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Hypertension is defined as a systolic blood pressure (bp) ≥ 130 mm hg or a diastolic blood pressure ≥ 80 mm hg or taking medication for hypertension If severe hypertension occurs for the first time in pregnant women who do not have a multifetal pregnancy or gestational trophoblastic disease, tests to rule out other causes of hypertension (eg, renal artery stenosis, coarctation of the aorta, cushing syndrome, systemic lupus erythematosus. This definition is based on the relationship between blood pressure and cardiovascular events in large populations
Nearly half of adults in the united states have hypertension Tests to rule out other causes of hypertension blood pressure is measured routinely at prenatal visits Many of these people are not aware that they have hypertension.
A hypertensive emergency is severe hypertension (often defined as systolic blood pressure (bp) ≥ 180 mm hg and/or diastolic blood pressure ≥ 120 mm hg) with signs of damage to target organs (primarily the brain, cardiovascular system, and kidneys).
The treatment of hypertension involves lifestyle modifications (eg, dietary modification, weight loss, exercise), alone or in combination with medications The decision to treat with medication is based on the blood pressure (bp) level, the presence of atherosclerotic cardiovascular disease (ascvd) or its risk factors, and other considerations. The systolic pressure (normal, 15 to 30 mm hg) and diastolic pressure (normal, 5 to 13 mm hg) are recorded with the catheter balloon deflated The diastolic pressure corresponds well to the occlusion pressure, although diastolic pressure can exceed occlusion pressure when pulmonary vascular resistance is elevated secondary to primary pulmonary.
Prevention of coronary artery disease involves modifying atherosclerosis risk factors: Blood pressure (bp) is normal or slightly elevated in most patients on arrival at the emergency department Bp gradually falls over the next several hours Continued hypertension requires treatment with antihypertensives, preferably iv nitroglycerin, to lower bp and reduce cardiac workload.
Afterload is the force resisting myocardial fiber contraction at the start of systole
It is determined by lv chamber pressure, radius, and wall thickness at the time the aortic valve opens Clinically, systemic systolic blood pressure at or shortly after the aortic valve opens correlates with peak systolic wall stress and approximates afterload. Orthostatic (postural) hypotension is an excessive fall in blood pressure (bp) when an upright position is assumed The consensus definition is a drop of > 20 mm hg systolic, > 10 mm hg diastolic, or both (1)
Ascvd risk increases above a threshold blood pressure as low as 115 mmhg (systolic) and 75 mmhg (diastolic), levels that do not fall within the hypertensive range (18) Risk then continues to increase roughly linearly as blood pressure increases (19, 20).
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