Hypertension: Summary

by Joseph Alpert, MD

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    00:01 Well, in summary, this has been a rather long talk about hypertension because this is an extraordinarily important topic.

    00:07 The definition is generally blood pressure of 140/90 or greater. In elderly patients, we allow a little more room: 150/90 is acceptable or if the patient is already using high blood pressure medications.

    00:21 The mechanisms are neural and hormonal. And we worked our way through there.

    00:25 That is a very complicated series of control of blood pressure between the brain and the arterial receptors that are measuring blood pressure and the kidney and the renin-angiotensin-aldosterone system. And often the mechanisms are set a little too high in patients who have genetic forms of hypertension, which is a very large part of the population.

    00:49 Complications can be very nasty: cardiac arrhythmias, kidney failure, stroke, dementia, heart attacks, blindness from retinopathy and diffuse blood-vessel damage.

    01:01 And the therapy consists of lifestyle changes: weight loss, control of sodium, regular exercise as well as very effective medications that help to control and decrease vascular resistance and thereby decrease hypertension.

    About the Lecture

    The lecture Hypertension: Summary by Joseph Alpert, MD is from the course Arterial Diseases.

    Included Quiz Questions

    1. Raynaud’s phenomenon.
    2. Stroke.
    3. Retinopathy.
    4. Dementia.
    5. Kidney failure.

    Author of lecture Hypertension: Summary

     Joseph Alpert, MD

    Joseph Alpert, MD

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