--高血压英文PPT精品课件Complications of Pregnancy Nonbleeding
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高血压英文PPT精品课件HypertensiveDisordersin_1
BP≥ 140/90mmHg for first time during pregnancy
No proteinuria
BP 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
7
Severity of Preeclampsia
❖ Differentiation between mild & severe preeclampsia can be misleading
-because apparently mild disease may progress rapidly to severe disease
Hypertension first diagnosed after 20weeks’ gestation and persistent after 12weeks’ postpartum
2
Gestational Hypertension – 3.7% in 150,000
(National Center for Health Statics, 2001)
Pregnancy-related hypertension :
Pregnancy-related deaths(3201명 in US, 19911997)의 16% 차지
- Proteinuria 2.0g/24hrs or ≥2+dipstick - Serum creatinine >1.2mg/dl unless known to be previously
No proteinuria
BP 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
7
Severity of Preeclampsia
❖ Differentiation between mild & severe preeclampsia can be misleading
-because apparently mild disease may progress rapidly to severe disease
Hypertension first diagnosed after 20weeks’ gestation and persistent after 12weeks’ postpartum
2
Gestational Hypertension – 3.7% in 150,000
(National Center for Health Statics, 2001)
Pregnancy-related hypertension :
Pregnancy-related deaths(3201명 in US, 19911997)의 16% 차지
- Proteinuria 2.0g/24hrs or ≥2+dipstick - Serum creatinine >1.2mg/dl unless known to be previously
--高血压英文PPT精品课件CORONARY
Effects of coronary artery disease: •Fatal cardiac arrhythmia. •Myocardial infarction. •Myocardial fibrosis.
Postmortem findings: •coronary atheroma. •areas of myocardial fibrosis. •rarely, areas of recent infarcts.
dissections is a rare condition,
mostly occurring in females particularly in the peripartum period. Usually presenting as
Cross photograph of ruptured aneurysm of right coronary artery and
Sites of coronary artery occlusion: •First 2 cm of the left anterior descending coronary artery. •Right coronary artery. •Circumflex coronary artery.
with atheroma. • Coronary artery spasm. • Dissecting coronary aneurysm. • Myocardial bridging.
ATHEROMA
• A fatty deposit in the intima (inner lining) of an artery, resulting from atherosclerosis.
surபைடு நூலகம்ounding hemorrhage.
Postmortem findings: •coronary atheroma. •areas of myocardial fibrosis. •rarely, areas of recent infarcts.
dissections is a rare condition,
mostly occurring in females particularly in the peripartum period. Usually presenting as
Cross photograph of ruptured aneurysm of right coronary artery and
Sites of coronary artery occlusion: •First 2 cm of the left anterior descending coronary artery. •Right coronary artery. •Circumflex coronary artery.
with atheroma. • Coronary artery spasm. • Dissecting coronary aneurysm. • Myocardial bridging.
ATHEROMA
• A fatty deposit in the intima (inner lining) of an artery, resulting from atherosclerosis.
surபைடு நூலகம்ounding hemorrhage.
--高血压英文PPT精品课件_5
Hypertension is often symptom less, so screening is vital - before damage is done. Many surveys continue to show that hypertension remains under diagnosed, undertreated and poorly controlled in the UK
Approximately 25% are due to Reno vascular disease - most frequently atheromatous (e.g. elderly cigarette smokers with peripheral vascular disease) or fibromuscular dysplasia (more common in younger females). Endocrine disease
Secondary hypertension 5% Underlying cause
Causes of Secondary Hypertension
Renal disease
Approximately 75% are from intrinsic renal disease: glomerulonephritis, polyarteritis nodosa, systemic sclerosis, chronic pyelonephritis, or polycystic kidneys.
Hypertension, Introduction.
Hypertension is one of the most important preventable causes of premature morbidity and mortality in the UK. Hypertension is a major risk factor for stroke (ischemic and haemorrhagic), myocardial infarction, heart failure, chronic kidney disease, cognitive decline and premature death. Untreated hypertension may result in vascular and renal damage that can culminate in a treatment-resistant state.
Approximately 25% are due to Reno vascular disease - most frequently atheromatous (e.g. elderly cigarette smokers with peripheral vascular disease) or fibromuscular dysplasia (more common in younger females). Endocrine disease
Secondary hypertension 5% Underlying cause
Causes of Secondary Hypertension
Renal disease
Approximately 75% are from intrinsic renal disease: glomerulonephritis, polyarteritis nodosa, systemic sclerosis, chronic pyelonephritis, or polycystic kidneys.
Hypertension, Introduction.
Hypertension is one of the most important preventable causes of premature morbidity and mortality in the UK. Hypertension is a major risk factor for stroke (ischemic and haemorrhagic), myocardial infarction, heart failure, chronic kidney disease, cognitive decline and premature death. Untreated hypertension may result in vascular and renal damage that can culminate in a treatment-resistant state.
高血压(英文版) ppt课件
Hypertension
Introduction
Hypertension is a major public health problem throughout the world because of its high prevalence and its association with increased risk of cardiovascular disease.
<90
130140-159 140-149
Epidemiology
Prevalence rate （ 患 病 率 ） China: In 1959, In 1979, 5.11% 7.73% of hypertension in
In 1991,
11.88%
The prevalence of high BP increases with age. Hypertension is more common in men than in women up to age 50, after that age, hypertension is more common in women. Hypertension is more common in northern China than in southern China.
For instance:
21/3 1st visit: 146/98mmHg, 150/98mmHg 23/3 2nd visit: 128/84, 126/80
27/3 3rd visit: 130/80, 130/82
Notes(continue)
4. Optimal BP with respect to cardiovascular risk is less than 120/80 mmHg. However, unusually low readings should be evaluated for clinical significance. For example, 70/50 mmHg is less than 120/80 mmHg, but it is not optimal.
Introduction
Hypertension is a major public health problem throughout the world because of its high prevalence and its association with increased risk of cardiovascular disease.
<90
130140-159 140-149
Epidemiology
Prevalence rate （ 患 病 率 ） China: In 1959, In 1979, 5.11% 7.73% of hypertension in
In 1991,
11.88%
The prevalence of high BP increases with age. Hypertension is more common in men than in women up to age 50, after that age, hypertension is more common in women. Hypertension is more common in northern China than in southern China.
For instance:
21/3 1st visit: 146/98mmHg, 150/98mmHg 23/3 2nd visit: 128/84, 126/80
27/3 3rd visit: 130/80, 130/82
Notes(continue)
4. Optimal BP with respect to cardiovascular risk is less than 120/80 mmHg. However, unusually low readings should be evaluated for clinical significance. For example, 70/50 mmHg is less than 120/80 mmHg, but it is not optimal.
--高血压英文PPT精品课件Pediatric
azotemia Hypervolemia After surgical procedures on the genitourinary tract Pyelonephritis Renal trauma Leukemic infiltration of the kidney Obstructive uropathy associated with Crohn disease
Pediatric hypertension
Supervisor : VS. 邱元佑 Speaker : Int. 謝宜勳
Case information
Patient 1 Age/Gender 13 y/o, male
Patient 2 17 y/o, male
Diagnosis 2003/11
Age, sex and height
Obesity important independent risk
Measurement of BP in Children
Measurement
standard mercury sphygmo-manometer right arm bladder width: 40% of the circumference of the arm cuff size covered 80% to 100% of the circumference of the arm
(2) intrauterine environment In women: resting SBP↓4.27 mm Hg and DBP↓ 2.18 mm Hg per kilogram increase in birth weight in men: no associations!
Pediatric hypertension
Supervisor : VS. 邱元佑 Speaker : Int. 謝宜勳
Case information
Patient 1 Age/Gender 13 y/o, male
Patient 2 17 y/o, male
Diagnosis 2003/11
Age, sex and height
Obesity important independent risk
Measurement of BP in Children
Measurement
standard mercury sphygmo-manometer right arm bladder width: 40% of the circumference of the arm cuff size covered 80% to 100% of the circumference of the arm
(2) intrauterine environment In women: resting SBP↓4.27 mm Hg and DBP↓ 2.18 mm Hg per kilogram increase in birth weight in men: no associations!
《高血压英语》课件
了解高血压可能导致的一些严重健康问题，如心脏病、中风和肾脏问题。
预防与治疗
饮食
了解如何通过健康的饮食来预防和管理高血压。
减肥
了解如何通过控制体重来降低高血压的风险。
运动
探索适合高血压患者的运动方式，以维持健康。
药物治疗
介绍高血压的常用药物和治疗选项。
与高血压相关的英语词汇
1 血压
了解血压的定义和测量方 式。
2 心脏
探索心脏的结构和功能， 以及它与高血压之间的关 系。
ห้องสมุดไป่ตู้
3 动脉
了解动脉的作用和与高血 压的相关性。
4 血管
了解血管的结构和功能，以及其在高血压中 的角色。
5 测量血压的工具
介绍用于测量血压的不同工具和设备。
医生的面诊
了解在与医生交流时使用的常见英语表达，如病症描述和治疗方案。
处理心理问题
1
《高血压英语》PPT课件
# 高血压英语PPT课件 探索高血压的定义，症状和风险。了解如何预防和治疗高血压以及相关的英 语词汇。
什么是高血压？
高血压是一种常见的健康问题，也称为高血压。了解什么是高血压以及它对 身体的影响。
高血压的症状
探索高血压可能引起的一些常见症状，如头痛、头晕和呼吸困难。
高血压的风险
被诊断出患有高血压的心理反应
了解当你被诊断出患有高血压时可能出现的心理反应。
2
减轻心理负担的方法
探索如何通过积极的心理策略来减轻与高血压相关的心理负担。
3
支持小组
介绍参加支持小组的好处，并了解如何加入。
总结
高血压的关键知识点
简要回顾高血压的关键知识点， 以加强理解。
处理高血压的英语技能
预防与治疗
饮食
了解如何通过健康的饮食来预防和管理高血压。
减肥
了解如何通过控制体重来降低高血压的风险。
运动
探索适合高血压患者的运动方式，以维持健康。
药物治疗
介绍高血压的常用药物和治疗选项。
与高血压相关的英语词汇
1 血压
了解血压的定义和测量方 式。
2 心脏
探索心脏的结构和功能， 以及它与高血压之间的关 系。
ห้องสมุดไป่ตู้
3 动脉
了解动脉的作用和与高血 压的相关性。
4 血管
了解血管的结构和功能，以及其在高血压中 的角色。
5 测量血压的工具
介绍用于测量血压的不同工具和设备。
医生的面诊
了解在与医生交流时使用的常见英语表达，如病症描述和治疗方案。
处理心理问题
1
《高血压英语》PPT课件
# 高血压英语PPT课件 探索高血压的定义，症状和风险。了解如何预防和治疗高血压以及相关的英 语词汇。
什么是高血压？
高血压是一种常见的健康问题，也称为高血压。了解什么是高血压以及它对 身体的影响。
高血压的症状
探索高血压可能引起的一些常见症状，如头痛、头晕和呼吸困难。
高血压的风险
被诊断出患有高血压的心理反应
了解当你被诊断出患有高血压时可能出现的心理反应。
2
减轻心理负担的方法
探索如何通过积极的心理策略来减轻与高血压相关的心理负担。
3
支持小组
介绍参加支持小组的好处，并了解如何加入。
总结
高血压的关键知识点
简要回顾高血压的关键知识点， 以加强理解。
处理高血压的英语技能
【高血压英文PPT精品课件】 Complications of Pregnancy Non-bleeding Complications_
Renal effects:
• <<renal perfusion == tissue damage, <<glomerular filtration rate ==water retention and sodium reabsorption
• Oliguria • Proteinuria • << creatinine clearance • Generalized edema (face, hands)
Uteroplacental effects:
• <<<blood flow to uterus/placenta, placental aging==insufficiency
• Fetal hypoxia • Intra utero growth retardation (IUGR) • Abruptio placenta • Fetal demise
【高血压英文PPT精品课件】 Complications of Pregnancy Non-bleeding Complications
Hyperemesis Gravidarum
Persistent, excessive nausea and vomiting • Prolonged period of times • Leading to dehydration TREATMENT:
hours. Eclampsia • if vasospasms worsens and B/P ^ damage to
cerebral vessels and cerebral edema == seizure activity
Multi-systems affects
高血压(英文版) ppt课件
arteriole structure Compliance of Vessel wall
ppt课件 6
Psychological factors Renin –angiotensin aldosterone system（RAAS） Sodium and hypertension Abnormality of vascular endothelium（ET，NO， AngII, PGI2, etc) Insulin resistance revascularization other（obesity，smoking，drinking，hypocalcium, hypomagnesium, hypopotassium）
Heart failure Systolic hypertension 长效） Diabetes, proteinuria Renal insufficiency(mild) Myocardial infarction ACEI Stable angina Disorder of lipid pregnancy Prostate proliferation
ppt课件
12
Risk factor of cardiovascular disease
male > 55, female> 65 smoking Total cholesterol> 5.72mmol/L (250mg/dl) diabetes Early cardiovascular family history（early onset of CV disease male<55；female <65)
Diuretics ß–blocker a-blocker Calcium channel blocker ACE inhibitor Angiotensin II receptor blocker compound anti-hypertensive agents
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Course of the Disease
Mild Preeclampsia: • Sudden increase of B/P (>140/90, or ^ of
30/15) on 2 occasions at least 6 hours apart • Weight gain with edema in lower extremities • Proteinuria (mild) 1+ on 2 successive days
Uteroplacental effects:
• <<<blood flow to uterus/placenta, placental aging==insufficiency
• Fetal hypoxia • Intra utero growth retardation (IUGR) • Abruptio placenta • Fetal demise
Complications of Pregnancy Non-bleeding Complications
Pre-term labor
• 28—37 weeks (after the age of viability and before term)
Causes:
• Hypertensive disease
Course of the Disease
Severe Preeclampsia • B/P ^^160/100 (at rest) on 2 occasions at least 6 hours
apart. • Oliguria---400 ml/24 hours or less • Proteinuria ore pronounced (3+) or 5 grams in 24
Precipitating factors
• Dietary deficiencies: low protein • First pregnancies in older primiparas • Over thirty • Multiple pregnancies • Pre-existing renal or vascular disease • Diabetes
Diagnostic Tests
• 24 – hour urine collection for creatinine clearance, total protein
Pregnancy Induced Hypertension
• Also called Pre-eclampsia/Eclampsia Characteristic symptoms • Hypertension • Proteinuria • Edema with rapid weight gain • Multi-system disorder
Renal effects:
• <<renal perfusion == tissue damage, <<glomerular filtration rate ==water retention and sodium reabsorption
• Oliguria • Proteinuria • << creatinine clearance • Generalized edema (face, hands)
•
Placenta disorders
•
STD’s
•
Congenital anomalies
•
ห้องสมุดไป่ตู้Smoking
•
Unknown
Treatment
Goals of treatment • Stop the contractions of labor • Slow the process and prepare for birth Medications used: • Yutopar • Magnesium Sulfate • These may be effective if cervix is < 4 cm’s
Hepatic effects
• Congestion from fibrin deposits, ischemia, increased hepatic pressure (portal hypertension)
• Nausea/vomiting • Epigastric pain • ^^ Liver enzymes • Liver rupture (very rare)
Hyperemesis Gravidarum
Persistent, excessive nausea and vomiting • Prolonged period of times • Leading to dehydration TREATMENT:
- Bed rest with limited visitors x 24 hours - NPO with IV hydration for 24 hours - Gradually begin oral feedings again
Hematologic effects
• Platelet aggregation/intravascular clotting, damage to RBC’s, consumption of clotting factors
• Abnormal shaped and/or damaged RBC’s • Increased fibrin split products (FSP) • Thrombocytopenia • DIC
hours. Eclampsia • if vasospasms worsens and B/P ^ damage to
cerebral vessels and cerebral edema == seizure activity
Multi-systems affects
• CNS leading to seizure activity • Headaches • Visual disturbances • Hyperreflexia/clonus • Altered LOC • Eclampsia