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Patient is 66 years on ventilator Kidney is not functioning and dialysis is on Heart is not pumping blood and heart function is at 10% Is it advisable to do bypass surgery on such a patient.
What are the ways to control our high blood pressure and low pressure so that we can remain fit and fine?
Hi. Since 3-4 days my b.p is high. Its mostly between 130 to 140 by 95 to 100. I usually get time to measure it at night after meals. What could be the reason of it and do I need to go and see the doctor.
The heart is a muscular organ that pumps blood to the entire body through a network of arteries and veins. This network contains big vessels which branch out further to supply blood to the distant organs. There is, therefore, some pressure that the heart and thereby the vessels need to exert to push the blood through these vessels. This is known as blood pressure, and normal pressure levels range from 90-140(systolic)/60-90(diastolic) mm of Hg. However, due to various reasons, this pressure could be more, which is one of the first signs of heart disease.
Causes of increased blood pressure:
- Thickening of the blood vessels. With age, the elastic blood vessels naturally turn rigid and less elastic, so there is more pressure required to push blood. It is natural for people over 55 years of age to have higher readings of blood pressure. This is known as primary hypertension (HTN)
- Narrowed blood vessels. This happens due to cholesterol accumulation along the walls of the blood vessels. Faulty dietary habits along with sedentary lifestyle have increased the incidence of hypertension due to this condition, known as atherosclerosis. Critical atherosclerotic narrowing of renal arteries lead to renovascular HTN that is one of the commonest of secondary HTN.
Other Causes of secondary hypertension are:
- Kidney problems
- Thyroid hormone disorders
- Congenital heart defects
- Chronic alcohol abuse
- Adrenal gland tumours
- Chronic use of medications like birth control pills, pain killers, etc.
Unidentified and uncontrolled hypertension can be silent and can lead to more severe conditions like heart attack and stroke. India is fast becoming the new hypertension capital of the world. Some of the common risk factors are:
- Family history
- Being obese or overweight
- Sedentary lifestyle
- Alcohol consumption
- Excessive salt intake
- Stress levels
- Ethnic background
- Hypertension can go undetected for years together, but if there are risk factors like diabetes and high cholesterol, it is advisable to periodically monitor blood pressure.
- Headaches, nosebleeds, and shortness of breath should not be ignored. These can be the first warning signs of hypertension, and if detected early, preventive measures can be taken.
- If there are co-morbid risk factors, it is advisable to constantly keep a check on BP readings.
This includes a combination of diet and lifestyle modifications.
- Quit smoking and alcohol: Of the many wonders quitting smoking can do, reducing BP readings is just one. The improvement would be almost instantaneous. Quit or else reduce alcohol and see dramatic improvements.
- Weight management: Through a combination of diet and exercise, ensure that weight is brought under control. Set a target BMI (Below 26 kg/m2) and work towards it religiously.
- Diet: Reduce salt, increase potassium, increase vitamin D, eat a heart-healthy diet, and see the hypertension readings improve.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 18 years old. My Blood pressure sometimes reaches to 130/85, it's pretty high. But when I check my blood pressure I have nervousness of the result of my bp. Do anxiety of the result affect systolic pressure? Why is my blood pressure high? Height: 174 cm Weight: 90 kg.
When it comes to preventing and treating high blood pressure, one often-overlooked strategy is managing stress. If you often find yourself tense and on-edge, try these seven strategies to reduce stress.
Get enough sleep. Inadequate or poor-quality sleep can negatively affect your mood, mental alertness, energy level, and physical health.
Learn relaxation techniques. Meditation, progressive muscle relaxation, guided imagery, deep breathing exercises, and yoga are powerful stress-busters.
Strengthen your social network. Connect with others by taking a class, joining an organization, or participating in a support group.
Hone your time-management skills. The more efficiently you can juggle work and family demands, the lower your stress level.
Nurture yourself. Treat yourself to a massage. Truly savor an experience: for example, eat slowly and really focus on the taste and sensations of each bite. Take a walk or a nap, or listen to your favorite music.
Ask for help. Don’t be afraid to ask for help from your spouse, friends, and neighbors. If stress and anxiety persist, ask your doctor whether anti-anxiety medications could be helpful.
Add in a healthy lifestyle — maintaining a healthy weight, not smoking, regular exercise, and a diet that includes fruits, vegetables, whole grains, lean protein, and healthful fats — and high blood pressure could be a thing of the past.
Counting calories is one of the most popular ways of dietary management for weight management. It is not always easy to do when you're out or pressed for time, may be in a situation like dinner party, hiking, etc.
Here are some basic guidelines to follow when straight calorie counting is impractical.
1. Eat foods that are filling and low in calories. That means, as often as possible, your meals and snacks should include whole grains, such as brown rice, whole-wheat bread, and oatmeal, as well as legumes, such as lentils and other beans. And don't forget to fill at least half your plate with fruits and vegetables.
2. When you eat meat, cut out fat and cut down portion sizes. Choose lean cuts of meat and modest amounts about 3 or 4 ounces per serving (which is roughly the size of your palm).
3. Avoid fried foods. Frying foods adds fat and calories. For stove top cooking, it's better either to stir-fry foods in a non-stick pan lightly coated with a cooking-oil spray or to braise them in broth or wine. Baking, broiling, and roasting are also great options.
5. Avoid fast foods. Hamburgers, chicken nuggets, french fries, and other fast-food staples tend to promote weight gain for two reasons. First, they are high in fat, calories, or both. Second, the" value meals" available at many fast-food chains are often excessively large and tempt you to overeat.
6. Avoid high-calorie, low-nutrient snacks. Chips and other deep-fried snacks are high in fat and therefore calories. But even snacks labelled" low-fat" are often high in calories because they contain large amounts of sugars and other carbohydrates.
7. Watch what you drink. Regular sodas, fruit juices, and, especially, alcoholic beverages are high in calories.
Source: health beat (harvard medical school)