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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Resting BP consistently
>140 mmHg systolic or
>90 mmHg diastolic
Medical management prevents or forestalls all complications
Patients must remain on drug therapy to control BP
Acute life-threatening increase in BP
Usually exceeds 200/130 mmHg
Decompensated Heart Failure
Acute Coronary Syndrome
Acute Renal Failure
Avoid crashing BP to hypotensive or normotensive levels!
Ischemia of vital organs may result!
Must assure underlying cause of BP is understood
HTN may be helpful to the patient
Aggressive treatment of HTN may be harmful
What patients may have HTN as a compensatory mechanism?