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Cardiac Ablation Procedure
Cardiac Catheterization Procedure
Carotid Angioplasty And Stenting Procedure
Coronary Bypass Surgery
Implantable Cardioverter-Defibrillators (Icds) Tre
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Treatment of Hip Disorders
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
Vascular Surgery Treatment
My wife is 42 years old. She has a mechanical MVR surgery done in 2006. 13 days ago she had a Left MCA Brain stroke. ICA, MCA block. Now she is completely fine. She is taking warf still her previous surgery. What PT INR range should we kept? We confused. Thanks.
I have chest pain from last 2 week. Frequently occurring head ache. Vomited and stomach ache 5 days back and had an IV. Is it due to gastric problem?
What is difference between low blood pressure and high blood pressure. Can both diseases have same treatment .tell me home home remedies please.
I have pained in my right elbow & also my right hand just down on my elbow also pained. My chest also sometimes get pained. I do not't understand that why my chest get pain sometimes. So please suggest me what should I do.
Hello sir, I have got cough and cold for last one week and I also have a minor chest pain what should I do?
Sir my heart starts pounding very rapidly when I climb up even just 2 flights of stairs .this doesn't happen when I jog or run ,I have a little pain in my lower back, are the two problems related or do I have some sort of heart condition. Pls help me.
My father's age is 53 had undergone heart surgery last year what all the tests he need to do every year. He is still smoking. Can you tell the health tips he need to follow sir. Please answer sir.
I am suffering from thyroid how can I get relief from this type of disease and my mother suffering from blood high pressure please tell the solution from this disease.
Hi, I am 25 years old female suffering from cold with shivering fever for last 2 days followed by headache and body pain. Having past history of low blood pressure of 100/50. please suggest.
My skin start itching after shower with cold water. I need to take bath with hot water always. I am having BP 140/90. Can you suggest some treatment.
Im 26 years and im having chest pain after doing workouts should I leave doing workouts? Or is it due to any other reason. I mainly do chest exercises and it is since 3 weeks. So what should I do? Would be thankful for your help.
I am srinivas 25 ys old suffering from chest burn, food reflux since last 3 yrs. I am using omeprazole capsules but not regularly. And please inform me what should I do to get out of that.
I am 38 yrs old and I have high cholesterol and have some swelling near my eyes what to do please help.
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.