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Blok 2.4.2.


Hypertensie,definitie Te hoge arterële bloeddruk SBD>140 en/of DBD>90mmHg
Geisoleerde systolische hypertensie SBD>140, DBD gb - Ouderen->artheroscleorse->vaatbreedte↓->polsdruk verbreedt,SBD stijgt>DBD
Witte jas hypertensie Agv angst/stress voor arts hypertensie. Thuis laten meten.
Hypertensie vaststellen, protocol -Zittend -Na enkele min rust -Geijkte manometer -Manchet t.h.v. sternum -Niet spreken -2 maal, tussenpozen 15 sec, zelfde arm->gem -1e consult beide armen, verschil 10 mmHg->volgende consult die arm -SBD>140 =2e consult:>10↑->3e consult:gem=risico
Classificatie bloeddruk ...SBD DBD Optimaal <120 & <80 Normaal 120-129 &/ <85 Hoog/normaal 130-139 &/ 85-89 Hypertensie GradeI 140-159 &/ 90-99 GradeII 160-179 &/ 100-109 GradeIII >180, >109 Geisoleerde systolische hypertensie GradeI 140-149, <90 GradeII >160, <90
Oorzaken essentiële hypertensie -Genetisch, familiair -laag geboortegewicht -Obesitas -Alcohol (veel verhoogd, laag verlaagd) -natrium inname -Stress -Diabetes -Metabool syndroom -Renale Na uitscheiding↓(normale Pa)(RAAS, natriuretisch pept.) -func vasocon(kalikrein-kinine sy
Oorzaken secundaire hypertensie -Renaal:diab.NP,chr GN,adult polycystic,chr TIN,renovasc -Endo:Crohn,adrenale hyperplasie,phaeochromocytomie,Cushing,acromegalie -Cong:coarctatio aortae -Med:NSAIDs,orale contracep,stero,carbenoxolone,liquorice,symp.metica,vasopres Zwanger,cardiovasc
Complicaties hypertensie Cerebrovasculaire ziekte\ Coronaire art.aand. \-->vnl oorzaak dood nierfalen perifere vaatziekten 6x meer kans beroerte 3x meer kans cardiale dood 2x meer kans perifere vaatziekten
Created by: nathasja