Hypertension

=Hypertension=


 * ALGORITHMS** by Vijay Bhandari (last edited 1/2010)


 * MAPs** by David Pepper (last edit 8/2010)
 * [|HTN - Intro - as word.doc]
 * [|HTN - Tx - as work.doc]


 * __REVIEW ARTICLE__:** [|Hypertension treatment review bhandari.doc] by Vijay Bhandari (last edited 1/2010, submitted for publication)
 * [|Figure 1. Treatment algorithm for uncomplicated HTN]
 * [|Figure 2. Treatment algorithm for patients with DM or CKD]
 * [|Figure 3. Treatment algorithm for patients with CAD, MI and or Stable Angina]


 * Lectures/Slides**
 * [|Sexy Topics In Hypertension.ppt] by Oliver Graham (posted 1/2010) Topics include: Why BP control is important, Initial workup, Secondary HTN, White Coat HTN, Tips for improving adherence, Resistant HTN and diuretics
 * [|Hypertension, An Update - Bhandari - 2010 - 10.pdf]


 * For a quick summary of guidelines of JNC 7**, [|JNC 7 Reference Card.pdf]


 * For an in-depth review of JNC 7 guidelines**, [|JNC 7 Overview.pdf]

 Questions from PBL
(4/16/10) 1) What are the **Common causes** of HTN - primary 90+% = idiopathic and secondary (drugs, renal, aldosteronomas, pheo)  2) What is the **Appropriopriate initial work up** when do you do "more" work-up? (younger, resistant to Tx) and what do you base this on? (eg low K = consider hyperaldosteronism) 3) Define **HTN** **Urgency vs Emergency** and discuss, **w/up** (CXR, EKG, BUN/Cr, UA), treatment options and indications to admit (active end organ damage) 4) When should people be **rechecked** (>180/110 1-2 days, >160/100 1-2 wks, <160/100 1-2 months) 5) Are **risks** different for male vs females of treatment (or no treatment) - see [] for a cardiac risk calculator 6) What are the **Best Treatment** regiems? (low dose combo agents) and how do you choose one over another? (co-morbidities)