Hypertension

Hypertension

Understanding Hypertension

Hypertension, or high blood pressure, is a medical condition characterized by elevated pressure exerted by blood against the artery walls. It poses long-term health risks, including heart disease. Blood pressure depends on the volume of blood pumped by the heart and the resistance to blood flow in the arteries. When the heart pumps more blood against narrow arteries, blood pressure rises.

When to Seek Medical Attention?
Patients with hypertension may not experience noticeable symptoms, though some may suffer from headaches, shortness of breath, or nosebleeds. Regular blood pressure checks are crucial, with recommendations varying by age:

  • Individuals aged 18-39: At least twice a year.
  • Individuals aged 40 and above: At least once a year.


Types of Hypertension:
There are two main types:

  • Primary Hypertension: Develops gradually with no identifiable cause, often linked to a sedentary lifestyle.
  • Secondary Hypertension: Occurs suddenly due to an underlying condition, potentially more severe than primary hypertension. Causes include obstructive sleep apnea, kidney problems, adrenal gland tumors, thyroid issues, congenital defects, and certain medications or illegal drugs.

Risk Factors for Hypertension Several risk factors contribute to hypertension, including:

  • Age
  • Family history
  • Obesity
  • Sedentary lifestyle
  • Smoking
  • High sodium diet
  • Stress
  • Excessive alcohol consumption


Diagnosis
Blood pressure is measured using an arm cuff and pressure-measuring gauge. The reading comprises two numbers:

  • Systolic Pressure: Pressure during heartbeats.
  • Diastolic Pressure: Pressure between heartbeats. Blood pressure categories include normal, elevated, stage 1 hypertension, stage 2 hypertension, and hypertensive crisis.


Treatment
Lifestyle changes and medications are common treatments:

  • Lifestyle Changes: Including a healthy diet low in salt, regular exercise, maintaining a healthy weight, and limiting smoking and alcohol consumption.
  • Medications: Various medications are prescribed, including diuretics, ACE inhibitors, ARBs, alpha blockers, alpha-beta blockers, beta blockers, aldosterone antagonists, and renin inhibitors.


Blood Pressure Categories:

  • Normal: Systolic < 120 mm Hg and Diastolic < 80 mm Hg
  • Elevated: Systolic 120-129 mm Hg and Diastolic < 80 mm Hg
  • Stage 1 Hypertension: Systolic 130-139 mm Hg or Diastolic 80-89 mm Hg
  • Stage 2 Hypertension: Systolic ≥ 140 mm Hg or Diastolic ≥ 90 mm Hg
  • Hypertensive Crisis: Systolic > 180 mm Hg or Diastolic > 120 mm Hg