Hypertension

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Overview

Blood pressure is the force exerted by circulating blood against the walls of the body’s arteries, the major blood vessels in the body. Hypertension is when blood pressure is too high.


Blood pressure is written as two numbers. The first (systolic) number represents the pressure in blood vessels when the heart contracts or beats. The second (diastolic) number represents the pressure in the vessels when the heart rests between beats.


Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg.


Symptoms

Hypertension is called a "silent killer". Most people with hypertension are unaware of the problem because it may have no warning signs or symptoms. For this reason, it is essential that blood pressure is measured regularly.


When symptoms do occur, they can include early morning headaches, nosebleeds, irregular heart rhythms, vision changes, and buzzing in the ears. Severe hypertension can cause fatigue, nausea, vomiting, confusion, anxiety, chest pain, and muscle tremors.


The only way to detect hypertension is to have a health professional measure blood pressure. Having blood pressure measured is quick and painless. Although individuals can measure their own blood pressure using automated devices, an evaluation by a health professional is important for assessment of risk and associated conditions.

Severe headaches.

Nosebleed.

Fatigue or confusion.

Vision problems.

Chest pain.

Difficulty breathing.

Irregular heartbeat.

Blood in the urin

Causes

are overweight.

eat too much salt and do not eat enough fruit and vegetables.

do not do enough exercise.

drink too much alcohol or coffee (or other caffeine-based drinks)

smoke.

do not get much sleep or have disturbed sleep.

are over 65.

Risk factors

Modifiable risk factors include unhealthy diets (excessive salt consumption, a diet high in saturated fat and trans fats, low intake of fruits and vegetables), physical inactivity, consumption of tobacco and alcohol, and being overweight or obese.


Non-modifiable risk factors include a family history of hypertension, age over 65 years and co-existing diseases such as diabetes or kidney disease.Elevated Blood Pressure. Elevated blood pressure is blood pressure that is slightly higher than normal. ...

Diabetes. ...

Unhealthy Diet. ...

Physical Inactivity. ...

Obesity. ...

Too Much Alcohol. ...

Tobacco Use. ...

Genetics and Family History.

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Complications

Among other complications, hypertension can cause serious damage to the heart. Excessive pressure can harden arteries, decreasing the flow of blood and oxygen to the heart. This elevated pressure and reduced blood flow can cause:

Chest pain, also called angina.

Heart attack, which occurs when the blood supply to the heart is blocked and heart muscle cells die from lack of oxygen. The longer the blood flow is blocked, the greater the damage to the heart.

Heart failure, which occurs when the heart cannot pump enough blood and oxygen to other vital body organs.

Irregular heart beat which can lead to a sudden death.

Hypertension can also burst or block arteries that supply blood and oxygen to the brain, causing a stroke.

Heart attack or stroke. ...

Aneurysm. ...

Heart failure. ...

Weakened and narrowed blood vessels in your kidneys. ...

Thickened, narrowed or torn blood vessels in the eyes. ...

Metabolic syndrome. ...

Trouble with memory or understanding. ...

Dementia.

Prevention

Eat a Healthy Diet. Choose healthy meal and snack options to help you avoid high blood pressure and its complications. ...

Keep Yourself at a Healthy Weight. ...

Be Physically Active. ...

Do Not Smoke. ...

Limit How Much Alcohol You Drink. ...

Get Enough Sleep. ...

References.

Reducing salt intake (to less than 5g daily).

Eating more fruit and vegetables.

Being physically active on a regular basis.

Avoiding use of tobacco.

Reducing alcohol consumption.

Limiting the intake of foods high in saturated fats.

Eliminating/reducing trans fats in diet.