outi vehvil inen md ilembula 23 11 2012
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HYPERTENSION

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Outi Vehviläinen, MD Ilembula 23.11.2012. HYPERTENSION. NORMAL BLOOD PRESSURE. 120/80 120-139/80-89 pre-hypertension 140/90 or more: high blood pressure. HYPERTENSION IS CATEGORIZED. mild:140-159/90-99 moderate: 160-180/100-110 severe:>180/>110. HIGH BLOOD PRESSURE.

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Presentation Transcript
normal blood pressure
NORMAL BLOOD PRESSURE
  • 120/80
  • 120-139/80-89 pre-hypertension
  • 140/90 or more: high blood pressure
hypertension is categorized
HYPERTENSION IS CATEGORIZED
  • mild:140-159/90-99
  • moderate: 160-180/100-110
  • severe:>180/>110
high blood pressure
HIGH BLOOD PRESSURE
  • Consistently elevated blood pressure >140/90
    • Frequent measurings
  • Primary-essential 95%
    • Multifactorial
  • Secondary 5%
    • Stenosis of renal artery
    • Adrenal gland tumours
    • Coarctation of the aorta
symptoms
SYMPTOMS
  • Uncomplicated hypertension usually symptomless (”silent killer”)
  • In many cases end organ damage is the first sign of hypertension
why to treat
WHY TO TREAT?
  • Because of the risk of end organ damage
  • Cardiac failure
  • Stroke
  • Renal failure
  • Eye failure
  • Aneurysms
  • Atherosclerosis
how to treat
HOW TO TREAT?
  • Change of lifestyle
    • For all patients
      • Stop alcohol
      • Stop smoking
      • Less salt
      • Start exercising
      • Diet for obesity
how to treat1
HOW TO TREAT?
  • Medical treatment
    • Diuretics
    • Ca inhibitors
    • Beta-blockers
    • ACE-inhibitors
    • Angiotensin receptor blockers
how to treat2
HOW TO TREAT?
  • Treatment of secondary hypertension
    • Stenosis of the renal artery
      • Angioplasty
    • Adrenal gland tumours
      • Surgery
    • Coarctation of the aorta
      • Surgery
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