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| Hypertension |
Hypertension is a condition where blood pressure(BP)is elevated to an extent that it is not beneficial to lower the blood pressure to prevent end-organ damage.
•BLOOD PRESS=CARDIAC OUTPUT*TOTAL PERIPHERAL RESISTANCE
•BLOOD PRESS=CARDIAC OUTPUT*TOTAL PERIPHERAL RESISTANCE
.BP=CO*TPR.
Increased BP is mostly due to an increase in TPR due to construction of small arterioles or an increase in blood volume.
•90-95% of cases are termed"Essential"Hypertension whilst 5-10% are"Secondary"to some other diseases or contributing factors such as.
1,Renal disease
2,Drugs (NSAIDS),excessive salt and alcohol intake
3,Stress.
4,Diet (fatty /salty foods)
Increased BP is mostly due to an increase in TPR due to construction of small arterioles or an increase in blood volume.
•90-95% of cases are termed"Essential"Hypertension whilst 5-10% are"Secondary"to some other diseases or contributing factors such as.
1,Renal disease
2,Drugs (NSAIDS),excessive salt and alcohol intake
3,Stress.
4,Diet (fatty /salty foods)
.
Contributing factors.
•Lifestyle (smoking, fatty/salty foods,alcohol,lack of exercise).
• Sex ( more male than female)
• Genetics.
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An elevated BP can leads to complications such as.
•Stroke
•Heart Failure.
•Kidney Failure.
Contributing factors.
•Lifestyle (smoking, fatty/salty foods,alcohol,lack of exercise).
• Sex ( more male than female)
• Genetics.
Read : What is Vital5
An elevated BP can leads to complications such as.
•Stroke
•Heart Failure.
•Kidney Failure.
Special Groups
•People of African Caribbean origin have a higher risk of HPT,Stroke and Renal failure.
• Caucasian increase prevalence of HPT associated with Diabetes.
•Elderly :these form the group with the highest risk of High BP.
• Diabetics :HPT in this group usually indicates diabetic nephropathy.
Symptoms
HPT it self has no Symptoms but headache may be present.
Discovering HPT is usually Incidental.
*During routine check-ups
*Upon presenting @ the hospital for another condition/compliant
*When a patient suffers from a HPT related condition such as stroke.
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| Hypertensions Effects |
Point of Intervention.
• >190/110mmHg: immediate action taken if confirmed with several readings on same occasion.
• 150/100-189/109mmHg; observe over several weeks,then treat if BP persist at this this level.
• 130/90-149/99mmHg; observe annually unless having other risk factors such as Diabetes or End-Organ Damage.
• 125/85-129/89mmHg; reassess annually.
• 120/80mmHg;Optimum reassess every 2 to 5 years.
Non-Pharmacological Intervention
Read Diabetes Can Be Reverse In 3weeks
Avoiding excess salt and alcohol(water retention)
• Salt Restriction: more effective in elderly and those with initial high BP
• Reduction in weight.
• Increase intake of natural supplements/fruits & vegetables.
• Increase Potassium Intake :potassium is protective by counter-balancing the effects of sodium found in (bananas, plantain, mushrooms, kontomire,and baked beans).
• Reduce Alcohol Intake: alcohol intake (>30unite/week)has been linked to HPT
A large amount of alcohol in the evening will Significantly raise BP the next day.
Drugs For Management
(which I wiil not recommend for you if you know what they can do to your Health)
• Diuretic: reduce circulatory blood volume.Eg bendroflumethiazide.
• Beta-Blockers: help to reduce cardiac output.Eg atenolol
• Calcium Channel Blockers:work by relaxing the walls of blood vessels(arterioles) Eg nifedipine.
• Lipid lowering drugs Eg Rosuvastatin.
Their Side Effects.
•Diuretics:gout,hyperlidaemia(increased cholesterol) dehydration, impotence.
•Calcium channel blockers:facial flushing,occipital headache, oedema.
• Beta-blockers:tiredness, cold extremities, impotence.
• Lipid drugs: dizziness, effects of muscles, rash abdominal pains
•Calcium channel blockers:facial flushing,occipital headache, oedema.
• Beta-blockers:tiredness, cold extremities, impotence.
• Lipid drugs: dizziness, effects of muscles, rash abdominal pains
.
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