Hypertension

HYPERTENSION also known as high blood pressure (HBP), is a very common disorder particularly past middle age.

It is a common condition in which the long-term force of the blood against the artery walls is high enough that it may eventually cause health problems, such as HEART DISEASE and STROKE.

It is defined as BP more than 140mmHg systolic and 90mmHg diastolic.

Types of Hypertension

– Essential and
– Secondary

Essential hypertension is a disorder of unknown origin affecting the blood pressure regulating mechanisms.
A family history of hypertension increases the likelihood that an individual will develop higher than normal blood pressure and hypertensive disease. The incidence of essential hypertension is four-fold more frequent among blacks than among whites. It occurs more often among middle-aged males than among middle-aged females, and its prevalence increases with age and obesity.

Environmental factors, such as stressful lifestyle, high dietary intake of sodium, and smoking, further predispose an individual tom the occurrence of hypertension.

Secondary hypertension is a disorder secondary to other disease processes. About 10% of hypertension is secondary to some identifiable cause such as steroids, renal vascular disease, renal parenchymal disease, pregnancy related, pheochromocytoma or cushing’s syndrome to name a few.

Outcomes of Hypertension:

  • Atherosclerosis
  • Ischemic heart disease & cerebrovascular accidents (CVA)
  • Nephropathy/
  • Congestive heart failure

Hence early detection & treatment of hypertension with antihypertensive drugs is very important.

FOODS THAT CAN INCREASE BLOOD PRESSURE

  • Salt
  • Pizza
  • Spiced food
  • Diary products
  • Sandwiches
  • Energy drinks
  • Alcohol
  • Added sugar
  • Frozen fish and sea food

HYPERTENSIVE EMERGENCY

Systoloic BP > 220mmHg or diastolic BP > 120mmHg with evidence of end organ damage.

HYPERTENSIVE URGENCY

Sytolic BP > 220mmHg or diastolic BP > 120mmHg without overt signs of end organ damage.

WAYS OF TREATING/MANAGING HYPERTENSION WITHOUT DRUGS

• Diet
• Salt restriction in diet
• Aerobic activity or exercise
• Weight reduction
• Reduce alcohol intake
• Mental relaxation

2 Thoughts

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