Hypertension (High Blood Pressure)

A person with hypertension may not

notice any symptoms. Without detection, hypertension can damage the heart, blood vessels, and other organs, such as the kidneys.

 

It is vital to check blood pressure regularly.

 

In rare and severe cases, high blood pressure can cause:

 

·         sweating

·         anxiety

·         sleeping problems

·         blushing

 

However, most people with hypertension will experience no symptoms at all.

 

If high blood pressure becomes a hypertensive crisis, a person may experience headaches and nosebleeds.

Complications

 

Long-term hypertension can cause complications through atherosclerosis, where plaque develops on the walls of blood vessels, causing them to narrow.

 

This narrowing worsens hypertension because the heart must pump harder to circulate the blood.

 

 

Hypertension-related atherosclerosis can lead to:

 

·         heart failure and heart attacks

·         aneurysm, or an atypical bulge in the wall of an artery that can burst

·         kidney failure

·         stroke

·         amputation

·         hypertensive retinopathies in the eye, which can lead to blindness

 

Regular blood pressure monitoring can help people avoid these more severe complications.

Measuring blood pressure

 

Having high blood pressure for a short time can be a normal response to many situations. Acute stress and intense exercise, for example, can briefly elevate blood pressure in an otherwise healthy person.

 

For this reason, a diagnosis of hypertension requires several readings that show sustained high blood pressure over time.

 

 

Causes

 

The cause of hypertension is often not known. In many cases, it is the result of an underlying condition.

 

High blood pressure that is not due to another condition or disease is known as primary or essential hypertension. If an underlying condition is a cause of increased blood pressure, doctors call this secondary hypertension.

 

 

Primary hypertension can result from multiple factors, including:

 

·         having obesity

·         insulin resistance

·         high salt intake

·         excessive alcohol intake

·         having a sedentary lifestyle

·         smoking

 

Secondary hypertension has specific causes and is a complication of another health problem.

 

Chronic kidney disease (CKD) is a common cause of high blood pressure, as the kidneys no longer filter out fluid. This excess fluid leads to hypertension. Hypertension can also cause CKD.

 

 

Other conditions that can lead to hypertension include:

 

    diabetes, due to it causing kidney problems and nerve damage

    pheochromocytoma — a rare cancer of an adrenal gland

    Cushing’s syndrome

    congenital adrenal hyperplasia — a disorder of the cortisol-secreting adrenal glands

    hyperthyroidism, or an overactive thyroid gland

    hyperparathyroidism, which affects calcium and phosphorous levels

    pregnancy

    sleep apnea

 

 

Risk factors

 

A number of factors increase the risk of hypertension.

 

    Age: Hypertension is more common in people who are over 65 years old. Blood pressure can increase steadily with age as the arteries stiffen and narrow due to plaque buildup.

 

    Ethnicity: Some ethnic groups are more prone to hypertension than others. African Americans have a higher risk than other ethnic groups, for example.

 

    Weight: Obesity is a primary risk factor for hypertension.

    Alcohol and tobacco use: Regularly consuming large quantities of alcohol or tobacco can increase blood pressure.

 

    Sex: According to a 2018 review, males have a higher risk of developing hypertension than females. However, this is only until females reach menopause.

 

    Existing health conditions: cardiovascular disease, diabetes, chronic kidney disease, and high cholesterol levels can lead to hypertension, especially as people age.

 

 

Management and treatment

 

Lifestyle adjustments are the standard, first-line treatment for hypertension.

Regular physical exercise

 

Current guidelines recommend that all people, including those with hypertension, engage in at least 150 minutes of moderate-intensity aerobic exercise every week or 75 minutes per week of high-intensity exercise.

 

People should exercise at least 5 days every week.

 

 

Examples of suitable activities are:

 

·         walking

·         jogging

·         cycling

·         swimming

 

Studies show that strength, or resistance, training can also reduce blood pressure in hypertensive people.

Stress reduction

 

Avoiding or learning to manage stress can help a person control blood pressure.

 

A few relaxation techniques that can help relieve stress are:

 

·         meditation

·         warm baths

·         yoga

·         going on long walks

 

People should avoid consuming alcohol and recreational drugs to cope with stress, as these can contribute to elevated blood pressure and the complications of hypertension.

 

Smoking can also increase blood pressure. Avoiding or quitting smoking reduces the risk of hypertension, serious heart conditions, and other health issues.

Medication

 

People can use specific medications to treat hypertension. Doctors will often recommend a low dose at first. Antihypertensive medications will usually only have minor side effects.

 

Eventually, people with hypertension may need to combine two or more drugs to manage their blood pressure.

 

 

Medications for hypertension include:

 

·         diuretics, including thiazides, chlorthalidone, and indapamide

·         beta-blockers and alpha-blockers

·         calcium-channel blockers

·         central agonists

·         peripheral adrenergic inhibitors

·         vasodilators

·         angiotensin-converting enzyme (ACE) inhibitors

·         angiotensin receptor blockers

 

The choice of medication depends on the person and any underlying medical conditions they may have.

 

Anyone taking antihypertensive medications should carefully read the labels of over-the-counter (OTC) drugs they may also take, such as decongestants. These OTC drugs can interact with the medications they are taking to lower their blood pressure.

 

 

People can prevent high blood pressure by following a heart-healthy diet.

Reducing salt intake

 

High sodium consumption contributes to high blood pressure. The main source of sodium in the diet is salt.

 

People with hypertension should consume less than 1,500 mg of sodium per day to manage their condition.

Moderating alcohol consumption

 

Moderate to excessive alcohol consumption can increase blood pressure.

 

The AHA recommends a maximum of two alcoholic drinks per

The following would count as one drink:

 

·         a 12-ounce (oz) bottle of beer

·         4 oz of wine

·         1.5 oz of 80-proof spirits

·         1 oz of 100-proof spirits

 

 

A healthcare professional can help people reduce consumption if they find it difficult to moderate their alcohol intake.

Eating more fruits and vegetables and less fat

 

 

People who have high blood pressure or people at high risk of developing it should reduce their intake of saturated fats in favor of unsaturated fats.

 

Experts recommend that people with high blood pressure prioritize more heart-healthy foods, such as:

 

·         whole grain, high-fiber foods

·         a variety of fruits and vegetables

·         pulses, such as chickpeas, beans, and lentils

·         nuts

·         fish rich in omega-3 twice per week

·         nontropical vegetable oils, such as olive oil

·         skinless poultry and fish

·         low-fat dairy products

 

Limiting trans fats, hydrogenated vegetable oils, animal fats, and processed fast foods can help manage blood pressure.

 

 

However, some fats can be a healthful addition to diet plans. Omega-3 fatty acids, such as oily fish and olive oil, have protective effects on the heart. While these are typically healthful, people with a risk of hypertension should still include them in their total fat intake.

 

Excess body weight can contribute to hypertension. A fall in blood pressure usually follows weight loss because the heart does not have to work so hard to pump blood around the body.

 

 

A balanced diet with a calorie intake that matches the person’s size, sex, and activity level will help.

The DASH diet

 

 

DASH is a flexible and balanced eating plan with a firm grounding in research by the NHLBI, which says that the diet:

 

·         lowers high blood pressure

·         improves levels of fats in the bloodstream

·         reduces the risk of cardiovascular disease

 

Frequently asked questions

 

Below are some common questions relating to high blood pressure.

What is the main cause of hypertension?

 

High blood pressure that is not due to another condition or disease is known as primary or essential hypertension. If an underlying condition is a cause of increased blood pressure, doctors call this secondary hypertension.

 

Common causes of primary hypertension include:

 

·         having obesity

·         high salt intake

·         excessive alcohol consumption

 

Common causes of secondary hypertension include:

 

·         diabetes

·         chronic kidney disease

·         hyperthyroidism

 

How do people cope with hypertension?

 

People can cope with, and treat, hypertension through:

 

·         increasing physical activity

·         losing weight

·         reducing salt intake

·         reducing alcohol intake

·         eating more whole fruits and vegetables

·         taking anti-hypertensive medications

 

What are 10 warning signs of high blood pressure?

 

In many instances, hypertension does not cause symptoms. However, in severe cases, it can cause:

 

·         sweating

·         anxiety

·         sleeping problems

·         blushing

 

How can I lower my blood pressure quickly?

 

Physical relaxation and calming breathing exercises can help lower blood pressure during extreme stress. Taking relevant medication and practicing healthy lifestyle habits are often the fastest way to lower blood pressure in the short to medium term.

Summary

 

A person has hypertension when their blood pressure is consistently high.

 

However, the American College of Cardiology and the AHA recommend that people with hypertension maintain their blood pressure below 130/80 mm HgTrusted Source.

 

Hypertension can increase a person’s risk of developing a range of heart-related conditions, such as heart disease, heart attacks, and stroke.

 

Family history and lifestyle factors are often the cause of hypertension, while dietary and activity changes can help people maintain a healthy blood pressure level.

 

Doctors may also recommend a combination of medications to manage a person’s blood pressure.

 

 

 

 

 

Source: MedicalNewsToday