Hypertension - Classification of HTN

Learn classification of blood pressure and stages of hypertasion in adults. To know reason and complecations of hypertension, visit at http://gisurgery.info/player_presentation.php?id=90

2. Persistentlyhigharterialbloodpressure,definedassystolicblood
pressureabove140mmHgordiastolicbloodpressureabove90mm
Hg.

3. Blood pressure range SBP/DBP Classification
120/80 Normal (optimal)
120-129/80-84 Pre hypertension(normal)
130-139/85- 89 Pre hypertension (Borderline HT)
> 140/90 Hypertension
Stage I 140-159/90-99 Hypertension (Stage I)
Stage II160-179/100-109 Hypertension (Stage II)
StageIII > 180/110 Hypertension (Stage III)

4. Hypertension
Primary (HBP in the Secondary (HBP due
Absence of below diseaseto below disease
-Being HTN -Cardiovascular HTN
-Malignant HTN -Endocrine HTN
-Renal HTN
-NeurogenicHTN
-Pregnancy induce HTN

5. HTmaydevelopduetoanyofthefollowingreasons.
•Geneticfactor
•Bodyweightandheight–increaseinBMI
•Age
•Gender
•Changesinrennin- angiotensin
•Hyperinsulinemia
•Dietaryfactors
•Modernlifestyle
•Factorsthatmayincreasere-absorptionofsodium

6. -Kidneydisease -Kidneyfailure
-Endstagerenaldisease -Heartdisease
-Hardenedarteries -Cardiovasculardisease
-Angina -Heartattack
-Leftventricularhypertrophy-Heartfailure
-Leftsideheartfailure -Stroke
-Cerebrovasculardisease -Eyecomplications
-Cerebralhemorrhage -Retinaldamage
-impairedvision -Death

7. •Toachievegradualweightlossinoverweightandobeseindividuals
andmaintainweightslightlybelowthenormallevels.
•Toreducesodiumintakeandmaintainfluidandelectrolyte
balance.
•Tomaintainadequatenutrition.
•Toleadahealthylifestyle.
•
Toslowdowntheonsetofcomplications.

8. •Maintainnormalbodyweight(BMI:18.5to24.9).
•Consumedietrichinfruitsandvegetables.
•Lowfatdairyproductconsumptionwhichreducedcontentof
saturatedandtotalfat.
•Engageinregularaerobicphysicalactivitysuchasbriskwalkatleast
30minutesperday,mostdays.
•

9. •Reducesodiumintaketonomorethan6gmNaCl.Dependingonthe
severityofhypertension,differentlevelsofsodiumintakecanbe
recommended
-Mildsodiumrestriction(2-3gsodium/day)–saltmaybeusedlightlyin
cooking.Avoidtablesaltandprocessedfoods.
-Moderatesodiumrestriction(1gsodium/day)–Nosaltincooking.Table
saltandprocessedfoodsalongwithhighsodiumcontentvegetables,
cannedvegetablesandbakedproductsshouldbeavoided.
-Strictsodiumrestriction(0.5gsodium/day)–Apartfromrestriction
statedabovemeat,milkandeggsareallowedinsmallportions.
-Severesodiumrestriction(0.25gsodium/day)–Restrictedquantitiesof
meatandeggsareusedonlyoccasionally.

10. •Lowsodiumdietfoods:
Breadorchapattisorwheat,rice,maize,jowar,bajaraorragi,
breakfastcereals,pulses,fish,chicken,milk(toned),vegetables–
potato/sweetpotato/tomato/gourds/cauliflower/cabbage/
carrots.
•Fluidrestrictionisnecessaryonlyifedemaispresent.