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All You Need to Know About Hypertension

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Hypertension is another name for high blood pressure. It might seem
confusing at first, but this condition is relatively easy to treat and is
highly manageable. This article will explain what the condition is, look at
some of the associated lifestyle factors, and then describe the treatments
available.



*What is Blood Pressure?*
As blood flows through your body, it applies pressure to your artery
walls. When the pressure is too high, the heart has to work harder and your
arteries can become damaged. This condition usually becomes more common as
you age.


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*Symptoms*
Many people don’t even know they have high blood pressure because there are
no outward symptoms. If untreated, this condition can quietly damage the
heart, lungs, blood vessels, brain, and kidneys, earning this condition
the name “silent killer”.  When you have high blood pressure, the risk for
heart disease, kidney disease, and stroke, increase.

*How to tell if you have high blood pressure*

The best way to know if you are at risk is by having your blood pressure
read. The normal rate is 120/80. The top rate is called the systolic
pressure and measures the pressure when your heart beats. The lower number
is called the diastolic pressure, and this measures the pressure between
heartbeats when your heart refills with blood.

Hypertension has no known cause. People with hypertension have a reading
that averages 140/90 or higher. If your reading is between 120-139 and
80-89, for systolic and diastolic pressure respectively, you might have a
condition called prehypertension. This range increases your risk of
developing heart disease. To lower your reading doctors will recommend
lifestyle changes.

People with a reading of 180/110 or higher may have hypertensive crisis and
might experience anxiety, nosebleeds, shortness of breath and a severe
headache. This condition can lead to a stroke, heart attack, kidney damage,
or loss of consciousness. Seek medical attention.

Hypertension affects more men and women equally as they age. Men are more
likely to develop hypertension before the age of 45, and more women will
develop hypertension by the time they are 65. Your risk for hypertension is
higher if you have a family member who has high blood pressure, or if you
have diabetes.

*Risk Factors*

*Sodium*
Found in salt, sodium causes the body to retain fluid, and can put a strain
on the heart, leading to increased blood pressure. Processed foods such as
canned soups and cold cuts contain a lot of sodium. The American Heart
Association advises eating less than 1,500 milligrams of sodium per day.

*Stress*
While stress can make your blood pressure rise, there’s no evidence that it
relates to blood pressure as a chronic condition. Stress, however, may
indirectly cause hypertension because it increases the risk for heart
disease. Stress is also likely to lead to other unhealthy habits like poor
diet, smoking, or drinking alcohol.


*Weight *

When you are overweight or carry a few extra pounds, you strain your heart
more, and this in turn, increases your risk for hypertension. Customized
diets for lowering blood pressure often involve limiting calorie intake,
reducing fatty foods and added sugars, while increasing lean protein,
fiber, fruits, and vegetables.

*Alcohol*

Drinking alcoholic beverages can also increase blood pressure. The American
Heart Association recommends that men limit their drinks to 2 drinks* per
day, while women reduce it to one.

**Definition of a drink:* a 12 oz. beer (355 ml), a 4 oz. glass of wine
(118ml), a 1.5 oz. of 80-proof spirits (44ml of 40% alcohol), and 1 oz. of
100-proof spirits (30ml of 50% alcohol).

*Caffeine*
This has a temporary effect on blood pressure and studies have not found a
link between hypertension and caffeine. Nonetheless, the American Heart
Association recommends not more than one or two cups a day

*Medication *
Several medications can cause blood pressure to rise, such as
decongestants, steroids, birth control, NSAID painkillers, and certain
anti-depressants.

*Treatments*

*Diet*
There are several ways to lower blood pressure. A change in diet is one
such way. The Dietary Approaches to Stop Hypertension or DASH diet was
designed to do so. It focuses on increasing the amount of fruits,
vegetables, whole-grain foods, low-fat dairy, fish, poultry, and nuts
consumed and avoiding red meats, saturated fats, and sugars.


*Exercise*

Another way to combat high blood pressure is through exercise. Doctors
advise at least 150 minutes of moderate-intensity exercise per week and at
least two muscle-strengthening activities per week. Activities such as
brisk walking, gardening, cycling and aerobic classes are recommended.

*Diuretics*
An alternative way to lower blood pressure is through diuretics, also
called water pills. These help the body get rid of excess water and sodium.
The side effect of these is that you will be urinating more than usual


*Beta-blockers *A way to help slow down your heart beat, beta-blockers can
help with hypertension by easing your heart’s heavy workload. This is often
a treatment for arrhythmia, which is an abnormal heart rate. This treatment
for hypertension is often prescribed along with other medications.

*Side effects*: insomnia, dizziness, fatigue, cold hands and feet, and
erectile dysfunction

*ACE Inhibitors and Angiotension Receptor Blockers*
Taking ACE inhibitors (angiotensin - converting - enzyme) can give your
heart an easier time because they reduce the body’s supply of angiotensin
II. This is a chemical that causes your blood vessels to contract and
narrow. With less angiotensin II, you will have more relaxed and open
arteries, thus reducing your blood pressure rate. Similarly, you can take
pills to block the receptors for angiotensin II. These pills can take
several weeks to be effective.

*Side effects of ACE inhibitors: *dry cough, skin rash, or dizziness, and
high levels of potassium.

*Side effects of Angiotensin II block receptors: *dizziness, muscle cramps,
insomnia, and high levels of potassium.

*Calcium Channel Blockers*
Another part of the body you could block to fight hypertension is your
calcium channel. Calcium causes your heart to contract strongly.
Blockers slow the movement of calcium in your blood vessels and heart
cells, resulting in your heart being contracted more gently and a more
relaxed blood flow. These pills need to be taken with milk or food, and you
should avoid alcohol and grapefruit juice because they have possible
interactions.

*Calcium channel blocker side effects:* dizziness, heart palpitations,
swelling of the ankles, and constipation

*Medications and Complementary Therapies*
Your doctor might suggest other blood pressure medications such as
vasodilators, alpha blockers, and central agonists. Along with lifestyle
changes, doctors also might recommend complementary therapies such as
meditation, yoga, tai chi and deep breathing. These relaxation techniques
can allow your body to enter a state of deep rest, and lower blood
pressure. Herbal therapies are not recommended because they often interfere
with blood pressure medication.

Source: webmd
<http://www.webmd.com/hypertension-high-blood-pressure/ss/slideshow-hypertension-overview>

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