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Hi. Iam ranjeet singh my question is what are the major causes of uncontrolled hypertension & how it controlled. I hope you give a better opinion. Thankyou.
The heart is a muscular organ that pumps blood to the entire body through a network of arteries and veins. This network contains big vessels which branch out further to supply blood to the distant organs. There is, therefore, some pressure that the heart and thereby the vessels need to exert to push the blood through these vessels. This is known as blood pressure, and normal pressure levels range from 90-140(systolic)/60-90(diastolic) mm of Hg. However, due to various reasons, this pressure could be more, which is one of the first signs of heart disease.
Causes of increased blood pressure:
- Thickening of the blood vessels. With age, the elastic blood vessels naturally turn rigid and less elastic, so there is more pressure required to push blood. It is natural for people over 55 years of age to have higher readings of blood pressure. This is known as primary hypertension (HTN).
- Narrowed blood vessels. This happens due to cholesterol accumulation along the walls of the blood vessels. Faulty dietary habits along with sedentary lifestyle have increased the incidence of hypertension due to this condition, known as atherosclerosis. Critical atherosclerotic narrowing of renal arteries lead to renovascular HTN that is one of the commonest of secondary HTN.
Other Causes of secondary hypertension are:
- Kidney problems
- Thyroid hormone disorders
- Congenital heart defects
- Chronic alcohol abuse
- Adrenal gland tumours
- Chronic use of medications like birth control pills, pain killers, etc.
Unidentified and uncontrolled hypertension can be silent and can lead to more severe conditions like heart attack and stroke. India is fast becoming the new hypertension capital of the world. Some of the common risk factors are:
- Family history
- Being obese or overweight
- Sedentary lifestyle
- Alcohol consumption
- Excessive salt intake
- Stress levels
- Ethnic background
- Hypertension can go undetected for years together, but if there are risk factors like diabetes and high cholesterol, it is advisable to periodically monitor blood pressure.
- Headaches, nosebleeds, and shortness of breath should not be ignored. These can be the first warning signs of hypertension, and if detected early, preventive measures can be taken.
- If there are co-morbid risk factors, it is advisable to constantly keep a check on BP readings.
This includes a combination of diet and lifestyle modifications.
- Quit smoking and alcohol: Of the many wonders quitting smoking can do, reducing BP readings is just one. The improvement would be almost instantaneous. Quit or else reduce alcohol and see dramatic improvements.
- Weight management: Through a combination of diet and exercise, ensure that weight is brought under control. Set a target BMI (Below 26 kg/m2) and work towards it religiously.
- Diet: Reduce salt, increase potassium, increase vitamin D, eat a heart-healthy diet, and see the hypertension readings improve. Please find attached and reviewed copy for health tip for posting. If you wish to discuss about any specific problem, you can consult a cardiologist.
I am 58 year with 172 cm height and 84 kg weight, headache and bp from last few days 180/100 please advice should I go for bp medicine ?
Hello Doctor I'm 30 year old male. I had recently experienced chest pain. Undergone treatment and ecg but the results were normal. How can I know that the pain is due to angina or gastric problem.
I am a 50 yr old lady. I had menopause for the past 5 years and recently I had a slight bleeding. I have been facing a problem of fibroids. My fibroid measures 5x4.6x3.6 inches in the posterior wall. The endometrium canal is mildly thickened and there is mild endometrium hyperplasia. I got a dnc done which showed disordered proliferative type endometrium. Some doctors have suggested me to undergo hysterectomy. After this I also started having a high blood pressure. Is it because of the fibroids? is it necessary for me to undergo hysterectomy.
It is related to my sister (age: 16 years). She is a born intelligent and had topped every batch from her first to eleventh class. Now she is in 10 2, she some times feels pain in heart, some times she cries and shouts for no reason, even sometimes gets very angry for no/minor reasons. We had shown her to lot of doctors and had done lot of tests, but nothing comes out. Kindly suggest some thing.
I am a 23 year old man, I have been having sharp sensation in my chest since I started smoking. Have tried with some home made remedies. But none have worked. Please suggest on how to curb the pain.
I have been taking 5 mg Amlodipine and 25 mg of atenolol (amlopres AT25). My BP has been normal/slightly low for around 2 months now, around 110/70. How should I taper off the meds?
After seeing the angiogram report one doctor says to go for open heart surgery whereas other doc says to put stent. How to get a conclusion as my family in distress. How safe is the open heart surgery. Pls advise.
I am 23 years old male. I used to smoke last 4 month. I used it so much with in 4 month. Now I feel like pain in my chest and also khasi and so what I should do know.
Dear sirs My BP is 90/140 I am taking Losartan 50 my weight is 100kg and don't have other problems But my lower BP is always high go up to 96 if dose missed Do you suggest other medicine Warm reads M Thanekar.
What is the reason for left side chest area nerve vibrate when this thing happen I feel very afraid.
Hello, since, last 8 month, I have been suffering from anxiety problem. Whenever I got the anxiety problem, heart palpitation happened. I have also fear in too much lightening, horror movies, also have some phobia in bats, lizard. Now a days fear problem is increasing too much. How I control this phobia n anxiety problem? please help. My age is 26+.My pressure is normal. Heart is also ok. But heart palpitation is happening. Is it a risk of future heart problem? please help me. Doctors.
My mother is around 75 yrs old and her one of the right side valve in heart has severe leakage and also she has irregular heart beats. What is the best treatment for this in this age? also she has copd problem. Please advice.
There are two different �typing� schemes doctors use when describing high blood pressure. The first, classification, conveys information about the underlying cause of the high blood pressure. The second, staging, refers to the severity of the high blood pressure itself.
The Staging System:
The system used to stage high blood pressure is very simple. Blood pressure has essentially two varieties; Stage I and Stage II.
The qualifications for staging high blood pressure as either Stage I or Stage II are based simply on numbers. If average measured blood pressure is above a certain numerical cutoff point, it is staged accordingly.
Stage I Hypertension:
Stage I Hypertension refers to blood pressure with average readings that are above 140/90 but below the criteria for Stage II Hypertension. Stage I Hypertension is an early, but still important form of high blood pressure. Depending on certain lifestyle factors, doctors may choose to either begin treatment with medicine or to allow for a �grace period� during which the patient is instructed to make certain diet and activity changes in an attempt to reduce the blood pressure.
Stage II Hypertension:
Stage II Hypertension can be diagnosed via either of two numbers. A measurement of either
systolic blood pressure >160
diastolic pressure >100
qualifies as Stage II Hypertension.
Treatment guidelines allow for much less flexibility in the initial approach to Stage II Hypertension, and those diagnosed at this stage are almost universally started on antihypertensive medicines immediately.
Stage II Hypertension also requires more frequent blood pressure checks and more careful monitoring.
Certain habits can cause damage to your heart even if you maintain a healthy diet and exercise regularly. According to researchers, working people having who have a desk job are more prone to suffer from heart conditions due to stress in their work life, lack of proper rest, limited movement, etc. Most of the times you tend to ignore your bad habits as the side effects do not occur immediately but can cause serious damage to your heart. Following are the common bad habits that you should avoid for a healthier heart-
1. Sitting all day
Something as seemingly trivial as it is, sitting all day can have an adverse effect on your heart. According to studies, if your job involves sitting on a desk for more than five hours then you have double the risk of suffering a heart failure compared to a person who has an active lifestyle. Make sure you take at least a five minute walk in an hour to reduce chances of hardening the arteries. A sedentary lifestyle has serious side effects on your overall health too.
2. Stress too much
Stress causes the body to release adrenaline which influences the way your body functions. In that case there might be an increase in heart rate or your blood pressure level. Over time, stress can cause damage to the blood vessels in your heart and increase your risk of sudden stroke or heart attack.
3. Overdoing it on salt
Excessive sodium can spike your blood pressure thereby making your more vulnerable to heart conditions. Processed foods like potato chips, canned vegetables, frozen meals and meats contain a fair amount of sodium which can have an adverse effect on your heart. It is important to take the nutritional value of these foods in account before purchasing it so that you get the ones with lowest amount of sodium.
4. Not getting enough sleep
The heart rate dips when you sleep and goes up and down as a response to your dreams in various stages of your sleep. It is important for your heart to rest as it actively works in your waking hours. Sleep deprivation has similar effects on your heart like stress and can wreck your cardiovascular health. It is of utmost importance to sleep for at 7 hours to keep your heart healthy.