Hypertensive Heart Disease Discussion
Hypertension
Differential Diagnosis
- Diabetic retinopathy
- Hyperviscosity syndrome
- Retinal venous obstruction (Modi & Arsiwalla, 2022)
End Organ Damage
- Cardiovascular
- Ocular
- Retina
- Renal
- Cerebrovascular Hypertensive Heart Disease Discussion
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Treatment
- Pharmacological Treatment
The patient can be treated by using medications such as; ACE inhibitors (lisinopril, enalapril, ramipril, or perindopril) (Tackling & Borhade, 2021).
- Non-Pharmacological Treatment
The patient will be advised to change his lifestyle, especially quitting smoking.
The Stage of HTN
The patient is at Stage 2 HTN because he has a systolic blood pressure of 175 and diastolic blood pressure of 95. Systolic blood pressure is considered the best predictor of risk (Bell et al., 2015). Hypertensive Heart Disease Discussion
Initial Labs Diagnostic Tests
- Blood tests
- Urinalysis
- Ultrasound of the kidneys
- ECG (Electrocardiogram)
References
Bell, K., Twiggs, J., Olin, B. R., & Date, I. R. (2015). Hypertension: the silent killer: updated JNC-8 guideline recommendations. Alabama pharmacy association, 334, 4222.
Modi, P., & Arsiwalla, T. (2022). Hypertensive retinopathy. In StatPearls [Internet]. StatPearls Publishing.
Tackling, G., & Borhade, M. B. (2021). Hypertensive heart disease. In StatPearls [Internet]. StatPearls Publishing.
56 year old African American male -hypertensive man is being evaluated as new patient. His BP is 170/95. His fundoscopic exam reveals hypertensive retinopathy.
•PMH: HTN and Hyperlipidemia
•PE: BP 170/95- 82 BMI 32, negative thyromegaly or carotid bruits
•Social: smokes 1 ppd since age 15; wine 2 glasses / day
1.What are three differential diagnoses?
2.What is the end organ damage?
3.How would you treat this patient identify (1) pharmacological and (1) non-pharmacological treatment?
4.According to JNC8 what stage of HTN is this patient
5.Identify initial labs and diagnostic tests for HTN Hypertensive Heart Disease Discussion