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Hypertension / High Blood Pressure

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Home > Heart Surgery > Heart Conditions > Hypertension

Hypertension


What is Hypertension?
Causes of Hypertension
Diagnosis of Hypertension
Symptoms of Hypertension
Treatment of Hypertension


What is Hypertension ?

Hypertension is the medical term for high blood pressure. High blood pressure (hbp) or hypertension means high pressure (tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body.

Blood pressure of less than 120 over 80 is considered a normal reading for people 18 and over. A borderline high systolic pressure of 120 to 139 or a diastolic pressure of 80 to 89 needs to be closely monitored. A blood pressure reading equal to or greater than 140 over 90 is considered high in people over the age of 18.

The top number, is the systolic blood pressure, corresponds to the pressure in the arteries as the heart contracts and pumps blood forward into the arteries. The bottom number, the diastolic pressure, represents the pressure in the arteries as the heart relaxes after the contraction. The diastolic pressure reflects the lowest pressure to which the arteries are exposed.


Causes Of Hypertension

Hypertension can be classified as either essential (primary) or secondary. Essential hypertension indicates that no specific medical cause can be found to explain a patient's condition. Secondary hypertension indicates that the high blood pressure is a result of (i.e. secondary to) another condition, such as kidney disease or tumors.


Diagnosis Of Hypertension

The only way to know if you have high blood pressure is to get your blood pressure checked. The cut-offs from normal levels to high blood pressure, with varying degrees of severity,

are as follows : -


  • Normal : - systolic less than 130, diastolic less than 85
  • High normal : - systolic 130-139, diastolic 85-89
  • High blood pressure : -
    • Stage 1 (mild) systolic 140-159, diastolic 90-99
    • Stage 2 (moderate) systolic 160-179, diastolic 100- 109
    • Stage 3 (severe) systolic 180-209, diastolic 110-119


Any of the following may be performed to detect damage to the heart or blood vessels : -


  • Electrocardiogram (ECG) is a noninvasive test that detects the electrical activity of the heart and records it on paper.
  • Echocardiogram is an ultrasound examination of the heart taken through the chest. Sound waves take a picture of the heart as it beats and relaxes and then transmits these images to a video monitor.
  • A plain chest x-ray primarily provides an estimate of the size of the heart, but it is much less specific than echocardiography, which looks inside the heart.

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Symptoms Of Hypertension

There are generally no symptoms of high blood pressure, so you usually don't feel it. The symptoms are usually mild and nonspecific. People who have high blood pressure typically don't know it until then blood pressure is measured.

Sometimes people with high blood pressure have the following symptoms : -


  • Headache
  • Dizziness
  • Blurred vision
  • Nausea
  • Tiredness
  • Irregular heart beat

High blood pressure is a silent killer because by the time symptoms of hypertensive heart disease appear, the condition can be life threatening.

The following types of the organ damage are commonly seen in chronic high blood pressure : -


  1. Heart attack
  2. Heart failure
  3. Stroke
  4. Kidney failure
  5. Eye damage or loss of vision
  6. Peripheral arterial disease
  7. Aneurysms


Treatment Of Hypertension

Sodium intake should be restricted; limiting the sodium intake by eliminating table salt, cooking salt and salty & processed foods can reduce blood pressure by 5mm of Hg. Loosing weight and regular physical excercise can reduce the blood pressure. There are many different medicines that can be used to treat high blood pressure.

Such medicines include : -


  1. Alpha blockers
  2. Angiotensin-converting enzyme (ACE) inhibitors
  3. Angiotensin receptor blockers (ARBs)
  4. Beta-blockers
  5. Calcium channel blockers
  6. Central alpha agonists
  7. Diuretics
  8. Renin inhibitors, including aliskiren (Tekturna)
  9. Vasodilators



The list of of world class heart hospitals in India is as follows : -


Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Kolkata Apollo Gleneagles Hospital, Kolkata, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Wockhardt Hospital hyderabad, India Wockhardt Hospital, hyderabad, India
Wockhardt Hospital Mumbai, India Wockhardt Hospital, Mumbai, India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Fortis Hospital Noida, India Fortis Hospital, Noida, India
Escorts Heart Institute Hospital, Delhi, India Escorts Heart Institute Hospital, Delhi, India
Narayana Hrudayalaya Heart Hospital, Bangalore, India Narayana Hrudayalaya Heart Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Devki Devi Heart and Vascular  hospital,  Delhi, India Max Devki Devi Heart and Vascular hospital, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India


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