About Hypertension

james sameul asked:


Hypertension (defined as a blood pressure  140/90 mmHg) is an extremely common comorbid condition in diabetes, affecting  20–60% of patients with diabetes, depending on obesity, ethnicity, and age. In type 2 diabetes, hypertension is often present as part of the metabolic syndrome of insulin resistance also including central obesity and dyslipidemia. In type 1 diabetes, hypertension may reflect the onset of diabetic nephropathy. Hypertension substantially increases the risk of both macrovascular and microvascular complications, including stroke, coronary artery disease, and peripheral vascular disease, retinopathy, nephropathy, and possibly neuropathy. In recent years, adequate data from well-designed randomized clinical trials have demonstrated the effectiveness of aggressive treatment of hypertension in reducing both types of diabetes complications.Treatment  HypertensionThe most recent committee highlighted ALLHAT’s findings in the revision of its guidelines, meaning the information will now be used for practical treatments. The committee states that when compared to calcium channel blockers, ACE inhibitors and alpha blockers, thiazide-type diuretics are better first-line drug treatments for hypertensive patients. The diuretics excelled in controlling blood pressure, preventing cardiovascular events, are well tolerated by patients and are relatively inexpensive.Methods We randomly assigned 3845 patients from Europe, China, Australasia, and Tunisia who were 80 years of age or older and had a sustained systolic blood pressure of 160 mm Hg or more to receive either the diuretic indapamide (sustained release, 1.5 mg) or matching placebo. The angiotensin-converting–enzyme inhibitor perindopril (2 or 4 mg), or matching placebo, was added if necessary to achieve the target blood pressure of 150/80 mm Hg. The primary end point was fatal or nonfatal stroke.Pills as a treatment for hypertension have hardly solved the problem. Even if you’re taking pills, your risk of dying from cardiovascular disease is still at least two to three times higher than that of people whose blood pressure is optimal – 110/70 or less.Slightly raised blood pressure may not need to be treated so aggressively, but regular monitoring is important.If you have very severe high blood pressure, you may need to go to hospital for treatment. But it’s much more likely that you will be cared for by your GP and/or a nurse.The results of OHTS proved that topical medication does reduce the incidence of glaucoma. After five years of following the patients recruited, we determined that eyedrop treatment reduced the development of glaucoma by more than 50 percent.Most clinicians would consider some type of treatment for patients whose diastolic pressure (the bottom number) is above 95 and/or whose systolic pressure (the top number) is above 160. For patients with pressures immediately below these figures (140-160/90-95), the doctor will take into account age and other individual factors before recommending any medical treatment.In the past there have been observations that people over 80 with higher than average blood pressure do better than those with low blood pressure but that’s not necessarily because high blood pressure’s good for you. It’s more that at that age having low blood pressure is often a sign you have something serious wrong with you. Another fear was that blood pressure treatment would make people dizzy and more likely to fall.

Clinton

Jason Rickard asked:


The state of having high blood pressure is also referred to as hypertension. You are a possible candidate for hypertension if your blood pressure is higher than 140/90 mmHg.

Hypertension can originate from a lot of things. For one thing, improper diet with increased intake of fatty and high-cholesterol food can cause hypertension. Emotional disturbances can also heighten the risk of hypertension. Sometimes, doctors cannot point out the root cause of hypertension but for those which reasons are determined the solution is more apparent.

If you have some problems with your kidney’s blood vessels then the chances of acquiring hypertension is higher. Renal parenchymal and renal vascular diseases are the two most common kidney ailments that can cause hypertension.

A pregnant person is also susceptible to hypertension as during pregnancy, major changes happen in a woman’s body. When a body adapts to the baby growing inside her, even though these changes are all regarded as normal, some of these activities can eventually lead to hypertension. Expectant moms that have a record or a lineage of heart problems are advised to be extra careful during the entire pregnancy stage.

Using birth control pills can also be a factor as these pills are known to have some side effects. The change in the body’s blood pressure is the primary side effect of taking pills.

If you any heart problems, chances are, your blood pressure becomes erratic. Your blood pressure can either be low or high, depending upon the reaction of your heart and your body.

If hypertension persists, there are different problems that could arise out of it. People with hypertension can contract a stroke at anytime. The chances of stroke are very high.

Hypertension can also cause faulty vision. When the fine blood vessels of the eyes break because of high blood pressure you could have blurry vision, which can even lead to blindness. Hypertension can also damage the kidneys as the kidney’s blood vessels can thicken with high blood pressure.

A way to be free of hypertension is to regularly check your blood pressure. Doing that is very essential for a fuller, healthier life!

Anita