高血压英文精品课件hypertensive

1、Valvular Heart Disease,Dr. Randa Al-Harizy Prof. of Internal Medicine,Tricuspid Valve,MITRAL STENOSIS Almost all mitral stenosis is due to rheumatic heart disease. It is much more common in women. Other causes include: Lutembachers syndrome, which is the combination of acquired mitral stenosis and an atrial septal defect, carcinoid tumours and SLE.,Valvular Heart Disease,PATHOPHYSIOLOGY When the normal valve orifice area is reduced to 1 cm2, severe mitral stenosis is present. To ma。

2、HYPERTENSIVE RETINOPATHY,DR AJAY DUDANI DR YASHESH MANIAR,- MANY CAUSES - MAINLY ESSENTIAL HYPERTENSION,SYSTEMIC HYPERTENSION (JNCV 5TH),STATE OF PERSISTENT ELEVATED BLOOD PRESSURE ABOVE 140/90 mmHg.,5TH JOINT NATIONAL COMMITTEE CLASSIFICATION OF BLOOD PRESSURE,CATEGORY SYSTOLIC BP DIASTOLIC BP(mmHg) (mmHg),NORMAL 210 120,PATHOPHYSIOLOGICAL CHANGES IN HYPERTENSIVE OCULAR DISEASE,HYPERTENSIVE CHOROIDOPATHY HYPERTENSIVE RETINOPATHY- VASOCONSTRICTIVE PHASE- SCLEROTIC PHASE。

3、Hypertensive Heart Disease,Gene Bukhman January 12th, 2005,Epidemiology I,Number of Patients with Hypertension in the United States: 50 million Number of Patients with Heart Failure: 5 million Percent of Heart Failure Patients with Hypertension: 75%,JNC 7. 2004 Jessup and Brozena. NEJM. 2003,Mosterd et al. NEJM. 1997,Mortality in Hypertension,50% from ischemic heart disease or heart failure 33% from cerebrovascular disease 10 to 15% from renal failure,Kaplan in Zipes, Libby, Bonow, and Braunwald。

4、Hypertensive Heart Disease,Ricky M. Kirby, FNP, BC,Lopez Internal Medicine Associates 4250 Lakeside Drive, Suite 204 Jacksonville, FL 32210 (904) 598-1888 rickkirbybellsouth.net,References,JNC 7 Full Report, NIH Publication No. 04-5203,http:/hin.nhlbi.nih.gov/nhbpep_slds/menu.htm#hbpch1,JNC 7 Express, NIH Pub. No. 03-5233 December 2003,JNC 7 Quick reference card, NIH Pub. No. 03-5231,JNC 7,Full ReportComprehensive justification and rationale (87 pages, NIH Pub. No. 04-5203). ExpressSuccinc。

5、HYPERTENSIVE DISORDERS IN PREGNANCY,Prof of Gyn&Obst. Mansoura Faculty of Medicine Egypt 2009,Prof.Mohammad Emam,Introduction,Hypertensive disorders of pregnancy are leading causes of maternal mortality. Worldwide: 50,000 women die each year. Egypt: 18% of maternal mortality.,Introduction,Homeostasis during normal pregnancy: is an example of the principle of priorities, where the pregnant women must alter her entire physiological and biochemical environment to provide conditions best suited。

6、Hypertension,By: Daniel McGill, Alfred Brandolph Tica, and Elizabeth Barrera,Hypertension,What is it?,- Hypertension is a chronic medical condition in which the pressure or tension in the arteries is elevated.,Blood Pressure,Blood pressure is given in two numbers The top number is called the systolic blood pressure The bottom number is called the diastolic blood pressure A normal blood pressure is when its lower than 120/80mmHg A high blood pressure is when its above 140/90 mmHg,Stages of Hyper。

7、Hypertensive Emergencies,Amy Staples, MD, MPH UNM Department of Pediatrics,Outline,Measuring BP Definition of Hypertension Etiology of hypertension in kids When to treat How to treat,Clinical Quiz,11 yo girl with a sinusitis, HA and BP 124/83 5 yo boy with rash, abd pain, joint pain, tea colored urine and BP 117/81 16 yo athletic boy in clinic for sports PE BP 132/84,HTN Treat ___ ______ ______ ___,Clinical Quiz,3 yo girl with NF, alert and playful; BP 125/772 yo girl with nephrotic syndr。

8、The Medical Patient The Renal System; Hypertensive Emergencies,Condell Medical Center EMS System October 2008 CE Site Code # 10-7200E1208,Prepared by: Sharon Hopkins, RN, BSN, EMT-P,Objectives,Upon successful completion of this module, the EMS provider should be able to: List the components and function of the urinary system State signs and symptoms of chronic kidney disease Define hemodialysis Identify the differences between AV fistulas and AV shunts & implications in the field Apply the R。

9、Hypertensive Disorders in Pregnancy, ,Scope,Terminology and classification Risk factors Etiology Pathophysiology Prediction and prevention Management,Incidence,3.7 % of pregnancies 16% of pregnancy-related deaths Eclampsia 1 in 2000 deliveries,Classification by the working group of the NHBPEP (2000),1. Gestational hypertension 2. Preeclampsia 3. Eclampsia 4. Preeclampsia superimposed on chronic hypertension (superimposed preeclampsia) 5. Chronic hypertension。

10、Primary Eye Care for The Hypertensive Patient,Tiffenie Harris, OD, FAAO Associate Professor Western University College of Optometry Member, American Society of Hypertension,COPE 31300-SD,Primary Care Optometrist,Primary health care providers who examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions-American Optometric Association, 2005,Primary Care Optometrist,Primary care optometrists。

11、PIH,高雄榮總婦產部 李如悅,Obstetrics deadly triad: hemorrhage, infection, preeclampsia Incidence: 3.7-5% 16% of 3201 pregnancy-related deaths in the United States from 1991-1997,Gestational hypertensionBP 140/90mm Hg for first time during pregnancy No proteinuriaBP returns to normal 12 weeks postpartum Final diagnosis made only postpartum May have other signs or symptoms of preeclampsia, for example, epigastric discomfort or thrombocytopenia,TABLE 34-1 Diagnosis of Hypertensive Disorders Compli。

12、1,Hypertensive Disorders in Pregnancy (I),Williams Obstetrics 22nd Edition Chapter 34 ,2,Index,Diagnosis Etiology Pathogenesis Pathophysiology Prediction and Prevention Management Long-term consequences,3,Gestational Hypertension 3.7% in 150,000(National Center for Health Statics, 2001) Pregnancy-related hypertension : Pregnancy-related deaths(3201 in US, 1991-1997) 16% Black women are 3.1 times to die as white womenHypertensive disorders remain among the most significant an。

13、HYPERTENSIVE DISORDERS IN PREGNANCY,DR. SALWA NEYAZI ASSISSTANT PROF KSU/ CONSULTANT OBGYN PEDIATRIC & ADOLESCENT GYNECOLOGIST,DR SALWA NEYAZI ASS. PROF.KSU CONSULTANT OBGYN,TYPES OF HYPERTENSIVE DISEASE IN PREGNANCY,1-Gestational hypertension 2-PET3-Eclampsia4-Chronic hypertension5-PET superimposed on chronic hypertension,DR SALWA NEYAZI ASS. PROF.KSU CONSULTANT OBGYN,1-Gestational hypertension,BP 140/90 mm Hg for the first time during pregnancyNo proteinuriaBP returns to N 12 Wk。

14、Hypertensive Disorders in Pregnancy,Azza AlyamaniProf. of Obstetrics & Gynecology,ClassificationWomen who are pregnant and hypertensivemust be divided into :* chronic hypertension.* pregnancy induced hypertension (PIH)or gestational hypertension.those with PIH further subdivided :* proteinuric PIH (preeclampsia)minority* non-proteinuric PIH majority,Therefore :women with hypertension in pregnancy are classified as having:1. preeclampsia (proteinuric hypertension).2. non proteinuric hyper。

15、Hypertensive Heart Disease,Gene Bukhman January 12th, 2005,Epidemiology I,Number of Patients with Hypertension in the United States: 50 million Number of Patients with Heart Failure: 5 million Percent of Heart Failure Patients with Hypertension: 75%,JNC 7. 2004 Jessup and Brozena. NEJM. 2003,Mosterd et al. NEJM. 1997,Mortality in Hypertension,50% from ischemic heart disease or heart failure 33% from cerebrovascular disease 10 to 15% from renal failure,Kaplan in Zipes, Libby, Bonow, and Braunwald。

16、HYPERTENSIVE DISORDERS IN PREGNANCY,Prof of Gyn&Obst. Mansoura Faculty of Medicine Egypt 2009,Prof.Mohammad Emam,Introduction,Hypertensive disorders of pregnancy are leading causes of maternal mortality. Worldwide: 50,000 women die each year. Egypt: 18% of maternal mortality.,Introduction,Homeostasis during normal pregnancy:is an example of the principle of priorities, where the pregnant women must alter her entire physiological and biochemical environment to provide conditions best suited。

17、hypertension,1,HYPERTENSIVE HEART DISEASE A Brief Review Joshua M.Crasner, DO,FACC,FACOI,hypertension,2,DEFINITION,the reponse of the left ventricle to increased peripheral resistance due to increased systemic arterial pressure,hypertension,3,JNC-7 Definition of HTN,JAMA 289; 2560-72: 2003,hypertension,4,JNC-6 (old criteria),hypertension,5,TYPES OF HYPERTENSION SYSTOLIC AND DIASTOLIC,Primary(Essential, Idiopathic) Secondary Renal: Acute GN, Diabetic Nephropathy Endocrine: TSH, cortisol, calci。

18、Hypertensive Crisis,. 4, Urgency/Emergency evidence ,Hypertensive crisis ,Hypertensive emergency target organ damage coronary ischemia, disordered cerebral function, cerebrovascular events, pulmonary edema。

19、Hypertensive Heart Disease,Ricky M. Kirby, FNP, BC,Lopez Internal Medicine Associates 4250 Lakeside Drive, Suite 204 Jacksonville, FL 32210 (904) 598-1888 rickkirbybellsouth.net,References,JNC 7 Full Report, NIH Publication No. 04-5203,http:/hin.nhlbi.nih.gov/nhbpep_slds/menu.htm#hbpch1,JNC 7 Express, NIH Pub. No. 03-5233 December 2003,JNC 7 Quick reference card, NIH Pub. No. 03-5231,JNC 7,Full ReportComprehensive justification and rationale (87 pages, NIH Pub. No. 04-5203). ExpressSuccinc。

20、HYPERTENSIVE RETINOPATHY,DR AJAY DUDANI DR YASHESH MANIAR,- MANY CAUSES - MAINLY ESSENTIAL HYPERTENSION,SYSTEMIC HYPERTENSION (JNCV 5TH),STATE OF PERSISTENT ELEVATED BLOOD PRESSURE ABOVE 140/90 mmHg.,5TH JOINT NATIONAL COMMITTEE CLASSIFICATION OF BLOOD PRESSURE,CATEGORY SYSTOLIC BP DIASTOLIC BP(mmHg) (mmHg),NORMAL 210 120,PATHOPHYSIOLOGICAL CHANGES IN HYPERTENSIVE OCULAR DISEASE,HYPERTENSIVE CHOROIDOPATHY HYPERTENSIVE RETINOPATHY- VASOCONSTRICTIVE PHASE- SCLEROTIC PHASE。