Health Fair : Blood Pressure

Hypertension, also known as high blood pressure, has become a major risk factor for several types of heart disease across the globe. In the United States alone, nearly 70 million adults have been diagnosed with this condition [1]. Hypertension is a condition in which arterial walls experience extreme force from blood flowing through; long-term force against artery walls will lead to more serious health problems such as stroke, renal failure, and other cardiovascular diseases [2]. If the proper steps to treat hypertension are not taken, patients have a high risk of developing atherosclerosis, a condition that causes arteries to harden significantly. Smoking, obesity, lack of physical activity, high alcohol consumption, and high sodium intake are factors that may cause an individual to be diagnosed with hypertension [3] Detection of hypertension is crucial in order to reduce the incidence of death by cardiovascular disease [1].

The major health problem selected for this project was hypertension (Harrison et al, 2011). It is identified as a cardio vascular disease risk factor such as dementia, chronic kidney disease, coronary heart disease, and stroke (NICE, 2011). It can be missed easily, as in various instances it is asymptomatic as well as it is also known as a silent killer. The Hypertension is thought to be a disease of vascular regulation ensuing from arterial pressure control mechanisms malfunction (extracellular fluid volume, rennin-angiotensin-aldosterone system, and CNS) that results in elevation of BP by means of enhanced peripheral vascular resistance, and cardiac output. There are 2 basic hypertension types. Around 90 to 95 percent of the individuals have primary hypertension which is linked with change in lifestyle as well as needs medical treatment. On the other hand, 5-10% has secondary hypertension which is linked with various other diseases for instance pregnancy, thyroid, and renal (Haslam and James, 2005). It is estimated that around 1 in 20 adults will have increased BP of 160/100 mmHg and above that results in either more than one predisposing aspects (Gemmell et al, 2006).

Hypertension is characterized as an elevation in blood pressure. A blood pressure reading consistently of 140/90 mm Hg or higher is classified as high blood pressure (Appel & Linas, 2012). Hypertension is classified as two forms and they are Essential hypertension and Secondary hypertension. Essential hypertension mainly develops through lifestyle factors such as diets high in salt or low in potassium, lack of exercise, and obesity (Appel & Linas, 2012). Secondary hypertension

There are two types of hypertension depending on the etiology; primary and secondary hypertension. Primary hypertension is as a result of idiopathic causes and develops gradually for many years. It is therefore associated with the adults. The most probable causes of primary HTN are poor lifestyle choices like poor diet, stress, obesity and sedentary life styles (Mayoclinic staff, 2014). The other type –secondary hypertension- is caused by underlying known diseases. The most common diseases which cause this type of high blood pressure are associated with the endocrine system (Mayoclinic staff, 2014).

Stage 1 hypertension: Systolic blood pressure greater than 139 mmHg but less than 160 mmHg or diastolic blood pressure greater than 89 mmHg but less than 100 mmHg.

High blood pressure increases your risk for heart disease and stroke, two leading causes of death for both Florida and the United States (Centers for disease control, 2017). High blood pressure, also called hypertension, is known as the “silent killer” because it often has no warning signs or symptoms, and many people do not know they have it. Hypertension damages blood vessels in the organs, reducing their ability to work properly (National institute of diabetes and digestive and kidney diseases, 2016). About 1 of 3 U.S. adults—or about 75 million people—have high blood pressure. Only 54% of these people have their high blood pressure under control (Centers for disease control, 2017). Hypertension education, which focuses on controlling the disease with medication, diet, and losing weight, is important in preventing or delaying the progression of serious complications. Most people diagnosed with hypertensive disease will need to see a medical professional who will recommend lifestyle changes to help you control and prevent high blood pressure (Ignatavicius & Workman, 2006, p. 1742).

High blood pressure (hypertension ) is defined as high pressure (tension ) in the arteries , which are the vessels that carry blood from the heart to the rest of the body . High blood pressure is considered one of the highest causes of morbidity , one of the main leading causes of cardiovascular disease , and social global burden health risk factor . In addition to the high-cost burden to the global health service providers . About 70 million American adults have high blood pressure . Only about half of people with high blood pressure have their condition under control . Nearly 1 of 3 American adults has prehypertension , blood pressure numbers that are higher than normal , but not yet in the high blood pressure range . High blood pressure

Hypertension is a very common problem, affecting 1 billion people worldwide, with 50 million cases in the United States, and one third of cases going undiagnosed. 1% of the cases will experience a hypertensive emergency in their life. (1,2)

Some symptoms experienced by very few is a sudden increase in nose bleeds, dizziness and headaches. On average a person will not present any signs or symptoms from being hypertensive, it is for that reason that regular monitoring of BP is necessary. Syncope can be a result in too much blood flow to the legs and not enough traveling upwards to supply the brain, which causes a person to faint. Despite these subtle appearances, people will not seek medical attention because they do appear as significant problems. Early detection allows us to effectively control the disease. Hypertension often goes unnoticed until it reaches life threatening stages. The gradual debilitating effects of Hypertension is why it commonly referred to as “The Silent Killer” (Ilyas, 2015). Hypertension is a lifelong disease with no cure. Since Vicki has been diagnosed as being hypertensive, she should implement immediate life changing commitments. Following the physicians treatment guidelines will allow her to live a more normal

Inclusion criteria: uncontrolled BP with systolic blood pressure (SBP) greater than or equal to 130 mmHg or diastolic blood pressure (DBP) greater than or equal to 80 mmHG in addition to a diagnosis of diabetes mellitus (DM) or kidney disease, or SBP greater than or equal to 140 mmHG or DBP greater than or equal to 90 mmHg in all others.

There are five different types of categories: normal, pre -hypertension, stage 1, stage 2 and hypertension crisis. Pre-hypertension is when the first number is between 120-139 or the second number is between 80-89. Stage 1 is when the first number is between 140-159 or the second number is between 90-99. Stage 2 is when the first number is between 160-179 or the second number is between 100-110. Hypertensive crisis is the 5th category which is the most dangerous. If the first number is 180 or higher and the second number is 100 or higher you should seek medical help immediately. According to the American Heart Association, there is no real number to measure low blood pressure on a day to day basis unless these symptoms such as dehydration, fatigue, fainting, rapid, shallow breathing or nausea are exhibited. These symptoms could be signs of

Globally, according to the World Health Organization statistical report in 2012, one in every three adults in 194 countries has raised blood pressure or hypertension. Hypertension is a type of cardiovascular disease that is a primary risk of health disease and stroke, which are considered to be the leading cause of death worldwide. According to a journal article published by US National Library of Medicine in 2006, risk factors for hypertension include health conditions, lifestyle, and family history. Public health care has actively taken measured through campaign to raise awareness of, prevent from, and control of hypertension since 2005 by launching the World Hypertension Day on May 13. Yet, people still fall as victims of the elevated blood pressure since it is undetectable before it is diagnosed.

Hypertension is commonly divided into two categories of primary and secondary.Primary Hypertension has no identifiable cause of high blood pressure.The Secondary is high blood pressure that's caused by another medical condition. Secondary

Approximately one in every three adult’s ages 20 years old and older are diagnosed with high blood pressure or hypertension. Hypertension affects 78 million people in the United States and is equally prevalent in both men and woman (Crabtree et al., 2013). Hypertension is a major risk factor for cardiovascular disease (Hajjar & Kotchen, 2003). It can lead to stroke, myocardial infarction, renal failure, heart failure, neurological issues, and death if not detected early and not treated properly (James, Oparil, Carter, & et al., 2014). Approximately 9.4 million deaths in 2010 were attributed to high blood pressure (Angell, De Cock, & Frieden, 2015). About 54% of strokes, 47% of coronary heart disease, and 25 % of other cardiovascular diseases are attributed to high blood pressure (Arima, Barzi, & Chalmers, 2011).

The two major types of hypertension are primary and secondary. Primary hypertension accounts for more than 90% of all cases and has no known cause, although it is hypothesized that genetic factors, hormonal changes, and the altercations in sympathetic tone all may play a role in its development. Secondary hypertension develops as a consequence of an underlying disease or condition. The prevention and treatment of hypertension is a major public health issue. When blood pressure is controlled, cardiovascular, renal disease, and stroke may be prevented. The JCN, reported more than 122 million individuals in American are overweight or obese, consume large amounts of dietary sodium and alcohol, and do not eat adequate amounts of fruits and vegetables; less than 20% exercise regularly. Both modifiable and non-modifiable factors play a role in the development of hypertension