Managing Hypertension in a 76-Year-Old Nonsmoker: A Case Study

Feb 27, 2025

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Explore a research physician's journey in controlling high blood pressure in a 76-year-old active nonsmoker. Discover the treatment plan, challenges faced, and successful outcomes achieved over four years.

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Managing Hypertension in a 76-Year-Old Nonsmoker: A Case Study

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Hypertension Routine annual exam: active nonsmoker 76 yr old research physician BP 186/92. Previous BP was 120-135/66-78. Infrequent palpitations; no headache, visual or vascular symptoms. FH: longevity, no cvasc disease. Phys Exam: 188-204 lbs normal cvascular, retinal, blood tests, renal arterial flow, EKG. Initial treatment: salt restriction, diuretic, increased exercise, weight reduction; ACE inhibitor produced hypotensive collapse in restaurant! Replaced by calcium channel blocker….4yrs later, BP 122/68.

Hypertension

First reliable and effective antihypertensive agents: ganglionic blockers (ca. 1950 ). Unbearable side effects: extreme orthostatic hypotension, incapacitating intestinal immobility, and severe sexual dysfunction (viz. only in life-threatening hypertension). First large-scale efficacy

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Hypertension

British Hypertension Society guidelines for hypertension management 1999. BMJ 4.9.1999Ramsay et al. Non-pharmacological measures suitable for everyone. Low salt dietWeight reductionExerciseHealthy dietSmoking cessationReduce excessive alcohol. Initiate treatment in sustained Blood Pressure ov

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Hypertension

. Hypertension should not be diagnosed until a sustained repetitive elevation of blood pressure has been documented.For diagnosis, at least three readings averaging greater than 140 mmHg systolic or 90 mmHg diastolic must be documented, preferably by the same observer using the same technique.. P

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Hypertension

Hypertension. Lewis, ch 33. Physiology of Blood Pressure. SBP—force of blood against artery walls during systole DBP—force of blood during diastole Systemic vascular resistance (SVR)—tension in arteries against which force is pushing—most important in small arteries and arterioles.

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Hypertension

Hypertension. 26 th September 2012 Dr Julian Tomkinson. Aims. To understand the diagnosis, impact and management of hypertension in General Practice. Method. Overview of NICE guidelines Applying to General Practice as we go along Case examples / scenarios. Questions?.

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Hypertension

Hypertension. Dr. Meg- angela Christi Amores. Hypertension. doubles the risk of cardiovascular diseases present in all populations except for a small number of individuals living in primitive, culturally isolated societies accounts for 6% of deaths worldwide. Pathologic consequences.

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Hypertension

Hypertension. Case 1. A 31 year old Burmese male presents with shortness of breath x2 weeks. His blood pressure is 210/130 and he has evidence of volume overload. The creatinine is 2.0 and he has severe LV dysfunction on an echo. Case 1.

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Hypertension

Hypertension. By Ryan chow, Ayesha Faisal, and Lucy Cao. What is Hypertension?. A cardiac condition in which the arterial blood pressure is elevated. It’s the opposite of hypotension. Also known as high blood pressure

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HYPERTENSION

HYPERTENSION. Background for understanding the Hypertension literature. Jeffrey J. Kaufhold, MD Nephrology. HYPERTENSION SUMMARY. Background for understanding the literature of Hypertension Review of Joint National Commission Recommendations (VII) 2003

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HYPERTENSION. SHAHKUR SHABIR GP REGISTRAR DR ELLA RUSSELL -GP TRAINER SUNNYBANK MEDICAL CENTRE OCT 2011. What is Blood pressure?. This is the pressure in the arteries when the heart contracts and rests between beats. Some Facts!. How many people in the UK have high Blood pressure.

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Hypertension

Hypertension. Implementing NICE guidance. August 2011. NICE clinical guideline 127. Updated guidance. This guideline updates and replaces ‘Hypertension: management of hypertension in adults in primary care’ (NICE clinical guideline 34, 2006).

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HYPERTENSION

HYPERTENSION. A silent killer. What is Hypertension?. Sustained elevated blood pressure (BP) High BP can cause damage to heart muscles, the brain, kidneys and other organs Can also cause: stroke, heart attack, and coronary heart disease, or death

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Hypertension

Hypertension. Howard L. Sacher, D.O. Long Island Cardiology and Internal Medicine. Learning Objectives. To know how to detect and diagnose hypertension and its secondary causes. To become familiar with updated recommendations for classifying hypertensive patients.

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Hypertension

Hypertension. 60. 50. 40. Percentage. 30. 20. 10. 20. 25. 30. 35. 40. BMI. Relationship between BMI and crude percentage of women reporting medical problems, surgical procedures, symptoms, and health care utilization. Brown WJ et al. Int J Obes 1998;22:520-528. Diabetes. 15.

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Hypertension

Hypertension. Resting BP consistently >140 mmHg systolic or >90 mmHg diastolic. Epidemiology. 20% of adult population ~ 35,000,000 people 25% do not know they are hypertensive Twice as frequent in blacks than in whites 25% of whites and 50% of blacks > 65 y/o. Types.

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HYPERTENSION

HYPERTENSION. 2003 Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7). older than 50 years, SBP > 140 mmHg is a much more important cardiovascular disease (CVD) risk factor than DBP

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Hypertension

Hypertension. Pharm.D Balsam Alhasan. DEFINITION. Hypertension is defined by persistent elevation of arterial blood pressure (BP). Patients with diastolic blood pressure (DBP) values <90 mm Hg and systolic blood pressure (SBP) values ≥ 140 mm Hg have isolated systolic hypertension.

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Hypertension

Hypertension. Nick Price 22.8.07. Aim . Consider the application of ‘evidence based practice’ in the management of hypertension in primary care. EBP – defined as the integration of best available research evidence with clinical expertise and patient values (Sackett et al, 2000). Objectives.

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HYPERTENSION

HYPERTENSION. Presented BY :. Objectives. Identify differential diagnosis of a case presented with the symptoms of lower limb oedema . Differentiate between different etiologies of hypertension. Discuss briefly between stages of hypertension.

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HYPERTENSION

HYPERTENSION. Problem Magnitude. Hypertension( HTN) is the most common primary diagnosis in America. 35 million office visits are as the primary diagnosis of HTN. 50 million or more Americans have high BP. Worldwide prevalence estimates for HTN may be as much as 1 billion.

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Hypertension

Hypertension. Factors Influencing Blood Pressure. Blood Pressure. Cardiac Output. Systemic Vascular Resistance. x. =. Factors Influencing BP. HR SNS/PNS Vasoconstriction/vasodilation Fluid volume Renin-angiotensin Aldosterone ADH. Hypertension Definition.

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HYPERTENSION

HYPERTENSION. NMP. How Common?. 25% UK adults > 50% adults over 60. Hypertension: the silent killer. Asymptomatic Not associated with Headaches nosebleeds. CVA MI CCF CKD PVD Cognitive decline Premature death. Depends on ethnicity Cf diabetes. Complications. Treatment.

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