1. Definition
1.1. High blood pressure
1.2. Systolic blood pressure above 140/90
1.2.1. Besides lifestyle modifications, medications will be started
1.3. Systolic blood pressure above 180 can be an emergency
1.4. Systolic above 130 is prehypertensive
1.4.1. usually lifestyle modifications will be advised
2. Essential
2.1. Age
2.2. Diabetes & Athersclerosis
2.3. Diet/ obesity
2.4. Stress
2.5. Smoking
2.6. Genetics
3. secondary
3.1. Kidney disease
3.2. Sleep Apnes
3.3. Drugs
3.4. Pregnancy
3.5. Thyroid/ Adrenal gland issues
3.6. Intracraial pressure increases
4. Diagnosis
4.1. blood tests
4.1.1. CBC, CMP, thyroid
4.1.1.1. look for any causes of the high blood pressure
4.1.1.2. look for damage to other organs like kidneys and liver
4.2. eye exams, ECHO , Ultrasounds of kidneys
4.2.1. To see how much damage has been done by high blood pressure
5. Symptoms
5.1. Athesclerosis
5.1.1. Coronary Artery disease
5.1.2. Peripheral arterial disease
5.1.3. Myocardial Infarction/ embolic Stroke
5.2. Aortic Dissesction / Aortic Anyeurism
5.3. Hemmorrhagic stroke
5.3.1. bloodpressure can be too high causing a vein to rupture
5.4. Renal disease
5.4.1. If the GFR is to high caused by high pressure is can cause damage to kidneys
5.5. Retinal Disease
5.5.1. High blood pressure causes damage to the microvascular of the retina
5.6. Usually asymptomatic
6. Treatment
6.1. Life style changes
6.1.1. excercise/ physical activity
6.1.2. Medications
6.1.3. Healthcare monitoring
7. Medications
7.1. ACE
7.1.1. lisinopril
7.1.1.1. 1st line treatment for most patients
7.2. ARB
7.2.1. Losartan
7.3. Beta blockers
7.3.1. Metoprolol
7.3.1.1. 1st line treatment after a myocardial infarction
7.4. Calcium channel blockers
7.4.1. Amlodipine
7.4.1.1. Great for pregnant women
7.5. Diuretics
7.5.1. furosemide
7.6. Vasodilators
7.6.1. Hydralazine