Furthermore, treatment is
successful in only about half of the cases being treated, with the result that
only about one in eight people who have hypertension are under adequate
treatment.
Risk Factors in Hypertension
Heredity: Although the manner of inheritance is in doubt,
inheritance is an important factor in hypertension.
Salt Intake: A person with an inherited tendency to have
hypertension may hasten the appearance (and also the severity) of the condition
by the excessive use of salt; and hypertension may be delayed or even avoided
if salt intake is reduced.
Social and economic status: High educated groups tend to have
lower blood pressure than less educated groups. Probably because the latter are
less apt to take advantage of medical facilities.
Weight: Although excessive weight has been thought to contribute
to hypertension and weight loss has been associated with a drop in blood
pressure, it is possible that the blood pressure drop may be due to the
decrease in salt intake that often accompanies dieting.
Cigarette Smoking: There has been no proof that long-term
cigarette smoking causes hypertension but since smoking aggravates coronary
artery disease, hypertensive patients should be strongly discouraged from
smoking.
Stress: Over activity of the sympathetic nervous system may result
in increased cardiac output and pulse rate and thus hypertension.
The great majority of cases of hypertension (over 90%) come under
the category of essential (primary or idiopathic) hypertension, which is also
referred to as hypertension of unknown cause and is usually asymptomatic in
nature. Secondary hypertension on the other hand is usually the result of renal
or adrenal disease.
Hypertension has been characterized as "the silent
disease": the symptoms of hypertension are often so minimal that, as
already stated, only about half of the hypertensive population is aware of the
disease. When symptoms do occur, the most prominent symptom is headache. This
is called hypertension headache, which occurs early in the morning.
Blood Pressure Value and Interpretation
- Blood pressure value below 90/60mmHg indicates low blood pressure (hypotension).
- Blood pressure between 90/60 to 120/80mmHg indicates ideal or normal blood pressure.
- Blood pressure between 120/80 to 140/90mmHg indicates pre-high blood pressure.
- Blood pressure above 140/90mmHg indicates high blood pressure (hypertension).
The effective treatment of hypertension obviously requires very
good doctor-patient communication. Thus every high blood pressure patient
should be aware of the following information:
- Hypertension is the "Silent Killer". You cannot tell by the way you feel whether or not you need your medication.
- Hypertension is a major cause of stroke. It can also damage the eyes, brain, kidneys and heart.
- Hypertension is usually a lifetime condition and the patient will have to have his blood monitored for the rest of his life once it has been found to be elevated.
- Daily taking of antihypertensive medication has been proven beneficial.
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