Complications of HTN

  • Neurologic: TIA/CVA, ruptured aneurysms, vascular dementia
  • Retinopathy: stage I = arteriolar narrowing; II = copper-wiring, AV nicking; III = hemorrhages and exudates; IV = papilledema
  • Cardiac: CAD, LVH, HF, AF
  • Vascular: aortic dissection, aortic aneurysm (HTN = key risk factor for aneurysms)
  • Renal: proteinuria, renal failure

Treatment (J Clin HTN 2014;16:14; Circ 2018;138:e426; NEJM 2018;378:636)

  • Every ↓ 10 mmHg → 20% ↓ MACE, 28% ↓ HF, 13% ↓ mort. (Lancet 2016;387:957)
  • ACC/AHA: initiate BP med if BP ≥130/80 & either clinical CVD (ischemic heart disease, HF, troke)