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Treatment of Hypertension
Treatment of Heart Attack
Treatment of Syncope
Treatment of Heart Diseases
Balloon Angioplasty Procedure
Treatment of Irregular Heartbeat
Treatment of Hole in the Heart
Treatment of Heart Specialist
Treatment of Angina
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Treatment of Heart Diseases
Treatment of Cardiac Arrhythmias
Treatment of Left Chest Pain
Holistic Heart Wellness & Health Care - Ayurveda
Treatment of Pulmonary Hypertension
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My mom age 57 years old. She has high BP and is on medication since 3-4 years for high BP. Dr. had prescribed Telsartan active later changed to Tazloc beta 2-3 months ago as she had breathing problem while walking climbing stairs. But from 2-3 weeks she has swelling in her ankle, foot & hands areas so Dr. prescribed Torsemide 5 mg. But swelling did not subside. How long will it take for this swelling to subside? Is it time to be worried? Is it symptoms for problems related to kidney? Kindly guide me.
My grand mother is 65 years old and she is now un I.C.U due to diabetise and blood pressure increase what can I do for his normal condition and what is the medicine of this disease. please suggest me मेरी दादी 65 साल की है और ओ अभी I.C.U में भर्ती है क्योंकि उनका blood pressure बढ़ गया है मैं क्या करू और क्या दवा दू की ओ ठीक हो जाए please suggest me.
Sir I feel dizziness and some sounds inside my head it always ringing in my ear and my heartbeat is also raising high. What should I do.
I have breathing problem due to Filled Nasal. Every time, I wake up in the morning, I feel the heavy sputum. During night also, mouth opens due to this problem. Moreover ,i suffer Heavy Sputum problem after consuming alcohol, though I consume alcohol very often. Kindly revert me with the Medicine, So that to get rid of it.
I am 65 years old with controlled bp by taking mild doses of medicine but for last one yr, have been suffering from knee-pains more on left while climbing stairs up or down. Walking 45 monts at dawn-time plus yoga n knee-pain exercise except sunday (rest day. Six months back had taken homeo mediclne like clmlclfuga, guaiacum. Now putting finger- pressure at back of knee-joint for last 15 days. At present pains are little less. Can you prescribe best knee-pain exercises and yoga. Not interested in any type of medicine
My BP level is low sometimes that is 70/90 is it create serious problem. It is occurred for 3 times in span of 2 years. What are the precautions and problems please explain me. How to improve my BP Level.
1.mucus near post nasal felling irritation and chest burning some times ? 2.Everyday morning I am trying to keep the mucus out from my mouth but unable. 3.Feeling difficulties while pronouncing words. Please suggest.
I am 25 years old. I have problem on my chest. Sometimes its paining on middle of chest. Please suggest me.
My grandmother aged 60yrs, is having high sugar level it is never going down to 180. please give some suggestions and suggest diet and some better medicines.
Hi Its me me prince, age 25 I have a question for you that what are ratio of causing any heart disease before age group of 30 years old. And we it is found to be sick with such kind of diseases what should be the first thing to do to deal with it?
I am suffering from dry cough for last one week and I am suffering chest pain whenever I cough hard. Can you suggest me what should be done?
I am 60 years old man already taking telma h for bp and atorlip 5 for cholesterol. When tested my blood two days back, the sugar level in fasting is 107, pp 156 (1 hr after breakfast). Cholestrol 160, hdl 36, ldl 108. Is 156 after meals sugar level is alarming. I am already sweet lover. Can I eat dates, banana and other sweet fruits. Any restriction I eating chocolates/sugar etc. I am a very health conscious man spend minimum 30 minutes for walking and rest of the day just sit and relax. Your valuable guidance is solicited. Thanks.
Gd morning sir I have suffering pain at right side of chest just below the rib when I set along period please give solution.
Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is
Average of two or more properly measured readings at each of two or more visits after an initial screen:
Normal < 120 mm Hg SBP AND DBP < 90 mm Hg
Prehypertension 120 -139 mm Hg SBP OR DBP 80 to 89 mm Hg
Stage 1 HTN 140 -159 mm Hg SBP OR DBP 90 to 99 mm Hg
Stage 2 HTN >/= 160 mm of Hg SBP OR DBP >/= 100 mm Hg.
Prevalence of prehypertension among adults in United States is approximately 37 percent.
Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.
People diagnosed with hypertension represents “tip of an iceberg”.
Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable if treated at an early stage.
Why hypertension should be diagnosed and treated ?
Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.
Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.
Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.
Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.
Screening for hypertension: optimal interval for screening is not known.
2007 USPSTF( United States Preventive Services Task Force) guidelines recommend
Screening every two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg
Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg
How to manage Prehypertension:
TROPHY stydy( TRial Of preventing Hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.
Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.