Hypertension
This disorder is characterized by an increase in the force of blood against blood vessel walls, particularly artery walls. The unit used to measure blood pressure is millimeters of mercury (mm Hg). In general, blood is defined as a blood pressure measurement of 120/80 mm Hg.
THE CAUSE OF HYPERTENSION
- Constriction of blood vessels
- Increase heart rate (cardiac output)
- Increase blood volume
LIFE STYLE FACTORS CAUSE HYPERTENSION
1) Age
2) Family history
3) High salt in diet
4) Drinking alcohol
5) Obesity
6) Stress
7) Smoking
8) Inactive lifestyle
9) Disease related to kidney
1 | Normal | Less than 120 | Less than 80 |
2 | Prehypertension | 120– 139 | 80 –89 |
3 | Stage 1 | 140 — 159 | 90–99 |
4 | Stage 2 | 160–180 | 100–110 |
5 | Hypertensive crisis | More than 180 | 120 or more |
TYPE OF HYPERTENSION
CLINICAL MANIFESTATION (SYMPTOMS)
1) Bleeding from nose
2) Dizziness
3) Headache
4) Sweating
5) Breathing difficulty
6) Irregular heart beat
7) Confusion
8) Nausea and vomiting
9) Chest pain
10) Pain in neck and back
SELF-MANAGEMENT
- Exercise
- Stress Management therapy
- Avoid smoking and drinking.
- Healthy Diet
MANAGEMENT OF HYPERTENSION BY DRUGS
BETA BLOCKERS: Atenolol, Propranolol
ALPHA + BETA BLOCKER: Labetalol, Carvedilol
ALPHA BLOCKER: Prazosin, terazosin
DIURETICS: Chlorothiazide, Furosemide, Spironolactone
CALCIUM CHANNEL BLOCKER: Amlodipine , Nifedipine , Verapamil
(ACE) INHIBITORS: Captopril, Ramipril
AT-I RECEPTOR BLOCKER: Losartan, valsartan
VASODILATORS: Hydralazine , minoxidil .