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Hypertension- Diagnosis & Management

Hypertension, commonly known as high blood pressure, is a condition in which blood pressure is higher than normal. Blood pressure naturally rises and falls during the day, but if it remains high for an extended period of time, it can harm your heart and cause health concerns.

According to a study, hypertension affects approximately 33% of urban Indians and 25% of rural Indians. Hypertension has a significant public health impact on cardiovascular health and healthcare systems, it is a major risk factor for heart disease, stroke, as well as heart attack and heart failure, in India, it is directly responsible for 57% of all stroke deaths and 24% of all coronary heart disease (CHD) deaths.

Controlling blood pressure is critical for maintaining health and minimizing the risk of some of the life-threatening diseases. High blood pressure can exist without creating any symptoms for years. Blood pressure readings on a regular basis might assist you and your doctor in detecting any changes in the same.

If your blood pressure is high, your doctor may want you to check it again in a few weeks to determine if it remains high or falls back to normal. Blood pressure should be less than 120/80 mm/hg in order to be considered healthy. In most cases, a combination of elements such as genetics, obesity, excessive alcohol use, a sedentary lifestyle, diabetes, and a high sodium intake play a crucial role in the improvement of hypertension.

Reducing risk factors for Hypertension
The best first-line treatment for hypertension is to maintain an active and healthy lifestyle. If you have hypertension risk factors, you can follow the activities outlined below to reduce your risk of the condition and its complications.

Consume more fruits and vegetables
Limit refined sugar and stay away from packaged foods
Reduce your sodium intake by cooking fresh foods more frequently
Limiting your intake of fast food
Set weight-loss objectives by eating a more nutritious diet and exercising more
Relaxation activities such as meditation, yoga, and long walks can help relieve stress.

Things to know about Blood Pressure
There are a few things you should know about blood pressure.

The new blood pressure guidelines don’t offer different recommendations for people younger or older than age 65. The guidelines state that normal blood pressure is under 120/80, elevated- 120-129 and less than 80, High Blood pressure stage 1 =130-139 or 80-89, High Blood pressure stage 2 =140 or higher or 90 or Higher Hypertensive crisis= Higher than 180and/0r higher than 120- Time to call your doctor immediately

E R E C T is simple mnemonic to know causes for High blood pressure
E – stands for Essential Hypertension which means it has no cause and is found in 85% of people
R – stands for Renal/Kidney related cause for hypertension like kidney stones, kidney failure, etc
E – stands for Endocrine causes for hypertension like Tumours of Adrenal gland situated just above kidneys or excess consumption of steroids or oral contraceptives
C – stands for Coarctation of aorta a birth defect in aorta which is major blood vessel coming out of heart which needs correction
T – stands Toxemia of pregnancy which happens during second or third trimester of pregnancy

Facts about blood pressure
And Finally, don’t forget to keep in mind the following facts about blood pressure.

Except for essential hypertension all other causes are for hypertension are curable
The difference between Hypertensive Urgency and Emergency.
Hypertensive urgency is when your blood pressure is extremely high, but your doctor doesn’t suspect you have any damage to your organs. In hypertensive emergency, your blood pressure is extremely high and has caused damage to your organs. An emergency hypertensive crisis can be associated with life-threatening complications.
To monitor your blood pressure regularly, Keep a log of your blood pressure readings and take it to your regular doctor appointments. This can help your doctor see any possible problems before the condition advances.

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