HYPERTENSION

HYPERTENSION Hypertension BP > 140/90 (>130/80 for DM) Hypertensive urgency or emergency (any visit) Hypertension with end-organ damage or DM (visit 2) Diagnosis based on repeat clinic visits, Ambulatory blood pressure monitor, Self/Home pressure monitoring (visit 3+) Secondary HypertensionEssential (Primary) Hypertension Systemic Vascular Resistance(Vasoconstrictive) Glomerulonephritis Nephritic syndrome AKI/CKD Aortic coarctation Unilateral RAS Cardiac Output (Volume dependent) Hyperthyroidism Hypercalcemia Pheochromocytoma Conn's syndrome NSAIDs Licorice Liddle's syndrome Bilateral RAS Metabolic CausesAnatomic Causes Mineralocorticoid ExcessVasoconstrictorsRenal Parenchymal Diseases Sympathetic nervous system (ie. cocaine, pheochromocytoma) Steroids (Cushing's, exogenous steroids) Renin-Angiotensin stimulation (OCP) Alcohol abuse/ withdrawalUnilateral RAS Consider secondary HTNOnset <20yo, >50yoNo FHx Hypertensive urgency Refractory hypertension (multi-drug resistance)