Cardiovascular Medicine Book

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Isolated Systolic Hypertension

Aka: Isolated Systolic Hypertension
  1. See Also
    1. Hypertension
    2. Hypertension Causes
    3. Hypertension Evaluation
    4. Hypertension Evaluation History
    5. Evaluation Exam
    6. Hypertension Evaluation Labs
    7. Hypertension Management
    8. Hypertension Risk Stratification
    9. Resistant Hypertension
    10. Antihypertensive Selection
    11. Hypertension Management for Specific Comorbid Diseases
    12. Hypertension Management for Specific Populations
    13. Hypertension Management for Specific Emergencies
    14. Hypertension in Children
    15. Hypertension in Infants
    16. Hypertension in Pregnancy
    17. Hypertension in Athletes
    18. Hypertension in the Elderly
  2. Epidemiology
    1. Most common type of Hypertension in adults
  3. Criteria
    1. Systolic Blood Pressure: >140 mmHg (previously >160)
    2. Diastolic Blood Pressure: <90 mmHg
  4. Complications: Cardiovascular Risk
    1. General
      1. Systolic pressure predicts risk better than diastolic
      2. Wide Pulse Pressure best predicts cardiovascular risk
    2. Adverse Effects
      1. Doubles all cause mortality
      2. Triples cardiovascular mortality
      3. Increases cardiovascular morbidity 2.5 fold
  5. Management
    1. Use lower antihypertensive dosages
    2. First Choice Medication: Diuretic
      1. Even better benefit in Diabetes Mellitus with ISH
      2. Study of 4736 type II diabetics
        1. Lower Incidence of cardiac events
          1. Lower Incidence of Cerebrovascular Accidents
          2. Lower Incidence of Myocardial Infarction
        2. Reference
          1. Curb (1996) JAMA 276: 1886-92 [PubMed]
    3. Other Medications
      1. Dihydropyridine Calcium Channel Blocker
      2. Long Acting Nitroglycerin
      3. ACE Inhibitor
      4. Labetalol

Systolic hypertension (C0221155)

Concepts Disease or Syndrome (T047)
SnomedCT 194759009, 56218007
Italian Ipertensione sistolica
Japanese 収縮期高血圧, シュウシュクキコウケツアツ
Czech Systolická hypertenze
Hungarian Systolés hypertonia
English systolic hypertension, systolic hypertension (diagnosis), hypertension systolic, Systolic hypertension, Systolic hypertension (disorder), Systolic Hypertension
Spanish hipertensión arterial sistólica (trastorno), hipertensión arterial sistólica, Hipertensión sistólica
Portuguese Hipertensão sistólica
Dutch systolische hypertensie
French Hypertension systolique
German Systolische Hypertonie
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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