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The silent killer
Hypertension
Definition 
 Systolic blood pressure > 120 mmHg. 
 Diastolic blood pressure > 80 mmHg.
Prevalence 
 One of the most common disease. 
 There is a genetic factor for its occurrence. 
 Increase with age. 
 More common in some racial group. 
 Dietary habits affect its prevalence. 
 Stressful life styles increase its prevalence.
Classification 
 Primary or essential. 
 Secondary. 
- Reno vascular hypertension. 
- Endocrine. 
- Gestational Hypertension.
Staging 
 Mild: Systolic blood pressure below 140 mmHg. 
 Moderate: Systolic blood pressure 140-159 mmHg. 
 Severe: Systolic blood pressure more than 160 mmHg. 
 Malignant: Systolic blood pressure more than 160 
mmHg, associated with neurologic complications. 
 Isolated systolic hypertension: In elderly.
symptoms 
 None. 
 Headache. 
 Blurred vision. 
 Nausea and vomiting. 
 Tinnitus.
Investigations 
 Non specific: 
- ECG. 
- Chest x-ray 
- Renal function tests 
 Specific: towards the secondary cause of 
Hypertension.
Complications 
 Cerebrovascular disease: sudden death, neurologic 
deficits. 
 Cardiovascular disease: MI, heart failure. 
 Reno vascular disease: CRF.
Management 
 Change life style. 
 Change your dietary habits. 
 Commence drugs as prescribed by your doctor. 
 Do not change the drug regimen without consult your 
doctor.
Prevention 
 Early detection and good control of hypertension are 
approved to prevent all complications of this insidious 
disease, 
 the silent killer
Thank you for your attention

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The silent killer

  • 3. Definition Systolic blood pressure > 120 mmHg. Diastolic blood pressure > 80 mmHg.
  • 4. Prevalence One of the most common disease. There is a genetic factor for its occurrence. Increase with age. More common in some racial group. Dietary habits affect its prevalence. Stressful life styles increase its prevalence.
  • 5. Classification Primary or essential. Secondary. - Reno vascular hypertension. - Endocrine. - Gestational Hypertension.
  • 6. Staging Mild: Systolic blood pressure below 140 mmHg. Moderate: Systolic blood pressure 140-159 mmHg. Severe: Systolic blood pressure more than 160 mmHg. Malignant: Systolic blood pressure more than 160 mmHg, associated with neurologic complications. Isolated systolic hypertension: In elderly.
  • 7. symptoms None. Headache. Blurred vision. Nausea and vomiting. Tinnitus.
  • 8. Investigations Non specific: - ECG. - Chest x-ray - Renal function tests Specific: towards the secondary cause of Hypertension.
  • 9. Complications Cerebrovascular disease: sudden death, neurologic deficits. Cardiovascular disease: MI, heart failure. Reno vascular disease: CRF.
  • 10. Management Change life style. Change your dietary habits. Commence drugs as prescribed by your doctor. Do not change the drug regimen without consult your doctor.
  • 11. Prevention Early detection and good control of hypertension are approved to prevent all complications of this insidious disease, the silent killer
  • 12. Thank you for your attention