Question

Scenario: DW is a 65-year-old, 135 kg male who visited his primary care physician for a routine examination. His blood pressure was 158/100 mmHg and his heart rate was 71 bpm. Stroke volume and cardiac output were normal. Serum renin levels were in the normal range. A chest x-ray revealed left ventricular hypertrophy. Other clinical findings were unremarkable

Would you consider giving this patient a muscarinic receptor agonist to help lower blood pressure?

Describe some of the problems/damage in tissues and/or organs that may occur in untreated and poorly managed hypertension.

Answer 1

Question no 1

DW is having a normal heart rate as well as the blood fluid level are normal that is the cause of Hypotension is not fluid overload as well as not increse in heart rate. So it is obvious that is Will be due to vasoconstriction.

So using a muscarinic receptor agonists will not help in the management of hypertension and also if muscarinic receptor agonists is taken it can lead to bradycardia.

Question no 2

Problem or organ damge in untreated hypertension

1. Kidney damage can occur as a resuk of increse in the blood pressure in kidney
2. Visual defect causing damage to eyes as well as due to increased pressure in the blood vessel if eyes .
3. Dementia can occur as a result of hypertension
4. Heart failure can occur due to excess working load to heart
5. Erectile dysfunction is also a complication of hypertension