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Initial DOC for newly diagnosed HTN is thiazide diuretic. Common side effect is photosensitivity, leading to a rash in sun exposed areas. Rx by stopping med, or avoid sun exposure. Thus, this is a common side efx of meds in newly diagnosed HTN. Best RF to modify to reduce risk of CAD is LDL. HTN is also good but not as good as LDL. Other stuff helps too (exercise, stop smoke, control DM), but they don’t lower risk as much as LDL and HTN. C++ Lecture Notes PdfSecondary HTN: Consider it in a young patient w/ high blood pressure. 90% of secondary HTN is d/t unidentified cause. Otherwise, the MCC is renovascular HTN. Look for abd or flank bruit in pt with renovascular HTN. Other causes: peho (headaches, tachy), Cushing’s disease (edema), advanced renal disease (edema). Retinal abnormalities is a long term effect of HTN, not seen early in disease. DM is the single most important predictor of adverse CV outcomes. ![]() Such a good predictor that DM is considered a CHD equivalent. In women, the prediction is evn more important. For people with DM, keep BP 5 cm diameter. If smaller, do periodic imaging. Rapid growth can also need surgery. Big time RF is smoking. Other RF don’t have as much impact as smoking cessation does. Office Amlodipine side efx: fluid retention and urticarial rash. ACEI side efx: angioedema, urticaria. Rash is usually psoriatic, not photosensitivity in nature. Windows xp service pack 3 with sata drivers iso download. Note that ARB might also cause angioedema if a pt has bad experience w. Paroxysmal a fib: present w/ EPISODIC palpitation possibly associated w/ symptoms. Same CVA risk as normal afib, so need warfarin. Either rate or rhythm control is effective if asymptomatic. If there are marked or persistent symptoms (palpitation, dizzy, dyspnea) rhythm control is better. Amiodarone is the preferred drug for rhythm control if pt also has some other structural heart disease (cardiomyopathy, CHF, CAD). Flecainide can work ONLY if pt has NO structural heart disease. It can lead to fatal arrhythmias if you give it to pt w/ structural heart disease.
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