Essential hypertension : Treatment

Treatment

You should have your blood pressure regularly checked by your doctor. Your doctor will tell you how often you need it checked.

You may want to consider a home blood pressure monitor as well. Bring the readings to your doctor when you go for your visits.

Lifestyle changes can help bring your blood pressure down. This includes regular exercise, including weight loss if you are overweight. You should follow a low fat diet rich in fish, chicken, whole grains, fruits and vegetables, and eat lower amounts of red meat and salt.

Do not smoke. If you have diabetes, make sure you keep your blood sugars under control.

Many different medicines are used to control blood pressure. Some of them are listed below.

  • Angiotensin converting enzyme (ACE) inhibitors
  • Angiotensin receptor blockers (ARBs)
  • Beta-blockers
  • Calcium channel blockers
  • Direct renin inhibitors, including aliskiren (Tekturna)
  • Diuretics
  • Vasodilators

Most people need two or more medications to control blood pressure.

Prognosis (Expectations)

Essential hypertension is controllable with proper treatment. It requires lifelong monitoring, and treatment may require periodic adjustments.

Complications

Untreated hypertension can lead to:

  • Aneurysms
  • Blood vessel damage (atherosclerosis)
  • Congestive heart failure
  • Heart attacks and other heart damage
  • Loss of vision
  • Kidney damage
  • Stroke

Calling Your Health Care Provider

Even if you have not been diagnosed with high blood pressure, it is important to have your blood pressure checked at annual exams, especially if you have a history of high blood pressure in your family.

If you have high blood pressure, you will have regularly scheduled appointments with your doctor.

In between appointments, if you have any of the following symptoms call your health care provider right away:

  • Severe headache
  • Excessive tiredness
  • Confusion
  • Visual changes
  • Nausea and vomiting
  • Chest pain
  • Shortness of breath
  • Significant sweating


Review Date : 6/4/2007
Reviewed By : Larry A. Weinrauch, MD, Assistant Professor of Medicine, Harvard Medical School, and Private practice specializing in Cardiovascular Disease,Watertown, MA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsements of those other sites. © 1997- 2010 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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No Benefit to Lowering Blood Pressure in Acute Stroke: Study

FRIDAY, Feb. 11 (HealthDay News) — Giving medication to lower blood pressure in hypertensive stroke patients appears to have no benefit and might even be harmful, says a new study that seems to confirm current treatment guidelines.

Medication doesn’t improve outcomes and may even be harmful, researchers say.

“Clinicians should not be prescribing blood-pressure-lowering drugs within the first week of acute stroke in routine practice, but researchers should continue to evaluate the safety and effectiveness of other interventions for blood pressure in acute stroke,” said Dr. Graeme J. Hankey, head of the Stroke Unit at Royal Perth Hospital in Australia, who is familiar with the study.

Researchers looked at the effect of the blood pressure-lowering drug candesartan on about 1,000 acute stroke patients. Their findings are published online Feb. 11 in The Lancet to coincide with presentation of the study at the International Stroke Conference in Los Angeles.

When added to the results of 10 previous trials, this study indicates that lowering blood pressure in the first week after acute stroke has no overall benefit on subsequent outcome, said Hankey, author of an accompanying journal editorial.

Doctors have been unsure how to treat high blood pressure in acute stroke patients, and current guidelines recommend leaving it alone.

For the study, a multicenter team led by Dr. Eivind Berge from Oslo University Hospital Ulleval in Norway randomly assigned 2,029 acute stroke patients to take candesartan (Atacand) or a placebo. Candesartan belongs to a family of drugs called angiotensin-receptor blockers.

Over a week, the drug significantly lowered the blood pressure of patients receiving it. However, over six months no difference emerged between the two groups in the risk of death, heart attack or stroke, the researchers found.

Moreover, patients taking the drug tended to have poorer outcomes, compared with patients receiving placebo, although this finding was not statistically significant, Berge’s group says.

Among those taking candesartan, nine had symptoms associated with low blood pressure, compared with five patients taking placebo. In addition, 18 patients taking candesartan suffered kidney failure, compared with 13 patients receiving placebo, the researchers note.

Berge’s team reviewed other studies, which also showed that lowering blood pressure in acute stroke patients had no benefit.

“Other trials are ongoing, but until these trials have been completed we see no place for routine blood pressure-lowering treatment in the acute phase of stroke,” the researchers conclude.

Commenting on the study, Dr. Larry B. Goldstein, professor of neurology and director of the Duke Stroke Center at Duke University Medical Center , said that “the optimal treatment of elevated blood pressure in the setting of acute ischemic stroke has been uncertain because of a lack of adequate controlled trials.”

Current guidelines recommend that blood pressure should generally not be lowered during the acute phase of ischemic stroke, because doing so might compromise circulation to the damaged brain. “This study supports these existing recommendations,” he said.

By Steven Reinberg
HealthDay Reporter

More information

For more information on stroke, visit the U.S. National Library of Medicine.

SOURCES: Larry B. Goldstein, M.D., professor, neurology, and director, Duke Stroke Center, Duke University Medical Center, Durham, N.C.; Graeme J. Hankey, M.D., consultant neurologist and head, Stroke Unit, Royal Perth Hospital and University of Western Australia, Perth; Feb. 11, 2011, The Lancet, online

Copyright © 2011 HealthDay. All rights reserved.

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Blood Protein Level May Not Influence Effectiveness of Statins

FRIDAY, Jan. 28 (HealthDay News) — A new study debunks the idea that the cholesterol-fighting drugs known as statins work better in people with high levels of a certain protein and may not work at all in those with low levels.

Study finds benefit not tied to C-reactive protein.

Researchers found that the drugs work the same — at least in heart patients, older men with high blood pressure and diabetics — regardless of the results of a test that looks for concentrations of so-called C-reactive protein.

“The bottom line is, if you have vascular disease or diabetes, you will derive substantial benefit from statin treatment,” said Dr. Gregg C. Fonarow, a cardiology professor at the University of California, Los Angeles, who was not involved in the research.

However, Fonarow said, the findings do not say whether levels of the protein will affect the effectiveness of the drugs in healthy people.

According to Fonarow, research suggests that statins reduce the risk for heart disease “events” — such as a heart attack — by 24 percent to 52 percent. “The cardiovascular benefits of statins extend to men and women, old and young, and even to patients with baseline LDL-cholesterol levels lower than 100 milligrams per deciliter [mg/dcl],” he said. LDL, or low-density lipoprotein cholesterol, is the type that causes plaque to form, narrowing arteries.

Some research has linked levels of C-reactive protein to better or worse effectiveness. In the new study, researchers in the United Kingdom assigned 20,536 men and women at high risk for heart problems to take either the statin Zocor (simvastatin) or a placebo for an average of five years.

The study, published online Jan. 28 in The Lancet, found no link between levels of the protein and benefits from the drug. Even people with low levels of LDL cholesterol and the protein — those thought to perhaps be immune to the drug’s effects — showed benefits.

In the big picture, Fonarow said, people shouldn’t worry about levels of the protein in their bodies.

“Patients interested in their cardiovascular health should be most focused on achieving healthy LDL-cholesterol, blood pressure and body weight levels along with engaging in daily exercise, eating a healthy diet, not smoking and avoiding secondhand smoke,” he said.

The study was partially funded by Merck, which makes Zocor.

More information

The American Heart Association has more about cholesterol.

SOURCES: Gregg C. Fonarow, M.D., professor, cardiology, University of California, Los Angeles; Jan. 28, 2011, The Lancet, online

Copyright © 2011 HealthDay. All rights reserved.

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Deep Brain Stimulation Might Ease Tough-to-Treat Hypertension

MONDAY, Jan. 24 (HealthDay News) — Doctors administering deep brain stimulation to control a patient’s severe pain report that they discovered the treatment consistently lowered the man’s hard-to-control high blood pressure.

Doctors stumbled on effect when treating hypertensive man for stroke-linked pain.

The finding introduces the possibility that deep brain stimulation — a surgical implant that delivers electrical pulses to the brain — might one day become a treatment for drug-resistant hypertension or lead to clues about the brain’s role in regulating blood pressure.

The study is reported in the Jan. 25 print issue of the journal Neurology.

About 10 percent of high blood pressure cases either can’t be controlled with medication or patients cannot tolerate them, study author Dr. Nikunj K. Patel, a neurosurgeon at Frenchay Hospital in Bristol, England, said in a journal news release.

According to the U.S. Centers for Disease Control and Prevention, high blood pressure affects 30 percent of American adults. The condition raises the risk of heart attack and stroke.

“It’s a really interesting paper,” said Dr. Nicholas D. Schiff, director of the Laboratory of Cognitive Neuromodulation at New York-Presbyterian Hospital/Weill Cornell Medical Center. “I thought it was compelling, though single cases are always questionable” to generalize.

In the case study, a 55-year-old man was implanted with a deep brain stimulator to treat severe pain stemming from a stroke. Although the patient was taking four drugs to control his high blood pressure, which was diagnosed at the time of his stroke, his blood pressure had remained high.

The man’s blood pressure gradually decreased enough for him to stop taking all blood pressure medications, though the deep brain stimulation failed to control his pain long-term. When researchers tested turning off the stimulator after two years, the patient’s blood pressure rose significantly.

The study adds to other recent research focused on neuromodulation, which harnesses the power of electrical impulses in the body for therapeutic benefit. Tactics being tested include renal nerve ablation, a procedure that emits low-power radiofrequency along the nerves next to the kidneys, interrupting signals that trigger high blood pressure.

“In the general sense, neuromodulation for blood pressure is really going to be a revolutionary treatment for chronic [high] blood pressure,” said cardiologist Dr. Marc Penn, director of the Cleveland Clinic’s Bakken Heart-Brain Center.

“I think it’s really interesting physiology,” added Penn, noting that the results would need to be repeated multiple times before a therapy based on it could be developed.

Schiff, however, was hesitant to predict that deep brain stimulation might become a common treatment for hard-to-control high blood pressure.

“This is a case report, and not a treatment for anything,” he said, adding, “There are risks to this procedure and one has to really look at the tradeoffs.”

More information

For more information about deep brain stimulation, visit the American Association of Neurological Surgeons

SOURCES: Nicholas D. Schiff, M.D., director, Laboratory of Cognitive Neuromodulation, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, N.Y.; Marc Penn, M.D., cardiologist, director, Bakken Heart-Brain Center, Cleveland Clinic, Cleveland, Ohio; Jan. 25, 2011 print issue, Neurology.

Copyright © 2011 HealthDay. All rights reserved.

Content Provided by HealthDay

Natural High Blood Pressure Treatment

What’s it that will finally be that inspiration that motivates you? Many wait till New Years to make the change solely to seek out out that a new calendar 12 months can solely encourage for a couple weeks. Many wait until that next celebration and hope that after the following lustful binge; they might change. However why do not these ever work?

As a result of you are not allowing your self to see the progress. You take a look at your self the first day of your exercise and also you take a look at yourself on week 3. You do not discover a thing. And you ask yourself, is that this really working?

But it’s!

Reality!

Burning more energy than you devour will let you lose weight.

Reality!

Drinking water allows your body to flush impurities and leaves you healthier.

Truth!

You can naturally treatment hypertension with watching your food regimen, vitamin intake and exercise. And you don’t want to take these costly, aspect-effect laden prescription drugs!

If you know the info; you’ll know the outcome! And here are 5 info to treat hypertension and diabetes. The problem is that you just can not see the progress unless you commonly check your points. If you are serious a few natural hypertension cure, we suggest you go to your nearest pharmacist and test your blood stress today. And bear in mind to maintain a log of your blood pressure each week.

Hypertension will result in Diabetes

Hypertension and diabetes are one of the quickest growing epidemics of the 21st century. They usually stroll hand in hand. Actually, when you’ve got hypertension, you might be on the trail to one day be recognized with Type 2 diabetes. And at the moment, it’s estimated that just about a hundred and fifty million are currently suffering from this type of it.

Weight problems and hypertension is usually the trigger for each hypertension and Sort 2 diabetes. When you stay in a developed country, it is not exhausting to look around and see that obesity is a problem in most of these countries. And ninety% of these instances are sort 2. But these details do not let you know the worst of it.

Hypertension is commonly labeled the ‘silent killer’ as a result of it does simply that; with no warning, hypertension will kill! In actual fact, within the United States there about 300,000 deaths contributed to high blood pressure. However to make issues worse, within the last years of your life you’ll endure from type 2 diabetes. These symptoms embrace: extreme fatigue; excessive urination; feeling thirsty; dehydration; extreme hunger; poor wound healing; altered psychological functioning and blurry vision.

So I ask you, “Are you on the trail of hypertension and diabetes?” If this sounds like you, it does NOT need to be! Here are 5 facts that may motivate you to change some habits and test your score weekly.

5 facts to Naturally Treatment High Blood Stress

Truth 1-

How about I prevent $one hundred fifty for the hospital visit and give you the doctor’s advice. By the way, there are almost 50 million doctor visits in America alone for high blood pressure. Nevertheless, your doctor will tell you the following guidelines to treat hypertension. And you need to take this advice serious. 1. Drop some weight if you are overweight. 2. Be more lively by ultimately working your approach as much as 30 minutes a day. 3. Eat a nutritious diet that’s low in cholesterol, saturated fat and salt. 4. Cut back on alcohol with no multiple drink per day.

Truth 2-

Researchers at Duke College discovered that getting extra potassium might decrease blood stress by as many as 20 points for individuals most in danger for high blood pressure. Subsequently, potassium is without doubt one of the most vital nutrients for your body with regards to treating excessive blood pressure. So pound down these bananas or discover a good supplement.

Truth 3-

Magnesium will aid potassium in reducing excessive blood pressure. Magnesium is a micronutrient found in bones, body tissues and organs of the body. It will be beneficial that you simply receive not less than 400 milligrams a day. We additionally provide an inventory of foods to eat in our report.

Truth 4-

Garlic is a proven herb that lowers ldl cholesterol which will even lower high blood pressure. Garlic can be one of the vital standard herbal dietary supplements out there and there is a purpose why. A compound found in garlic referred to as allicin is considered the trigger in decreasing HBP points. Start supplementation immediately!

Truth 5-

Are you prepared? Take a deep breath! Nicely that is it. Breathing workout routines that you are able to do wherever have been recognized to cut back stress, rigidity and high blood pressure. The truth is, you can truly take off points in hours by starting simple respiratory exercises you possibly can do at work. To learn more about a easy respiration train, please take a look at our report.

Source: docstoc.com

Hypertension – The Silent Killer

Hypertension is another name for high blood pressure, that is, the blood pressure is higher than normal or at an elevated state. Hypertension tends to affect the working age group that is often associated with high-stress conditions in the workplace. If hypertension is not controlled, those suffering may become a huge burden on the health system due to serious health problems. Hypertension is classified into two types, primary and secondary. Primary hypertension is high blood pressure that shows no specific cause. However, certain diet drugs can be suspect. Hypertension is not caused by tension or stress, even though some believe it is. Secondary hypertension may be the result of an underlying or dormant disorder. It is estimated to affect more than 50 million Americans and is one of the leading causes of cardiovascular and renal disease. It is also a leading cause of stroke, heart disease and kidney failure.

Hypertension can exist in several different forms and symptoms do not appear until it is severely high. It is common in older people and is widely associated with vascular dysfunction in the coronary circulation. When there is excessive pressure against the blood vessel walls and persist over several weeks to months, hypertension is diagnosed. Pressure inside the eye causes both retinopathy and ocular complications. Hypertension can be a serious condition since it can cause damage to many body organs including the kidneys, eyes and heart, among others.

Hypertension is the single most autonomous and important risk for cardiovascular disease, as well as congestive heart failure and even kidney failure. Other factors credited to hypertension are high salt intake, obesity and genetic vulnerability. It can continue for years and not be detected due to lack of symptoms, unless damage has occurred. It is a medical condition that can be a symptom of a dormant disease. The worst effects of hypertension are on the heart, kidneys, eyes and brain. Hypertension is a leading cause of deaths in adults, is a major health care problem and is the single most significant contributor to stroke, one of the biggest killer diseases known to man.

Shortness of breath upon exertion is the most common symptom of pulmonary hypertension and virtually everyone who has the condition develops it. Symptoms may include mild fatigue, dizzy spells, fainting, rapid heartbeat, ankle or leg swelling, bloating, tremors, stooped posture, slowness of movement as well as muscle rigidity. Primary pulmonary hypertension is found two times more often in women as men over age thirty-five. During pregnancy, primary hypertension may be most responsive to dietary calcium.

Diagnosis is by physical examination and renal imaging or measuring the blood pressure. Just about every physical examination includes checking the patient’s blood pressure. A doctor may suspect pulmonary hypertension in people who have an underlying lung disorder. Portal hypertension is implied by the presence of known chronic liver disease such as enlarged spleen.

Treatment varies according to the stage of the disease. Hypertension is controllable with treatment, which may require periodic adjustment. The treatment is often associated with weight loss and increased exercise, but a doctor should be consulted even in cases of pre-hypertension. Hypertension is a very serious condition and should be taken seriously by both patient and doctor. It is commonly treated with drugs that decrease cardiac output and controlled with medications, dietary and lifestyle changes such as giving up smoking, lowering cholesterol and salt intake and exercising on a regular basis. Treatment of patients with primary hypertension is usually directed at the underlying disease. Treatment of high blood pressure significantly reduces the risk of heart problems and stroke. Opening the obstructed renal artery, with or without a stent, usually relieves hypertension.

Some patients may experience excessive daytime sleepiness, loud snoring, morning dry mouth or headaches, chronic nasal obstruction, irritability, depression or impotence. Patients with a diabetic nerve injury will improve if their diabetes is better controlled. Those patients that are overweight, have high stress levels and high intake of caffeine or alcohol, smoke or do not exercise regularly must change their lifestyles to decrease the risk for hypertension. Patients who experience extreme dips in blood pressure at night and extreme surges in the morning, as a rule, stay in the hospital overnight to quickly resume normal activities.

By Michael Russell – ezinearticles.com/?Hypertension—The-Silent-Killer&id=745652