Systolic HTN
And wide pulse pressure are bad signs
HTN
Reduction
Decrease CHF by 50%
CVA 40%
Cad 20%
Young people treat the diastoli
People over 60 treat systolic HTN
Avoid ace and ARB in the same patient
White coat HTN no risk
Masked HTN more risk
Blood work
TSH
PTH
PRA/Aldo
Renal artery test
HTN
Weight loss
Dash diet
Exercise
Decrease alcohol
HTN
More than 60 years start treating at 150/90 Younger 140/90 Ckd <140 Blacks thiazides and CCB Ckd ace and ARB
Not tevmended
BB and alpha blockers as first line
HTN
Young start acei or ARB
Stage 2 HTN
Start 2 drugs
HTN
Mineralo corticoid add for uncontrolled HTN
Strong vasodilator
Minoxidil+loop diuretic+bB
Uncontrolled HTN
Look for OSA
Aldo/PRA ratio
50 and Aldo>15.7 diagnostic