A 72-year-old lady comes to her GP for a yearly check-up of her heart failure treatment.
She has a blood pressure reading of 165/90 mmHg. At present, she is taking furosemide and aspirin, and she feels short of breath when walking uphill.
What would be the best medication to include in her treatment plan?
A 59-year-old man comes to your clinic with hypertension. His initial investigations, including blood tests, electrocardiogram, and urine dip, all come back normal. His QRisk2 score is 18%. His blood pressure readings are consistently above 150/100. He has no significant medical history, but there is a family history of high blood pressure. Despite making lifestyle changes, his blood pressure remains elevated, and you both agree on treatment.
What is your plan for managing this patient?
A 39-year-old man presents with gingival hypertrophy.
Which of his cardiac medications is likely to be responsible?
What is the correct option for measuring blood pressure using either an automated machine or a manual method?
Which beta blocker has been approved for treating heart failure?
For which patient is it necessary to utilize a cardiovascular risk assessment tool (such as QRISK) in order to ascertain their likelihood of developing cardiovascular disease (CVD)?
A 65-year-old male is being evaluated for hypertension associated with type 2 diabetes.
Currently, he is taking aspirin 75 mg daily, amlodipine 10 mg daily, and atorvastatin 20 mg daily. However, his blood pressure remains consistently around 160/92 mmHg.
What antihypertensive medication would you recommend adding to improve this patient’s hypertension?
A 48-year-old Caucasian female presents with tiredness to her general practitioner. She has gained a little weight of late and during the last year has become increasingly tired. She has a history of asthma for which she takes inhaled salbutamol on an as required basis (usually no more than once a week) and diet-controlled type 2 diabetes.
Examination reveals a blood pressure of 172/98 mmHg, a body mass index of 29.7 kg/m2, and a pulse of 88 beats per minute. There are no other abnormalities of note. Her blood pressure recordings over the next month are 180/96, 176/90 and 178/100 mmHg.
Which of the following drugs would you recommend for the treatment of this patient’s blood pressure?
A 27-year-old professional footballer collapses while playing football.
He is rushed to the Emergency department, and is found to be in ventricular tachycardia. He is defibrillated successfully and his 12 lead ECG following resuscitation demonstrates left ventricular hypertrophy. Ventricular tachycardia recurs and despite prolonged resuscitation he dies.
What is the most likely diagnosis?
A 45-year-old man is brought to the Emergency Department following a fall. He recalled rushing for the train before feeling dizzy. His father recently died suddenly because of a heart problem. On examination, he has a ‘jerky’ pulse, a thrusting apex beat with double impulse and a late ejection systolic murmur which diminishes on squatting.
What is the most likely diagnosis?