Le a rning Outcom es After attend i ng th i s prese ntat i on aud i en c e w il l be ab l e to: Define B l ood pres sure, N ormal B P and H y perten si on C l a ss i fy H y perten s i on En l i s t Predi s po s i ng factors of H y pertens i on Des c ribe the c on s equen c es of H y pertens i on Expla i n/p l an that how to a v o i d H y pertens i on
Blood Pres s ure B l ood pres s ure (BP), s omet i mes refe r red to as arte r i al b l ood pres sure, is the pre ss ure e x erted by ci rcu l at i ng b l ood upon the w a ll s of b l ood v e ss e ls, and i s one of the prin ci pal vi tal si gn
Wh at Is Norm a l Blood Pres s ure? Cat e g o ry S y s to l ic ( T op Nu m b e r) Di as to l ic (Bott o m Nu m b e r) Nor ma l L e ss th a n 120 L e ss th a n 80 “Normal” blood pr ess ure is w hen bo t h n u mbers ar e lo w er t han 120/ 8 0.
H y pert e ns i on The mo r e b l ood y our heart pumps and the nar r o w er y our arte r i e s , the h i gher y our b l ood pres s ure w il l be and w hen i ts v a l ue i n c reases from no r mal then i t i s c a ll ed H y perten si on
Contin ue . .. W hen bloo d p r e s su r e sta y s e l e v ated o v er a long pe r iod of t ime it is c a ll e d high blo od p r e s sure or “ h y pe r t ensio n ”.
Clas sifi cati o n Cl ass i f ic a t i o n t ha t i s s ugge s t e d b y th e E M RO f o r adul t age d > 1 8 y ea rs BP c l ass if ica ti o n S y s to l ic BP ( mm Hg) Di as to l ic BP ( mm Hg) Norm a l < 1 2 a nd < 8 Pre h y p e rte ns i o n 120–139 or 80–89 St a ge 1 h y p e rte ns i o n 140–159 or 90–99 St a ge 2 h y p e rte ns i o n ≥1 6 or ≥1
T y pes Ess e n t ial h y perte n sion i s the form of h y perten si on that by def i n i t i on, has no i dent i f i ab l e c au s e. It i s the m os t c omm on t y pe of h y pertens i on, affe ct i ng 95% of h y pertens iv e pat i ents Secondary h y perte n sion i s a t y pe of h y perten si on w h ic h i s c au s ed by an i dent i f i ab l e underl y i ng s e c ondary c au se. It i s mu c h l e s s a f fec t i ng on l y 5% of h y perten siv e pat i ents
Predi s po s ing Fa c tors for HTN He r e d i tary (Fam il y H i s tor y ) So d ium i ntake We i g ht Diab e tes Me l li tus Alc oho l C on s ump t ion S m oking Se r um L i pid L e v el s ( C hol e s t e r o l a n d LD L ) Sedentary L i f e s ty l e Ethn i ci ty Age G en d e r Soc i oe c ono m i c Sta t us S t r e s s
I n c r eases t h e ri sk f o r H ea r t d i seases a n d St r o kes I f L eft un c on t r o ll ed b l oo d p r ess u r e can a l so ca u se: H ea r t attack H ea r t F a il u r e K i dn ey d i sea s e B li ndn ess W h y I s High Blo o d P r e s sure Imp o rt a nt? 10 h t t p :/ / ww w . m e d i c i n e ne t . c o m/ s c r i p t/ m a i n / a r t . a s p?ar t i c l ek e y = 1610 9
What can h igh bl o od press u re do to y o u r b o d y ? He ar t A tt a c k Hi g h b l o o d p r ess ur e is a m aj o r r i s k f ac to r fo r h ea r t att ack. T h e a r t e r i e s b r i n g o x y g en- ca rr y i n g b l o o d t o t h e h ea r t m u scl e . I f t h e h ea r t c a nn o t g et e n o u g h o x y g e n , c h est p ai n , can o cc u r . I f t h e f l o w o f b l o o d is b l o cke d , a h ea r t a tt ack r es u l t s. S t r oke Hi g h b l o o d p r ess ur e is t h e m o st i m po r t a n t r i s k f ac to r fo r st r o ke. V e r y h i g h p r e s s ur e c a n ca u se a b r e a k in a w e ake n ed b l o o d v essel, w h i c h t h en b l e e d s in t h e b r ai n . T h is can c a u se a s t r o ke. I f a b l o o d cl o t b l o cks o n e o f t h e n a r r o wed a r t e r ies, it can also ca u se a st r o ke Blindness Hi g h b l oo d p r ess ur e ca n e v e n t u a lly ca u s e b l oo d v esse ls in t h e e y e t o b ur s t o r b l ee d . V i s i o n m ay b ec o m e b l urr ed o r o t h e r wise i m p a i r e d a n d ca n r es u lt in b li n d n es s Kid n ey dis e a s e Ki d n e y s a ct as f il t e r s t o r id t h e b od y o f was t e. H i g h b l oo d p r e s s ur e c a n n a rr o w a n d t h i c ken t h e b l o o d v essels o f t h e k i d n e y s. T h e k i d n e y s f il t er l e ss f l u id a n d was t e b u il d s u p in t h e b l ood . T h e ki d n e y s m ay f ail al tog e t h e r . A s p e op le g et o l d e r , a r t e r i e s t hr o u g h o u t t h e T h e h ea r t is un a b le t o bod y " h a r d e n ," e sp e c ially t h o se in t h e h ea r t , b r ai n , a n d ki d n e y s. Hi g h b l o o d p r ess ur e is a ss o ci at ed wi t h t h e s e "s t i ff e r " a r t e r i e s. T h i s , in t urn , ca u ses t h e h ea r t a n d ki d n e y s t o w o r k h a r d e r . A r t e r ies Heart f ailure p um p e n o u g h b l oo d t o s u pp ly t h e b od y 's n ee d s.
12 You can t ake acti o n t o pre v ent ge t ti n g hi g h bl o od press u re or take ste p s to co n tr o l it! The Good N e w s is…
Mainta i n Nearly Normal BP M ak e s ure y our blood pr ess ure is under 140 / 9 mm Hg If y our s y s t o l i c pr ess ure ( t he t o p n u mber) is o v er 140, ask y o u r doctor w hat y ou ca n do to l o w e r it
14 Aim f or a hea l thy w ei ght I f y o u are o v er w e i gh t o r ob ese, ca rr y i n g t h i s ext r a w e i gh t i n creases y ou r ri sk o f h i g h b l oo d p r ess u r e Y o u r B M I i s a b o v e t h e h ea l t h y r a ng e ( i. e . , 25 o r g r eater), o r i f y ou r w a i st meas u r eme n t i s g r eater t h an 35 i n c h es ( w o me n ) o r 40 i n c h es (me n ) t h en y o u h a v e to r e du ce y ou r w e i gh t
Inc rea s e y our ph y sical ac t ivi t y D o at l east 30 m i nu tes o f m o d erate acti v i t y , s u ch as w a l k ing , m o st d a y s o f t h e w eek Y o u can d o 30 m i nu tes i n t h r ee 1 - min u te se g me n ts
Choose foods low in s alt and sodi u m Choo se f ood s l o w i n salt an d s o d i u m U se l ess t h an 6 g r am o f s o d i u m c h l o ri d e d ai l y
Use of Veg e tab l es and Fruits Eat m o r e f r u i ts, v e g eta b l es, g r a i n s, a n d l o w -fat d ai r y f ood s
No or Le s s use of Al c oh o l I f y o u c on s u me alco h o l at a l l , c on s u me m o d erate am oun ts
Quit Smo k ing St o p sm o king cigare t te, cigars or shisha