Tuesday, 21st November 2017
BEAUTY Article
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This Month's Magazine
Systemic Hypertension

Systemic Hypertension

A recent study showed that 50 million Americans suffer from elevated blood pressure (systolic 140MMhG or diastolic 90 MMhG). Of these, 70% are aware of their symptoms, 50% are receiving treatment and 25% are on the threshold of hypertension of exactly

Blood pressure should be measured with a well calibrated sphygmomanometer, using an arm band of a proper size.

As blood pressure readings in many people can be highly variable - the diagnosis of "hypertension" should be concluded after a note of 3 readings, all taken on different occasions, over a certain period of time. The only exception to this is if the patient's elevations are severe and are associated with symptoms such as:

  • Headaches (early in the morning subsiding during the day)
  • Somnolence
  • Confusion
  • Visual disturbance
  • Nausea
  • Vomiting

Continued hypertension does not necessarily indicate the need for pharmacological treatment.
Management in patients who have stage 1 hypertension (diastolic pressure < 100 MMhG & systolic < 160 MMhG) should follow these steps:

  • lose weight if obese 
  • limit alcohol intake
  • increase aerobic physical intake
  • maintain adequate intake of dietary potassium
  • maintain adequate intake of dietary calcium and magnesium for general health
  • stop smoking
  • reduce intake of dietary saturated fats and cholesterol for overall cardiovascular health.

In general, a diet which is rich in fruits, vegetables and low fat dairy foods has been shown to lower blood pressure.

The decision to initiate drug therapy should be based upon the assessment of the overall cardiovascular risk, the presence of diabetes and high cholesterol, rather than just the blood pressure alone.


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There are now 8 to 10 different classes of ant-hypertension drugs (depending on how they are defined) 5 of these:

  • diuretics
  • beta - blockers
  • ace  inhibitors
  • calcium channel blockers
  • angiotensin 11 receptor antagonists. Suitable for initial or single drug therapy treatment.

A number of considerations enter into the selection of the initial drug treatment while assessing the patient. These include the evidence of beneficial effects on clinical outcomes, the safety and the tolerability of the drug, the cost, and the demographic differences in response, concomitant medical conditions and lifestyle issues.

As you can understand, it is essential to refer to your doctor and to follow the medical indications on hypertension pathology.

The mortality rates for strokes and coronary heart disease, which are influenced by hypertension, have declined dramatically by 60% in the last 3 decades all thanks to a better medical approach and collaboration with your doctor.



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