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Hypertension
Hypertension is defined
either as a consistent systolic blood
pressure of 140 or greater or a consistent
diastolic pressure of 90 or greater
or both. Systolic blood pressure below
120 and a diastolic blood pressure below
80 are considered "optimal."
Hypertension or high blood
pressure is a major risk factor for
heart failure, stroke and kidney failure.
High blood pressure often causes no
symptoms and many people don't know
that they have it. It is usually an
incidental finding while consulting
for other ailment or an emergency such
as a heart attack or stroke.
Blood pressure is a reading of the pressure
within your arteries. In general, high
blood pressure means your heart must
work harder to pump the same amount
of blood, and the blood vessels throughout
your body may be affected. Your blood
pressure reading is taken with an inflatable
arm cuff connected to a Sphygmomanometer,
the pressure-measuring unit. There are
two readings. The top number is systolic
pressure, the peak pressure reached
when your heart contracts and pumps
blood out through the arteries. The
bottom number is diastolic pressure,
taken when the pressure falls to its
lowest point as your heart relaxes and
is refilled with blood.
The standard way of expressing
blood pressure is in millimeters of
mercury i.e. mm Hg. This unit of measurement
refers to how high the pressure inside
your arteries is able to raise a column
of mercury. Normal systolic pressure
is 120 mm Hg and normal diastolic pressure
is 80 mm Hg. This is expressed as 120/80
mm Hg. Your blood pressure normally
varies throughout the day; for example,
it rises with activity and falls with
rest. Because of such fluctuations,
it's generally not considered as high
blood pressure unless you have three
successive elevated readings, each taken
at different times under similar conditions.
In general, it is considered high if
your blood pressure consistently reads
at 140/90 mm Hg or higher.
The higher your blood
pressure, higher the risks of coronary
artery diseases, congestive heart failure
and stroke. High blood pressure is also
responsible for many cases of kidney
failure requiring dialysis and increases
the risk of kidney failure in diabetics
as well. Ignorance isn't bliss! Hypertension
can go unnoticed for years, damaging
your tissues and vital organs. It's
one of the leading causes of heart attack,
stroke, heart failure, kidney failure
and premature death. It's easy to detect.
And once you know you have it, you can
always control it.
Your blood pressure is the force exerted
by your heart and arteries to keep blood
flowing well through your body. Your
blood pressure is high when that force
is excessive. This excess force makes
your heart work harder than it should
to pump blood to distant tissues and
organs. If this pressure isn't controlled,
your heart enlarges and your arteries
become scarred, hardened and less flexible.
Eventually, your overworked heart and
hardened arteries may not be able to
pump blood properly, which can lead
to congestive heart failure, a stegration
of fluid into the lungs. Damage to your
arteries can trigger heart attack, stroke,
kidney disease, loss of vision and shrinkage
of the brain, which can cause memory
loss and damage thinking processes.
What are the causes? Mostly hypertension
has no known cause. It's called Primary
or Essential hypertension. Major risk
factors for Essential hypertension are;
Heredity, Obesity, Poor health habits
such as increased gaining of weight,
a high-fat and high-salt diet, lack
of exercise.
Anxiety neurosis, depression, stress
and strain.
Alcohol, Smoking.
Diabetes Mellitus.
In some victims Hypertension can be
traced with underlying diseases such
as kidney disorders or conditions that
cause narrowing of the arteries. This
is called Secondary hypertension.
What are the precautions? Have your
blood pressure checked once a year.
A one-time high reading, unless it's
extremely high, doesn't necessarily
mean that you have hypertension. Blood
pressure varies throughout the day.
It may be elevated just by the anxiety
of being in the doctor's room. Prompt
diagnosis is made only after multiple
high readings.
Lose weight: Dropping excess pounds
is the most effective non-drug method
helps reducing blood pressure. Losing
weight gradually result in a significant
drop in your blood pressure.
Exercise: Doing mild to moderate exercises
such as brisk walking or cycling on
most days of the week can lower your
blood pressure, particularly you will
lose weight.
Alcohol: It raises your blood pressure
even if you don't have hypertension
and reduces your heart's pumping ability.
Smoking: Avoid smoking, tobacco chewing
because it hardens the arterial wall.
Avoid stress and strain, Sleep well.
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