Hypertension and High Blood Pressure
Hypertension is today’s major health problem around the world. It is an important risk factor for stroke, heart failure, chronic renal disease and coronary artery disease and is estimated to cause 4.5% of the current global disease burden. High blood pressure or hypertension means high pressure (tension) in the arteries. The arteries are the vessels that carry blood from the pumping heart to all of the tissues and organs of the body. What causes hypertension you might ask?...It does not mean having excessive emotional tension, although emotional tension and stress can temporarily increase the blood pressure.
High blood pressure is generally defined as a level exceeding 140/90 mm Hg that has been confirmed on multiple occasions. The systolic blood pressure, which is the top number, represents the pressure in the arteries as the heart contracts and pumps blood into the circulation. The diastolic pressure, which is the bottom number, represents the pressure in the arteries as the heart relaxes after the contraction. The diastolic pressure, therefore, reflects the minimum pressure to which the arteries are exposed. An elevation of the systolic and/or diastolic blood pressure increases the risk of developing heart (cardiac) disease, kidney (renal) disease, hardening of the arteries (arteriosclerosis), eye damage, and stroke (brain damage). These complications are often referred to as end-organ damage because damage to these organs is the end result of chronic (long duration) high blood pressure. Accordingly, the diagnosis of high blood pressure in an individual is important so that efforts can be made to normalize the blood pressure and, thereby, prevent the complications.
More commonly known as high blood pressure, it means your body is working harder than usual to pump blood to your heart. Because of the greater strain or workload, the heart eventually overworks itself to the point where there is damage to itself. So what causes hypertension? It can be brought on by a number of factors, from genetics to excessive weight to heavy salt intake. Treatment can be sought to bring the pressure down to normal levels. If left untreated, it can lead to a host of other ailments, such as heart failure, kidney failure, vision problems and stroke. There are no obvious symptoms of high blood pressure but generally any of these may be experienced: tiredness, confusion, vision changes, chest pain, blood in urine, nosebleed, irregular heartbeat and buzzing in the ears.
What is blood pressure?Your blood pressure is a measurement of the pressure or force inside your arteries with each heartbeat. - Untreated high blood pressure can lead to disease of the heart, blood vessels and kidney. - Normal blood pressure is considered less than 120/80.

What causes hypertension (high blood pressure) and how to stop it? 1. Smoking: Each time you smoke a cigarette, blood pressure rises. Cigarette smoking is a very strong risk factor for cardiovascular disease.Quit smoking tips: - Make a list of all the reasons you want to quit. Read over the list every day, before and after you quit.
- Pick a date for quitting and stick to it.
- Note the situations when you smoke and break those links.
- Get a "buddy" to help you quit.
- Keep trying if you slip.
Some people quit by themselves. Others need a group or class. Your doctor can give you a list of smoking cessation programs in your area. There are also medications and other smoking cessation aids that may help you quit smoking. Please discuss these options with your doctor. 2. Achieve and maintain your ideal body weight Being overweight is very closely connected to high blood pressure, and one of the many reasons to what causes hypertension, especially if your body mass index (weight in kilograms divided by your height in meters squared) is 27 or greater. Excess upper body fat (for example a waist measurement of 34 inches or greater in women or 39 inches or greater in men) is also related to high blood pressure, diabetes, increased blood lipid levels, and coronary heart disease. Weight loss tips: - Take a look at your current eating habits
- Decrease the fat in your diet
- Choose healthy low-calorie snacks
- Learn how to read food labels
- Add exercise to your daily routine
- Watch your portion sizes
- Set realistic goals: weight loss should be gradual, no more than one or two pounds per week
A registered dietitian can help you take a look at your current eating habits and plan strategies to help you lose weight. 3. Limit alcohol intake Drinking too much alcohol can increase your blood pressure and thus many alcoholics also tend to have hypertension! This makes it more difficult to this chronic problem. Those who have high blood pressure should limit their daily alcohol intake to no more than 2 drinks per day for men and one drink per day for women and lower-weight individuals. One drink equals: - 1.5 ounces of 80 proof liquor (example: whiskey, vodka, or gin) OR - 12 ounces of beer or wine cooler OR - 5 ounces of wine
4. Follow a regular exercise program Regular aerobic activity helps to: - Prevent and control high blood pressure
- Control diabetes
- Lose weight or maintain ideal weight
- Improve blood cholesterol levels
- Manage stress
It is also a good way to feel more energetic to carry out daily activitiesExercise must be: - Regular: three to five times per week for 30 - 45 minutes - Aerobic: activities such as walking, cycling, or water aerobics - Safe: before you begin an exercise program, ask your health care provider what type and amount of exercise is right for you.
5. Limit your intake of sodium (salt) Many people are sensitive to sodium in their diet, especially those who are African American, older, or have hypertension or diabetes. Lessening the amount of sodium in the diet can lower blood pressure. Sodium should be limited to no more than 2,400 milligrams of sodium per day, with a goal of further lowering it to 1,500 milligrams per day (or less according to your specific management guidelines). Sodium is found in table salt and many of the foods we eat, most commonly, preserved foods, canned foods, luncheon meats, cheeses and snacks. Tips to limit sodium: - LEARN TO READ LABELS (read food labels and over-the-counter medication labels for sodium content)
- Use herbs and spices instead of salt to flavor foods
- Choose snack foods wisely
- Avoid processed foods (canned and frozen foods, cheeses and luncheon meats)
6. Include foods rich in potassium in your diet Including potassium-rich foods in your diet may protect against high blood pressure and help to control blood pressure that is too high. Also, if your blood potassium is too low, it may increase blood pressure. Foods that contain potassium include: - Bananas - Dried fruits - Potatoes - Skim milk
If you take a "diuretic" (water pill) to control your blood pressure, it is important to have your doctor check your potassium level during your regular check-ups. You may need to take a potassium supplement to keep your blood potassium within the normal range. Some medical conditions (such as kidney disease) may require you to LIMIT the amount of potassium in your diet. Talk with your doctor about including potassium-rich foods in your diet and discuss with him/her about what causes hypertension and how you might keep it under control. 8. Control stress and anger During periods of stress or anger, blood pressure rises. If the stress and anger persists, over time, high blood pressure can occur. Stress and anger are also related to heart disease Tips to control stress and anger: - Set realistic goals of what you can accomplish each day
- Learn relaxation techniques
- Manage your time
- Take time each day to relax
9. Take medications to control high blood pressure, as prescribed Depending on your blood pressure readings, other risk factors, or blood pressure related conditions your doctor may decide to place you on medications to reach your blood pressure goal. Decreasing blood pressure with medications and lifestyle changes clearly decreases the risk of cardiovascular disease and death and reduces the risk of getting hypertension. Tips to treat high blood pressure with medications - Follow your doctor’s orders about taking your medications
- Do not stop taking your medications without talking to your doctor
There are many different types of blood pressure medications and discount medical supplies for hypertension. You will need to find the best drug or equipment to achieve your blood pressure goal with the least amount of side effects.10. Follow-up with your health care team To control high blood pressure or hypertension, you must work with your health care team of doctors, nurses, and other health care providers. Once your high blood pressure is diagnosed, your doctor may want to see you often until it is under control (every one to four weeks). He or she may want you to monitor your blood pressure at home and keep a record of your blood pressure at different times of the day. Once your blood pressure is in control, regular follow up visits are still required to ensure control and minimize side effects. Your doctor will tell you how often to schedule. On your part, do some reading up on topics like “What Causes Hypertension” and follow the advice given closely. Remember.... It is up to you to take control and keep Hypertension under wraps!
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