Hypertension 1
Hypertension Timothy L. McNeill
Richmond Community College
Hypertension 2
Abstract
Hypertension is a chronic medical condition in which the blood pressure in the arteries is elevated. Blood pressure is summarized in by two measurements, systolic and diastolic, which depend on whether the heart is muscle is contracting (systole) or relaxed between beats (diastole). Normal blood pressure at rest is within the range of 100-140mmHg systolic (top reading) and 60-90mmHg diastolic (bottom reading). High blood pressure is said to present if it is often at or above 140/90 mmHg. For most cases of mild to moderate hypertension there are no symptoms. The condition has
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Physicians are using new methods of treating high blood pressure. Hypertension is the most common condition for which Americans take prescription medication. Physicians are currently prescribing fewer diuretics and beta blockers, the recommended first-line agents for hypertension, and more angiotensin-converting enzyme (ACE) inhibitors and calcium channel blockers (CCBs). Although ACE inhibitors reduce rates of morbidity and mortality in patients with cardiovascular disease, the same cannot be said for CCBs, for which no similar morbidity/mortality data exist. Short-acting dihydropyridine CCBs should be avoided in the treatment of hypertension, and other CCBs should be added to the regimen only if control is not achieved with a beta blocker, diuretic, and/or ACE inhibitor. The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) involved 33,357 men and women older than 55 years with hypertension and at least one other risk factor for ischemic heart disease. Participants were randomized to treatment with a CCB (amlodipine), a diuretic (chlorthalidone), or an ACE inhibitor (lisinopril), with a mean follow-up time of 4.9 years. The results demonstrated that the thiazide diuretic chlorthalidone was superior to the other medications in preventing nonfatal myocardial infarction (MI), stroke, and heart
Hypertension 5
failure, and was significantly less expensive. However,
As the blood is forced throughout our body, there is a pressure that is exerted on the walls of our arteries, this is known as blood pressure. We see blood pressure represented as two numbers, the systolic (top) and the diastolic (bottom) numbers. The systolic blood pressure is the heart contracting and the diastolic is the heart relaxing. A normal, healthy, blood pressure would be written as 120/80 mmHg (millimeters of mercury) or verbally expressed by most individuals as 120 over 80. Our blood pressure can vary depending on many things. When the diastolic or systolic pressure is high, or significantly and consistently above 120/80 mmHg, this is what we call hypertension. There are different stages or degrees of hypertension. Lippincott Williams and Wilkins (2010) describes the stages as the following:
Hypertension (HTN) is a chronic cardiovascular condition that is characterized by high blood pressure. The blood pressure commonly abbreviated as BP is a measure of the force exerted on the blood vessels as the blood passes through them. The amount of blood pumped and the narrowness of ones’ vessels are directly proportional to the blood pressure (Mayoclinic staff, 2014).
Hypertension (HT), defined as a chronic elevation of systolic and/or diastolic blood pressure (BP), is in all probability the most common chronic disease today. Clinically hypertension is not a disease at usual sense it is a risk factor for many future vascular diseases1,2. In human body blood pressure is maintained by several factors such as kidney, sympathetic nervous system, hormonal mechanisms along with the diet taken. These include lipids, magnesium, sodium, potassium and the total energy intake3.
The study done by Arnold et al, from the Heart Outcomes Prevention Evaluation (HOPE) study demonstrated that an angiotensin-converting enzyme inhibitor for those at high cardiovascular risk reduced the risk of development of HF, especially among those with higher baseline blood pressures, with a relative risk of 0.67.22 A sub-study of the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) assessed the relative effect of chlorthalidone, lisinopril, and amlodipine in preventing HF and revealed that diuretics are superior to calcium channel blockers in preventing HF in hypertensive individuals.23,24 Iribarren et al, demonstrated that among those with diabetes, suggesting the importance of diabetes treatment for the prevention of diastolic dysfunction progression.25 The Hong Kong diastolic heart failure study shows that in an elderly group of heart failure patients with normal EF, diuretics
Hypertension is a common health problem especially among people over age of 60 years. This disease is diagnostic when a patient blood pressure is more than 140 to 159 over 90 to 99. Blood pressure refers to the pressure that blood applies to the inner walls of the Diabetes is an endocrine system disorder that occurs when the body is unable to control or balance the amount of sugar in blood and within bodily tissues. You know that the human body is like a machine, with organ systems that are specialized in certain functions, and interact with each other to allow all vital functions to happen. For the body to stay healthy, it is essential that its internal environment is stable and balanced despite the different changes that can occur inside
Blood pressure measurement is important because measuring blood pressure is a preventive technique to find any risk for hypertension and cardiovascular disease. In addition, measuring resting blood pressure is used to evaluate and compare the impact of exercise on the blood pressure. Also, what type of exercises will affect the blood pressure; for example, high intensity or a moderate intensity workout. The risks that are associated with high resting blood pressure are cardiovascular disease, atherosclerosis, heart attack, or stroke. Measuring blood pressure during exercise is important because it plays a big role in the output of the heart. In addition, provides information on myocardial oxygen consumption and calculates rate pressure from
Accurate blood pressure measurement is a critical component of prenatal care. Hypertension during pregnancy may lead to serious health problems during pregnancy as well as after pregnancy. Some of the complication of elevated blood pressure (B/P) are eclampsia/preeclampsia, kidney disease, cardiovascular disease, and diabetes (Mannisto et al., 2013, p. 687). There are factors that affect the accuracy of the B/P reading. One such interfering factor is a crossed leg at the knee at the time of the B/P measurement of a pregnant woman. Crossed leg versus uncrossed leg has been studied by the researchers. The reported results are consistent throughout the studies that crossed leg at the knee or ankle elevate both systolic and diastolic blood pressures
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 exceedingly common in the United States and can lead to heart attack, stroke, kidney disease, and eye disease. Given the importance of this condition, it is critical for patients to recognize its causes, diagnosis, and treatment. By the end of this article, you will know the
Take your blood pressure and the blood pressure of someone else. List both the systole and diastole. Define systole, diastole and list the ranges of excellent, good, fair and poor. How does blood pressure relate to the level of stress you and the other person are typically under?
Blood Pressure Similar to how researchers observed the short-term effects of resistance training on blood pressure, other researchers studied these effects for a longer period of time while varying the volumes, intensities, and duration of each exercise in the experimental exercise protocol. Because the studies took place for a longer duration of time, typically researchers utilized a lower to moderate intensity level in order to ensure that their subjects did not suffer any medical complications from a very high intensity exercise regimen for a long duration. Drenowatz et al., Kim et al. and Rondon et al. observed a decrease in blood pressure after the resistance training protocol. In addition to a drop in resting systolic and diastolic blood
My most meaningful achievement is knowing how to measure someone's blood pressure. This is my own research because I was so curious when my human anatomy teacher introduced it to us. We were practicing on how to measure our own blood pressure for just a brief moment and my teacher explains what the numbers mean. Since it was a really fast phase learning experience he didn't go into full detail. But with my curiosity I wanted to learned more about it. So I looked for video's and articles which resulted that it was easy to understand the concept of it. It was the right time when my mom and I were at a grocery store and saw a blood pressure monitor on sale! I quickly bought it. My mom was confused on why I bought the blood pressure monitor. I
Hypertension (high blood pressure) is a common worldwide condition that is often asymptomatic and often undetected. When the left ventricle contracts it forces blood up and into the aorta distributing oxygenated blood throughout the body. The arterial pressures are exerted for this to occur effectively. Pressures rise and fall in response to baroreceptors that make note of the filling and emptying chambers of the heart. Systolic pressure should measure 120 mm Hg and diastolic 80 mm Hg. The difference between
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
No more than 2 percent of hypertensive patients can be treated surgically. There are basically four groups of drugs a physician would prescribe a hypertension patient:DiureticsThis is usually the first choice a doctor would prescribe. It helps by increasing the rate you body eliminates urine and salt. However, this can also increase your cholesterol level, make you urinate more frequently, and may cause a loss of potassium.Beta-Adrenergic BlockersThese drugs are usually prescribed if a diuretic does not help bring your blood pressure down, and sometimes are used in combination with diuretics. Beta-adrenergic blockers work by blocking the effects of adrenaline in your body.