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My age is 23 yrs. When I measure my blood pressure it is 155/90 most of time. But I have no symptoms of high BP like headache etc. What should I do.
I am 25 year old boy from India. Last week I had chest pain, it lasted few minutes. Yesterday I again felt it. Is it symptom of heart attack?
Few days earlier I got gastrological prblm and at mid ngt suddenly my whole body starts shivering and my through young got dry heart bits fell like blown away So I went to a emergency and they gave me injections then I got fine. Bt what should I do to avoid these type of problems.
I have seen recently that my BP is ranging at about 140-160/ 89-100. Pls advise. I am 47 yrs, 5'10" and weight would be around 78 kgs.
We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:
High Blood Pressure: When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.
Cardiomyopathy: As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as Cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.
Arrhythmia: An irregular heartbeat is also known as Arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, Arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.
Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.
Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:
Continuous Positive Airway Pressure (CPAP): This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto CPAP machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;
Oral devices: Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than CPAP machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.
Sir my blood pressure is 150/90. Any time. I am 33 years old. But I had not been suffering any kind of disease still now. What can I do for this problem to solve. Thanks.
I am 59 years, fit, do exercise 5 days a week, morning yoga, do not smoke, occasional drinks. Since last 2-3 years, my cholesterol level is going up. What I should do?
Sir I have some problem chest pain and leg pains and body pains how to solve my problem any solution sir.
Hdl cholesterol 53.0 mg. 30-70 mg Total cholesterol 143.0 mg upto 200 mg /dl normal Vldl 28.6. 25-40 mg. This is the report I found in my cholesterol report. Do I have cholesterol.
Hello sir and mam Meri Jo wife hai uske 2-3 din se left side me back chest me n chest ke niche kafi pain hota hai sans leti hai to bhi wahi dard hota hai subha bahut Tez hota hai n sham tak kam hojata hai please help.
I am 25 years old male my height is 6 feet n my weight is 90 kg. I have been suffering palpitation from 3 months. The reason of that was an earthquake from then whenever iI feel scary iI feel high paplipation. In nights it mostly happens some times. Q2 i am loosing hair at continuously reason is the dandruff. How to get rid of that how the new hair begin to grow.
I have done angiogram due to pain in my heart which was continuous. After angio doctor says I have a bridge in lad about 15 mm due to which I am getting pain. Now I am taking angizem 90 dp and corolan in the morning and night respectively. My pain did not come down even after 1 month and increasing instead of reduction. What should I do is there a remedy?
The result of tsh= 5.170 (range. 550-4.780) but t3 and t4 are within the range mentioned. Wht does this mean. Do I have hypothyroidism and is there any need to take medicine. Also, wanted to know does this mean I have to take it lifelong. Pls guide.
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.
Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.
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.