Cardio

Question 1

A lady on anti-hypertensive medication attends the GP complaining that since she started her medication, she’s started having a dry cough. What was her initial medication, and what alternative medication and dose should you prescribe?

Answer 1

Rampiril

Change to amlodipine 5mg

Question 2

What investigations should you do with a new HTN diagnosis?

Answer 2

ECG (looking for LVH)
Bloods - U+E, HbA1c, cholesterol
Urine dip (protein + blood)
Urinalysis (albumin-creatinine ratio)

Question 3

What are the potential causes of secondary hypertension?

Answer 3

Renal artery stenosis
Hyperaldosteronism (high Na+, low K+)
High cortisol
LVH progressing to HF
Hyperthyroidism