Hypertension Is A Chronic Condition That Affects An Amount Of People Across Different Ages

The concern on whether anti-hypertensive’s should be withheld in patients who are hypertensive has been debatable in the recent past. Generally, the treatment of hypertension among hospitalized patients is basically an opportunity to enhance the recognition and treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread to nearly 70 million adults in America. There have been numerous educational initiatives and publication of treatment processes to address this condition in the past few decades. Despite these measures, nearly 39 million Americans are at risk of hypertension because they have not reached their desired or optimal blood pressure.

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 sometimes referred to as the silent killer (Aycock, Kirkendoll, & Gordon, 2013). Today it is a public health problem. According to the American Heart Association 2013 Statistical Fact Sheet (2013), one out of every three adults has high blood pressure, which is estimated at 77.9 million people (AHA, 2013). High blood pressure is also referred to as hypertension. Hypertension is a prevalent medical condition that carries with it the risk factor for increased chances of heart disease and stroke (Gillespie & Hurvitz, 2013). Hypertension remains one of the top 10 causes of worldwide disability-adjusted life years (as cited in Drenjančević-Perić et al., 2011). For the estimated 348, 102 deaths in 2009, high blood pressure was listed as the primary or contributing cause of death (AHA, 2013). Despite the health risk associated with hypertension, the diagnoses of high blood pressure continue to rise. By 2030, hypertension is expected to increase by 7.2% from 2013 estimates (AHA, 2013).

The number of people living with hypertension (high blood pressure) is predicted to be 1.56 billion worldwide by the year 2025. In the US, around 75 million people have hypertension, with more people dying of hypertension-related cardiovascular disease than from the next three deadliest diseases combined. In 2011-2012 in the US, about a third of all people over the age of 20 years had

Hypertension related research could be assessed using meta-analyses and randomized control trials. A combination of both will be used for this narrative review, since all three have been useful in determining JNC guidelines. Much of the research conducted has been on different interventions that include lifestyle and pharmacological treatment that have been used to reduce blood pressure and control hypertension. JNC 6 focused its efforts on improving dietary habits to avoid developing hypertension or manage it once diagnosed. JNC 7 appears to be an intermediate of the other two guidelines. It contains information on the lifestyle modifications as well as pharmacological treatment. JNC 8 is formatted quite differently that the other two and appears to be geared towards proper and prompt diagnoses of the disease, as well as forms of treatment.

My mother, Nanci, my uncle, Mike, and my aunt Kim have all been diagnosed with hypertension. Hypertension, also known as high blood pressure is the most common cardiovascular disease and leads to over 326,000 deaths in the United States every year (Adams & Urban, 2013). Hypertension is consistent increased systemic arterial blood pressure, and can be divided into two categories, primary and secondary. Primary hypertension has no identifiable cause, and according to Adams and Urban is responsible for almost 90% of all cases of diagnosed hypertension (Adams & Urban, 2013). Secondary hypertension on the other hand is related to an underlying disease process or condition, such as hyperthyroidism or the use of corticosteroids. Hypertension can systemic issue, which means that the blood pressure of the entire body is affected, or it can be a localized issue where only certain tissues are affected, such as the liver. Hypertension is usually an asymptomatic issue, however, when symptoms do appear, they have been caused by the long-term existence of the disorder, over years or decades. Over time, the elevation of the blood pressure begins to wear on the arteries and the organs of

As late as about seven decades ago, elevated blood pressure was considered by many expert physicians to be necessary for the adequate perfusion of vital organs. It was deemed as an unavoidable, hence essential, component of the aging process leading to the coining of the term “essential hypertension”. High blood pressure (BP) was considered as probable natural and necessary compensatory phenomenon that should be left alone even if there were effective treatments (Hay, 1931; White, 1937). This notion was further strengthened by the observed elevated misery and premature death recorded for the patients that were treated for hypertension with the few drugs that were available at the time compared to those that were left untreated (Goldring,

In the 19th and 20th centuries, before effective pharmacological treatment for hypertension came about, the three main treatments were used. These included restricting the level of sodium intake through the rice diet for example, sympathectomy which was the surgical ablation of parts of the sympathetic nervous system and finally, pyrogen therapy which involved injecting substances that caused a fever which indirectly reduced blood pressure. However, all of these treatments had numerous side-effects. Globally, the overall percentage of raised blood pressure cases in adults aged 25 and over was around 40% in 2008. In terms of the world’s population, the proportion of people with high blood pressure or uncontrolled hypertension fell slightly

chronic hypertension and ischemic heart disease which are correlated with aging physiology and environmental factors. Patient’s inactive life style and obesity is also responsible for these diseases.

The kidneys play a part in the regulation of blood volume and blood pressure. The kidneys Juxtaglomerular cells are the primary site for renin storage and release, the renin responses to the body’s low and high blood pressure (Jenkins & Tortora, 2013). If the renin angiotensin aldosterone system (RAAS) is interrupted due to the formation of AVAs in the kidneys this could cause renal hypertension. This is the result from the narrowing and weakening of the kidneys arteries thus resulting in kidney failure because blood is not delivered to kidney tissue (Jenkins & Tortora,

Hypertension is widely considered to be one of the most important risk factors of cardiovascular diseases (angina, arrhythmia, etc.). It is the second leading disease that causes mortality in the world. Hypertension is the condition when there is an increase in the force of blood on the walls of vessels. It can also be defined as an arterial blood pressure that is raised above 140/90 mm Hg (systolic/ diastolic BP). Hypertension can be classified into Secondary hypertension and Essential hypertension. When specific cause is evident but heredity, and various physiological parameters play a role in increasing blood pressure is known as Essential Hypertension. Secondary Hypertension is one where the cause is known. According to WHO guidelines between 2006 and 2015, deaths due to cardiovascular diseases are expected to increase by 17% while the deaths from infectious diseases, nutritional deficiencies, maternal and prenatal conditions are projected to decline by 3%. The main causes of hypertension includes the age ,hereditary, gender, extra weight, alcohol consumption, stress life, lazy life etc.

Keywords: hypertension, salt restriction, age, systolic pressure, diastolic pressure, mean arterial pressure, salt sensitive, salt resistant, resistant hypertension, renin, angiotensin

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

The study conducted by National Health and Nutrition Examination Survey (NHANES) found that the commonness of hypertension among US residents in the year 2003-2004 was 7.3±0.9%, 32.6±2.0%, and 66.3±1.8% in the 18 to 39, 40 to 59, and ≥60 age groups, respectively and 29.3% overall. Not everyone is aware of hypertension and its risk. There were numerous studies and researches conducted to learn and understand more about hypertension and its connection with obesity, hyperuricemia, eplerenone and other hormones or drugs. Studies are still continuing to collect more information on this issue. The more we know and are aware about certain diseases, its causes and risks, the better we are in preventing them from attacking us.