High blood pressure is a condition which occurs when the pressure of the blood flow through the arteries increases, resulting in intense pressure. Hypertension occurs when the systolic pressure (pressure at which the heart pumps blood) and the diastolic pressure (pressure at which the heart relaxes) is more than 140 and 90 respectively.

Symptoms of high blood pressure are: 

1. Shortness of breath

If you have high blood pressure, then you may experience regular shortness of breath.

2. Headaches

You may experience headaches on a regular basis.

3. Weakness of the heart muscles

Hypertension results in a weak heart which may not be able to pump blood properly.

4. Narrowing of blood vessels

Narrowing of blood vessels may lead to other complications such as failure of the kidneys, heart, and brain.

5. Vision problems

It may lead to vision problems as blood vessels in the eye may be affected.

The various causes of blood pressure are: 

1. Tobacco
If you smoke on a regular basis, you put yourself at an increased risk of getting affected by blood pressure.

2. Lifestyle
Not exercising regularly, eating a sodium-rich diet are all factors which can increase the chances of hypertension.

3. Age
The chances of getting affected by hypertension increase as you age.

4. Weight
Being excessively obese also increases your risk of getting affected by hypertension.

5. Diabetes
Being diabetic makes you more prone to getting affected by diabetes.

6. Hyperthyroidism
If you have an overactive thyroid gland, then it may result in hypertension.

Hypertension may result in various health complications in the body such as:

1. Aneurysm

This is a disorder of the blood vessels which causes the blood vessels to bulge and weaken.

2. Heart attack

High blood pressure causes the arteries to harden and thicken which may lead to a heart attack.

3. Metabolic syndrome

This syndrome refers to a group of complications such as high bad cholesterol levels and insulin levels in the body.

4. Impaired brain functioning
It may also impair your ability to learn and impact your cognitive skills.

Hypertension and High Blood Pressure

The heart pumps pure blood to all parts of the body through a network of arteries. These are thicker in the beginning and become finer and thinner as they reach the various organs. These arteries are lined by a layer of epithelial tissues and as blood flows through them, the heavier cholesterol / fat molecules settle down along the walls. 


This attracts more and more fat molecules to settle down.  This is known as atherosclerosis (hardening of the arteries). Over a period of time, the vessels circumference reduces and the blood supply to the target organ reduces. This impacts proper functioning of these organs and when this happens to the major organs like the heart, kidney or the brain, conditions like stroke or thrombosis or heart attack can occur.


This condition, known as coronary artery disease, is becoming a major cause of deaths.  While that is the bad news, the good news is that it is largely lifestyle dependent, and if steps are taken, it can be prevented, and in the early stages, the damage completely reversed.


Preventive measures: 
1. Diet: A low-fat, high-fiber, heart-healthy diet consisting of Omega-3 fatty acids is recommended by doctors, especially to people who are prone to develop heart disease.  This also requires reduced salt, increased unsaturated fats, reduced triglycerides and reduced sugar.  Include loads of fresh fruits and vegetables, whole grains, nuts and seeds and fish oils. Include multivitamins or other supplements after checking with your doctor.


2. Exercise:  Regular exercise in any form increases the efficiency of the circulatory system, keeps the cholesterol levels in check and helps in blood pressure management.  Exercise in any form is advisable, based on individual preference. A moderate physical activity of 30 to 45 minutes per day is advisable.


3. Smoking: This is one of the major risk factors for smoking, and quitting or controlling smoking is one of the best methods to prevent coronary artery disease.


4. Alcohol consumption:  While moderate alcohol consumption is believed to be healthy for the heart, excessive alcohol consumption is a strict no-no.  Binge drinking especially is shown to cause heart attacks.


5. Weight management: Check with your doctor on what is ideal BMI for you and work out a plan to keep your weight under check.


6. Regular medications: If you are on blood pressure or diabetes medications, ensure you do not miss them.  Keep a constant check to ensure your readings are managed well. 


7. Watch out:  Ask your doctor if there are specific symptoms that you need to watch out and seek medical support if you see any of them.


Coronary disease is not treatable fully, but can be prevented and managed effectively to improve the overall quality of life.

Coronary Artery Disease - 7 Ways You Can Prevent it 

5 natural ways to control your blood pressure

Blood pressure rises with each heartbeat and falls as your heart relaxes. The normal blood pressure should be less than 120/80 mm hg. An increase or decrease on either end can cause various problems.

Here are some of the natural ways to control your blood pressure.

1. Having a diet low in sodium

In the event of a high blood pressure, curtail the consumption of foods that are rich in sodium. However, research reveals that sometimes it is not just enough to cut down on sodium in your diet. A person suffering from high bp should consume foods rich in minerals like calcium, magnesium and potassium as well to keep his/her bp in check.

2. Drink plenty of water and curtail the consumption of alcohol

In case a person suffers from low blood pressure, it is advisable to drink plenty of water as low blood pressure is usually accompanied by bouts of dehydration, and consumption of water can help increase your blood pressure. Also, health drinks, which are rich in electrolytes, help your raise blood pressure. But one should avoid drinks that are high in sugar, and abating your alcohol consumption also helps to quite an extent.

3. Burn extra calories and exercise regularly

Blood pressure usually increases with weight. Being overweight can lead to sleep apnea, which is marked by disruptive breathing while you sleep, which in turn condition can lead to increased blood pressure. Studies have found that weight loss is one of the most effective ways to control high bp. Regular physical activity is also advised to maintain a stable blood pressure.

4. Avoid long, hot showers

The hot water in showers and spas can expand your blood vessels, which can often lead to a drop in blood pressure. A common sign of this would be dizziness and fainting while taking a bath. Therefore, for people suffering from this condition, using warm water rather than hot water is advisable.

5. Completely avoid stress

One of the contributing factors of high blood pressure is chronic stress. Stress tends to affect blood pressure in indirect ways. Many react to stress by overeating, consumption of alcohol and smoking, all of which can increase your blood pressure. Try to know what triggers your stress and take steps to avoid it.


If you would like to consult with me privately, please click on 'consult'.
Related Tip: Got High Blood Pressure? Eat These 5 Foods!



5 Tricks that Control Your Blood Pressure, Naturally

How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.

What is ECMO?
ECMO is a life support device that is put in place when a patient's heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.

Function of ECMO
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.
Patients are only put on ECMO, if there is a chance that the condition can be reversed.

How does ECMO work?
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warm blood is either pumped into the body with the help of the machine or is transferred back into the body through an artery.

How long a patient can be on ECMO?
After seven days of being put on ECMO,there are chances of patient getting an infection.
In case the patient contracts an infection, it is recommended to take the patient off ECMO support.

All About ECMO - Extracorporeal Membrane Oxygenation 

If you are concerned about your heart s health, it is important for you to make some dietary modifications. Simple changes in your everyday diet may offer benefits, which help in preventing future heart problems. If you suffer from high blood pressure or high cholesterol or have atrial fibrillation.

Here are some tips regarding the best diet for protecting your heart:

Believe in the food hype: Having healthy meals is certainly beneficial and makes a big difference to your heart health. Consuming meals which contain vegetables, grains, low fat dairy and lean meat will allow you to live a longer and healthier life.
Avoid crash diets: A crash diet may be effective, if you want to fit in a dress within one month. However, for improving your heart health, undertaking different fad diets is not useful. Meals in which a certain type of nutrients such as carbohydrates or fats are ruled out are not beneficial as well. You should have a sensible approach towards your diet and focus on food products such as vegetables, whole grains and lean meat.
Do not overeat: Overeating will lead to weight gain and commonly, many people get heart attack after taking a big meal.
Eat less salt: You should consume less amount of salt in your diet and do not eat more than one teaspoon of salt a day. Avoid any food item which contains high amounts of sodium. Salt is responsible for increasing blood pressure.
Limit your intake of alcohol and caffeine: In case you suffer from atrial fibrillation, you should avoid caffeine and any other stimulant as they tend to trigger the symptoms. You must drink moderately as consuming more than one drink a day increases your risks of having heart problems.
Choose meat wisely: You should avoid red meat, which contains large amount of saturated fats as these are not good for the heart. You should choose the leanest cuts of meats and trim all fat from it. You should opt for cuts such as flank, rump roast, tenderloin and sirloin. Pork tenderloin, chicken and turkey breast are other alternatives.
Add fish to your diet: Fish is essential for improving your heart health. Try to avoid having deep fried fish and choose grilled fish or roasted fish, which are rich in Omega-3 fatty acids. Consume fishes like tuna, salmon, trout and sardines.
You should also add whole grains to your diet. They are effective in controlling blood sugar and lower the chances of diabetes. Hence, the risks of heart diseases are less if you do not have diabetes. Whole grains also help with weight loss, which is beneficial for the heart.

7 Tips for a Healthy Heart

Cardiomyopathy includes diseases involving the heart muscle. These diseases have various causes, types, symptoms and modes of treatment.

The heart muscle gets enlarged, thick or rigid. In several cases, the heart muscle tissue is replaced with a scar tissue. As this condition worsens, the heart gets weaker and the ability to pump blood is disrupted, which can cause heart failure or irregular beating of the heart. The weakened state of the heart can lead to valvar diseases.

The different types of cardiomyopathy are:

 Hypertrophic cardiomyopathy-
This is a common form and affects people of all ages. Men and women are affected equally. This condition arises due to the enlargement and thickening of the heart muscle. The ventricles, the septum and the lower heart chamber usually thicken, which causes obstruction in pumping of blood by the heart. This disease also causes stiffness in the ventricles, and cellular changes in the tissue.
 Dilated cardiomyopathy-
This form of cardiomyopathy develops due to the enlargement and weakening of the ventricles. The issue arises from the left ventricle and develops over time. It may even affect the right ventricle. More effort is put in by the heart muscles for pumping blood and slowly the heart is unable to pump blood effectively. This condition may lead to heart failure, valve diseases or blood clots in the heart.
 Restrictive cardiomyopathy-
This disease occurs due to the stiffening of the ventricles, without thickening of the walls of the heart. The ventricles are not allowed to relax and do not receive a sufficient volume of blood supply. This condition causes heart failure and valvar problems over time.
 Arrhythmogenic right ventricular dysplasia-
This rare form of cardiomyopathy occurs when fat or fibrous tissues replace the muscle tissue of the right ventricle. This causes arrhythmias and disruption in the electrical signals of the heart. It generally affects teens and may cause cardiac arrest in athletes.
 Unclassified cardiomyopathy-
Some types of cardiomyopathy of this category include left ventricular non compaction where the ventricles develop trabeculations. Takotsubo cardiomyopathy is another disease where immense stress causes failure of the heart muscles.

Treatment-
Many cases of cardiomyopathy come and go away on their own. Treatment for other cases depends on the severity and symptoms. The major treatment methods are:
Lifestyle changes meant for a healthier heart.
Medication.
Nonsurgical methods.
Surgery and implants

Modes of surgery for treatment of cardiomyopathy include:
Septal myectomy
Heart transplant
Implant devices such as cardiac resynchronization therapy (crt) device, implantable cardioverter defibrillator (icd), left ventricular assist device and pacemakers are fitted into the heart for better performance.

Cardiomyopathy can be of many different types, each arising from different situations and conditions. The mode of treatment depends on the severity of the complication or on the basis of symptoms.

Types and Treatments of Cardiomyopathy

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