Hypertension

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Hypertension
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(No Transcript)
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A CASE

• Mr. Ahmed is a 42 years old male referred from
  local health center as he was noted to have BP of
  180/110 for the last two months. Apart of
  occasional headache there was no other complains.
  He is a non-smoker and never consumed alcohol,
  his past medical history is only significant for
  allergic rhinitis. His father died years ago but
  he is not sure what was the cause of his death
  his mother still alive and well, apart of mild DM
  on diet control. He has 3 brothers 44,45,46 years
  respectively, the eldest brother is hypertensive

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Definition

• Hypertension is chronically elevated systolic
  and/or diastolic BP 140 systolic /90 diastolic mm
  Hg under satisfactory conditions of measurements.
  And confirmed by repeated accurate measurements
  over a period of time.

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Our Patient

• Mr. Ahmed is a 42 years old male referred from
  local health center as he was noted to have BP of
  180/110 for the last two months. Apart of
  occasional headache there was no other complains.
  He is a non-smoker and never consumed alcohol,
  his past medical history is only significant for
  allergic rhinitis. His father died years ago but
  he is not sure what was the cause of his death
  his mother still alive and well, apart of mild DM
  on diet control. He has 3 brothers 44,45,46 years
  respectively, the eldest brother is hypertensive

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Why is it important?

• 1-Silent killer and long life disease
• - IN OMAN
• In 1994 national survey
• Screened 4239 persons gt20
• 23.7--- 25.4 male 22.2 female
• - In UK rule of halves!!

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• 2- Complication of hypertension
• -Sustained hypertension is associated with
  accelerated atheromatous disease of the blood
  vessels
• -Cerebrovascular disease
• Thromboembolic
• Intra cranial bleed
• TIA
• -Cardiovascular disease
• Myocardial infarction
• Heart failure
• Coronary artery disease

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• Renal failure
• Vascular disease