HLSC 3P19 Lecture Notes - Lecture 7: Kidney Failure, Blood Vessel, Prehypertension
15 Dec 2019
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Clinical history: 35 years old, male, sedentary, drinks, no cigarette smoking, family history of hypertension, father died of myocardial infarction (55 years old) Clinical findings/laboratory: bp of 150/95 mmhg stage 1 hypertension, moderate obesity, total cholesterol is 220, hdl is 40mg/dl, fasting glucose is 105 mmhg, chest x-ray is normal, ekg-left ventricular enlargement. Hypertension is the most common cardiovascular disease. Close to one third of americans and 60% of those 60 years or older had hypertension; and prevalence continue increasing with aging. Varies with age, sex, race, education and several other variables. Sustained hypertension has a damaging impact in blood vessels of kidney, heart and brain. It leads to an increase in: renal failure, coronary disease, heart failure, stroke, dementia. An effective pharmacological management leads to reduction in blood pressure. Unfortunately, less than one half of those living with hypertension reach a good control of their hypertension.
