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My wife is 57 yrs old and she has been diagnosised as" dilated cardiomyopathy" patient. As per echo, the pumping rate is only 25 percent. On taking angiogram, no blocks have been noticed. She is a sugar patient as well as asthma. She also has bp. Apart from medicines, whether there is anything required to be done? how to get the pumping rate to the required level?
My wife is suffering from low blood pressure in routine she is in her 6th month of pregnancy before pregnancy she never had this problem. She is having good diet eating fruits taking rest properly but still consistently suffering from low bp is it normal or not will it put any negative effect on the baby.
I have cholesterol 262, hdl-46, triglycerides-284, ldl-159, vldl-57. I am male, 29 yrs is the cholesterol very high? should I go in for some medication? how can I reduce? other details: height 5: 10, weight 81.
Frequent heart palpitations with giddiness and fatigue. Duration of palpitations is half an hour n body shaking during palpitations. What is this condition. Is it related to heart problem.
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.
Hlw sir I am 18 years Old boy. I have Blood pressure 160/104. Its very for me. Than what I have do next.
Hello sir I m suffering from chest pain past 1week. And also long breathing problem please give me a solution. My age 25.
Hi My name is ANAND I am 26 years old, I have heavy acidity problem (daily) so please tell me the solution for controlling the acidity 2. Some times heart pain also starts to me so what can I do for that please give me the solution.
I am 29 year old woman, now a days I am feeling very weak n giddiness. Wen I am checking my BP it will be 90_99 (systolic) and 55_65 (diastolic) since two weeks. Till today BP didn't became as above 110/70. Wen I sitting simply I am feeling sleepy. I forgot each simple things also. Can you tell me wat can I do.
I have high blood pressure 140/90. Have being taking olmesar 20 from past 6 months. 1 per day. Now recently I m noticing a mild chest pain when I climb or jog or get angry. Please advise what should I do.
Whenever I go to market specially in summer season I feel like fainting and when I check my blood pressure it shows below the normal parameter. I want to know how to overcome from this problem.
Hypertension or increased blood pressure is one of the modern lifestyle diseases. The changing lifestyles including altered dietary habits and lack of physical activity are the main reasons for the high incidence of hypertension. With this, it brings a host of complications including other chronic diseases like diabetes, kidney failure, risks of stroke and heart attacks.
Alternative medicine proposes quite a number of remedies in addition to just increased physical activity. Read on to know more about how you can eat healthier and control your blood pressure.
Eat walnuts: As most books and media depict, heart disease is directly related to physical reaction towards stress. Regular eating of walnuts helps control this response, thereby controlling blood pressure. It is also a great source of antioxidants and fibre, which adds to its heart-healthy features.
Load up on minerals: Eating a diet rich in calcium, magnesium, and potassium is extremely beneficial for the heart. Sweet potatoes, bananas, dry fruits, dairy products, etc., have shown to reduce blood pressure extremely well in various experiments.
Avoid salt: While the natural sea salt is almost out of use, most of us have switched to the processed variety, which is devoid of all minerals. This is one of the major contributors for increased blood pressure. Studies have shown that reducing salt intake helps in a big way in controlling blood pressure. Most of us are also used to adding extra salt so the food tastes better. This should be avoided. With increased consumption of processed food items, everything from bread to cookies to cheese has salt, which also should be reduced, and if possible, avoided.
Have a colourful meal: Load up your plate with peppers, berries, dry fruits, and organic fruits and vegetables. Pomegranate juice is believed to control angiotensin, converting enzyme, which is responsible for controlling hypertension. They are also rich in antioxidants and help control blood pressure by reducing inflammation.
Know your cholesterol: While cholesterol is generally used with a negative connotation, it is not always true. There is good and bad cholesterol and the bad one should be avoided. Watch out for labels, and ensure you are eating less of the bad cholesterol. Good cholesterol is required for the production of hormones and proper functioning of the body.
Watch your medicines: While it is easy to just pop an ibuprofen when there is a headache or a back ache, it is advisable to watch out. These are best avoided in the long run, as they can induce hypertension and induce heart disease.
In addition, meditation, relaxation, green tea, dark chocolate, red wine, music, and quitting smoking are also shown to be helpful in controlling blood pressure. If you wish to discuss about any specific problem, you can consult a general physician.