Secondary Hypertension Essay

Capingana, D. P., Magalhaes, P., Silca, A. T., Goncalves, M. A., Baldo, M. P., Rodrigues, S. L. (2013). Prevalence of cardiovascular risk factors and socioeconomic level among public-sector workers in Angola. BMC Public Health, 13(1), 1-9. Doi: 10.1186/1471-2458-13-732

The aim of this essay is to reflect and discuss my knowledge acquired in a simulated learning skill experience which forms part of my training as a student nurse in accordance with the Nurses and Midwifery Council (NMC 2010).

Mr. Dunn's blood pressure reading is 189/110. His LDL cholesterol reading is 200 mg/dl. He asks the student nurse if he should be concerned about his blood pressure.

People who have high blood pressure are putting more strain on the arteries, and this could be dangerous because it could lead to things such as heart attacks and strokes. Blood pressure can be measured by a sphygmomanometer.

High blood pressure (hypertension) is a major health condition which affects many Americans. This health condition may increase the risk of cardiovascular disease and stroke. A normal blood pressure consists of systolic blood pressure divided by diastolic blood pressure, 120/80mmHg (millimeters of mercury). High blood pressure is defined as systolic pressure which is greater than 140mm Hg, and diastolic pressure which is over 90mm Hg. Hypertension influences the health outcomes of black Americans more than other races in the United States. Racial discrimination and socioeconomic status are two major factors which influence the rate of high blood pressure in the black American population.

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).

But symptoms do show up if the case is severe. Some of these symptoms are:Headache Nosebleeds Drowsiness Confusion Dizziness Irregular heartbeat Numbness and tingling in hands and feet Coughing up blood Shortness of breathHealth HazardsHypertension accelerates hardening of the arteries, which may contribute to a stroke or heart attack. This can also lead to brain hemorrhage, kidney failure, heart failure, or blindness. TreatmentsThe best way to treat hypertension is to just change your lifestyle (see Preventive Measures), but many times, patients need other medications and therapies.

The heart pumps blood into the arteries and the force of the blood pushing against blood vessel walls is called blood pressure. Arteries carry the blood throughout the body. High blood pressure is also know as hypertension and is very dangerous in many different ways. One way is that it makes the heart have to work harder in order to pump the blood to the body. Secondly it contributes to hardening of the arteries and lastly, it also contributes to heart failure. A healthy heart is essential to life and having high blood pressure it not healthy for the heart. It has been proven that there are many different causes that have been linked to high blood pressure.

One source of great mortality and morbidity in Europe and North America is the cardiovascular disease, Atherosclerosis. It is recognized as a chronic inflammatory disease of the intermediate and large arteries characterized by the thickening of the arterial wall and is the primary cause of coronary and cerebrovascular heart disease (Wilson, 2005). It accounts for 4.35 million deaths in Europe and 35% death in the UK each year. Mortality rate are generally higher in men than pre-menopausal woman. Past the menopause, a woman’s risk is similar to a man’s (George and Johnston, 2010). Clinical trials have confirmed that lipid accumulation, endothelial dysfunction, cell proliferation, inflammation matrix alteration and foam cell formation are

Symptoms of pulmonary hypertension do not usually occur until the condition has progressed. The first symptom of pulmonary hypertension is shortness of breath with everyday activities, such as climbing stairs. Fatigue, dizziness, and fainting spells can also be symptoms. Swelling in the abdomen, ankles or legs, bluish lips and skin, and chest pain may occur as strain on the heart increases. Symptoms range

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.

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).

Hypertension is defined a consistent elevation of the systolic blood pressure above 140mmHg, a diastolic pressure above 90mmHg or a report of taking antihypertensive medication. Early diagnosis and effective management of hypertension is essential because it is a major modifiable risk factor to cerebrovascular, cardiac, vascular, and renal diseases. The higher the blood pressure, the greater the risk for heart attack, heart failure, stroke, and kidney disease.