drugs that cause HTN:
- OCPs, Steroids, Immunosuppresive agents (Tacrolimus, Sirolimus), NSAIDs, Amphetamines, Cocaine, Decongestants (Ephedrine)
HTN + Purple Striae + Hirsutism + Newly Dx DM: Screening test for this type of secondary HTN
Overnight 1 mg dexamethasone suppression test
Where is renin produced?
*Extra 100 points if mention the cells that produce it*
Kidney, Juxtaglomerular cells (JGC)