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CCRP AACVPR Blood Pressure Management.pdf
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________ percent of patients enrolled in cardiac rehabilitation programs have been reported to have hypertension - ANS Forty-eight Hypertensive heart disease can lead to - ANS left ventricular hypertrophy, LV systolic dysfunction, atherosclerotic coronary artery disease, aortic aneurysm and dissection, and sudden death. Reportedly 95% of adults with high blood pressure have what type of hypertension? - ANS primary or essential hypertension. The cause of primary hypertension is not completely understood, but is due to a combination of genetic and environmental factors, often with coexistent disease. Elderly people often have - ANS isolated or predominantly systolic hypertension, which is due to stiffening of the aorta with increasing age. Name three common diseases which contribute to the development and worsening of hypertension - ANS obesity, sleep apnea, and intrinsic renal disease What affects blood pressure - ANS cardiac output and vascular resistance Sodium retention leads to a sequence of increased - ANS fluid retention, increased intravascular volumes, increased cardiac output, and consequently raised blood pressures Peripheral vascular resistance - ANS is determined by neurohormonal factors which act at the level of arterioles
What medications are particularly effective in hypertensive patients with tachycardia, and their hypotensive potency is enhanced by co-administration with a diuretic - ANS β blockers β blockers lower blood pressure - ANS by decreasing cardiac output, due to a reduction in heart rate and contractility. Name some possible adverse affects of β blockers - ANS associated with the worsening of preexisting asthma and COPD, worsen hyperglycemia and dyslipidemia, cold feet, vivid dreams, and rebound hypertension on discontinuation of drug