Outi vehvil inen md ilembula 23 11 2012
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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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HYPERTENSION

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Outi vehvil inen md ilembula 23 11 2012

Outi Vehviläinen, MD

Ilembula 23.11.2012

HYPERTENSION


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


Hypertension

Thank you!


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