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Cardiac Ablation Procedure
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Coronary Bypass Surgery
Implantable Cardioverter-Defibrillators (Icds) Tre
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Hello, I am 37 years old. Kindly let me know about clubbing. My doctor is advising me to visit cardiologist. What checks do I need to do? please advise me. Do I need to worry about this ?
If I turn my neck on right side I start to feel pain in chest when I move my neck some times I feel pain in chest what is cause n how to cure.
I am taking lithium carbonate 300 mg for bipolar disorder currently I am started with fluoxetine 20 mg for OCD. Now feeling pounding of heart. Can I take lorazepam to reduce these symptoms?
Hello. I'm Prashant Shroff from Surat Gujarat. My age is 50 years complete. I want to know that which tab should I take for increasing stability during intercourse? I'm having high BP i. E. 155/100. I'm taking medicine A.
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.
• Lifestyle interventions have effects similar to single drug therapy.
• Combinations of two (or more) lifestyle modifications can achieve even better results.
• Maintain normal body weight. A reduction of 5–20 mmHg of BP can be achieved for every 10 kg weight loss.
• Consume a diet rich in fruits, vegetables and low fat dairy products with a reduced content of saturated and total fat. It can reduce a blood pressure of 8–14 mmHg.
• Reduce dietary sodium intake to no more than 100 mmol per day (2.4 g sodium or 6 g sodium chloride). It can alone reduce blood pressure by 2–8 mmHg.
• Do regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). It can alone reduce blood pressure by 4–9 mmHg.
• Limit consumption of alcohol to no more than 2 drinks (1 oz or 30 mL ethanol; e.g., 24 oz beer, 10 oz wine, or 3 oz 80–proof whiskey) per day in most men and to no more than 1 drink per day in women and lighter weight persons. It can alone reduce blood pressure by 2–4 mmHg.
My mother is 60 years old. She has High BP. Kindly suggest ayurvedic medicine and an alternative to salt.
Adding magnesium bath salts and essential oils in your warm bath relieves stress, pain and soreness, and detoxifies your skin.
2 cups of leftover beans or lentils
1 stalk of a green onion: finely chopped
2 stalks of celery: finely chopped
Some parsley: finely chopped
1 tbs lemon juice
Sea salt to taste
1/4 cup roasted sesame seeds (or any other seed)
1.) make sure the beans do not have too much water (so if it is a dal, keep some water to blend since we are making a paste.
2.) you can use a fork to mash the ingredients together or put it in a blender to mix it well.
3.) use it on breads or rotis or crackers