高血压精品英文课件

高血压精品英文课件Tag内容描述：<p>1、Kidney,Vascular diseases of Kidney 1.Hypertensive Renal Disease: Nephrosclerosis-Benign & Malignant 2.Thrombotic Microangiopathies: Childhood & Adult Hemolytic-Uremic Syndrome (HUS) Adult (female) Thrombotic Thrombocytopenic Purpura (TTP) Autoimmune Diseases Toxemia of pregnancy Severe bacterial infections. 3.Renal Artery Stenosis (RAS): Atherosclerotic or Fibromuscular dysplasia reversible hypertension 4.Renal Infarcts: Embolic or Thrombotic.,1. Hypertension Most renal diseases cause HT。</p><p>2、Hypertensive Crisis,. 4, Urgency/Emergency evidence ,Hypertensive crisis ,Hypertensive emergency target organ damage coronary ischemia, disordered cerebral function, cerebrovascular events, pulmonary edema r。</p><p>3、Hypertension Chapter 15,Pharmacotherapy: A Pathophysiologic Approach The McGraw-Hill Companies,Abbreviations,2,Overview,Definition, classification of hypertension (HTN) Goals of therapy Compelling indications Lifestyle modifications Hypertension in pregnancy Treatment Orthostatic hypotension Hypertensive crisis Monitoring antihypertensive drug therapy,3,Hypertension,Persistent elevation of arterial blood pressure (BP) National Guideline 7th Report of the Joint National Committee on the Detecti。</p><p>4、CATEGORYSYSTOLIC BPDIASTOLIC BP normal 120 and 80 Pre-HTN 120-139 or 80-89 Hypertension Stage 1 140-159 or 90-99 Stage 2 160 or 100 STAGESYSTOLIC BP DIASTOLI C BP 1 160-179 or 100-109 2 180 or 110 Abdominal bruit: renal artery stenosis Palps,HA,pallor,perspiration: pheochromocytoma Obesity,moon face,purple striae: Cushings Abd mass: polycystic kidney,hydroneph Obesity,hypersomnolence: OSAS Agitation, sweating: cocaine, ethanol Hypokalemia: hyperaldost。</p><p>5、InGenious HyperCare Integrating genomics, clinical research and care in hypertension Genetic, genomics and proteomics of transition from hypertension to heart failure Excellence in phenotyping. Circulating markers of LV growth and dysfunction,JRP B3,PATHWAYS TO HEART FAILURE IN ARTERIAL HYPERTENSION,Stage A HF Stage B HF Stage C HF,The three major causes of heart failure are hypertensive heart disease (HHD), ischemic heart disease associated with prior myocardial infarctio。</p><p>6、Consumer Organisations and the WHO Global Strategy on Diet, Physical Activity and Health Transatlantic Consumers Dialogue Meeting Brussels, 3 February 2004,Amalia Waxman Project Manager, Global Strategy on Diet, Physical Activity and Health World Health Organization,Epidemiological: NCD overriding CD, & double burden of diseases in many developing countries. Nutritional: Diets are rapidly changing, physical activity reduced. Demographic: Population ageing. Globalization: Increasing。</p><p>7、Hypertension & Cardiovascular Risk Factors,Final Year Cardiology Teaching 2003-4,Outline,Global burden of cardiovascular disease Epidemiology of cardiovascular disease Hypertension Epidemiology Clinical features Investigation Cardiovascular risk assessment,The Global Burden of Disease,The scope of the problem,Leading Causes of Death and Disability (DALYs),Rank Cause % Rank Cause %,1 Lower respiratory infections 8.2 1 Ischemic heart disease 5.9 2 Diarrhoeal diseases 7.2 2 Major depression 5。</p><p>8、Hypertensive Disorders in Pregnancy,Azza Alyamani Prof. of Obstetrics & Gynecology,Classification Women who are pregnant and hypertensive must be divided into : * chronic hypertension. * pregnancy induced hypertension (PIH) or gestational hypertension. those with PIH further subdivided : * proteinuric PIH (preeclampsia)minority * non-proteinuric PIH majority,Therefore : women with hypertension in pregnancy are classified as having: 1. preeclampsia (proteinuric hypertension). 2. non protein。</p><p>9、Board Review,Vikram Chhokar MD University of Tennessee Division of Cardiology,Question,An 80-year-old Asian woman awakens at 2 a.m. feeling as if she were being smothered. She is brought to the ED and is found to be in pulmonary edema. She has a history of a heart murmur, discovered 20 years before. Prior to this episode she says she was in good health, although she has not been physically active due to arthritic discomfort for the past 5 years. On careful questioning she admits to brief episode。</p><p>10、Uncontrolled Hypertension, Systolic and Diastolic Blood Pressure and Development of Symptomatic Peripheral Arterial Disease in the Womens Health Study (WHS),Tiffany M. Powell, Robert J. Glynn, Mark A. Creager, Paul M. Ridker, Aruna D. Pradhan Harvard Medical School Brigham and Womens Hospital The authors have no conflicts of interest related to this research.,Peripheral Arterial Disease,Increasing but under-diagnosed cardiovascular health issue Affects up to 29% of Americans Hypertension linke。</p><p>11、HYPERTENSION IN ELDERLY,Dr. Kunal Kothari Emeritus Professor of Medicine and Clinical Cardiology Director Primary Health Care and Strategic initiative,HYPERTENSION,Sphygmanometer- size of the cuffs Food Exercise Caffeine Smoking,200,140,160,120,180,20,40,60,80,100,0,A softer blowing sound,A sharp thump,A softer thump,A blowing or whooshing sound,K1,K2,K3,K4,K5,Benefits of Lowering Blood Pressure,Antihypertensive Therapy has been associated with。</p><p>12、The Pharmacists Role in Treating Hypertension,Thomas Owens, MD Saint Francis University CERMUSA,Objectives,Enhance your understanding of hypertension to include cardiovascular risks, management, and goals for individual patients Review and discuss the current pharmacotherapy standards of care for hypertension Describe the pharmacists role in counseling patients on hypertensive medications,Hypertension 140/90 mm Hg,United States: 65 million adults Risk factors include: Stroke, myocardial infar。</p><p>13、HYPERTENSIVE RETINOPATHY,DR AJAY DUDANI DR YASHESH MANIAR,- MANY CAUSES - MAINLY ESSENTIAL HYPERTENSION,SYSTEMIC HYPERTENSION (JNCV 5TH),STATE OF PERSISTENT ELEVATED BLOOD PRESSURE ABOVE 140/90 mmHg.,5TH JOINT NATIONAL COMMITTEE CLASSIFICATION OF BLOOD PRESSURE,CATEGORY SYSTOLIC BP DIASTOLIC BP (mmHg) (mmHg),NORMAL 210 120,PATHOPHYSIOLOGICAL CHANGES IN HYPERTENSIVE OCULAR DISEASE,HYPERTENSIVE CHOROIDOPATHY HYPERTENSIVE RETINOPATHY - VASOCONSTRICTIVE PHASE - SCLEROTIC PHASE - EXUDATIV。</p><p>14、HYPERTENSION IN THE INPATIENT SETTING Mechanisms and Pharmacologic Management,Dedicated to the memory of LEON I. GOLDBERG, MD, PHD A pioneer in the research of dopamine receptor pharmacology and physiology,Learning Objectives,Outline the prevalence, pathology, and pathophysiology of hypertension in the inpatient setting. Identify treatment goals and treatment options for the severely hypertensive patient. Discuss the pharmacologic profile and potential benefits of fenoldopam in the treatment。</p><p>15、Hypertension, Hyperlipidemia: Are our children safe?,Patrick R,Hints and exam tips,HTN is a hot topic for exams particularly, what is really malignant HTN and who needs urgent treatment. Also be sure that you know how to recognize the secondary causes of HTN Lipids are less beloved by examiners though they do like to ask about niacin and flushing,Cardiovascular risk in your clinic patients,Do not approach HTN, Hyperlipidemia as individual problems. Look upon them as part of your patients cardi。</p><p>16、Management of hypertension in CKD,Hypertension is an important cause of ESRD Hypertension is common in patients with CKD and accelerate the progression of renal failure,Key Question Can effective antihypertensive therapy prevent the development of ESRD and retard the progression of CKD ?,Age and change of renal function,overall diabetes hypertension no DM and no HT,Prevalence of low GFR ,Three major causes of ESRD,Renal disease,loss of nephrons,Systemic hypertension,Proteinuria,Prog。</p><p>17、hypertension,1,HYPERTENSIVE HEART DISEASE A Brief Review Joshua M.Crasner, DO,FACC,FACOI,hypertension,2,DEFINITION,the reponse of the left ventricle to increased peripheral resistance due to increased systemic arterial pressure,hypertension,3,JNC-7 Definition of HTN,JAMA 289; 2560-72: 2003,hypertension,4,JNC-6 (old criteria),hypertension,5,TYPES OF HYPERTENSION SYSTOLIC AND DIASTOLIC,Primary(Essential, Idiopathic) Secondary Renal: Acute GN, Diabetic Nephropathy Endocrine: TSH, cortisol, calcium。</p><p>18、Therapeutic role of exercise in treating hypertension,Dalynn T. Badenhop, Ph.D., FACSM Professor of Medicine Director , Cardiac Rehabilitation Medical College of Ohio,Educational Objectives,To explain the acute blood pressure response to exercise To list the mechanisms by which exercise may improve hypertension To apply exercise guidelines in treating hypertension To prescribe appropriate drug therapy for active hypertensive patients,Overview of Hypertension,High BP is a risk factor for stroke,。</p><p>19、HYPERTENSION IN THE INPATIENT SETTING Mechanisms and Pharmacologic Management,Dedicated to the memory of LEON I. GOLDBERG, MD, PHD A pioneer in the research of dopamine receptor pharmacology and physiology,Learning Objectives,Outline the prevalence, pathology, and pathophysiology of hypertension in the inpatient setting. Identify treatment goals and treatment options for the severely hypertensive patient. Discuss the pharmacologic profile and potential benefits of fenoldopam in the treatment。</p>