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High Blood Pressure

Basics

When the force of the blood gushing against the walls of the blood vessels (the tiny tubes that carry blood throughout your body) is higher than normal because the blood vessels have either become less able to stretch or have gotten smaller; then the patient is suffering from High Blood Pressure or Hypertension. Hypertension is classified into two main types, primary or essential hypertension and secondary or systemic hypertension. Essential hypertension (hypertension with no known cause) is not fully understood but accounts for about 85% of all hypertension cases in people over 45 years of age. Secondary or Systematic Hypertension occurs in less then 5% of the people. However, it has a definite cause and carelessness in treatment might have disastrous results for the hypertensive patient. This form of hypertension is a potential cause of stroke, hemorrhage and multiple systematic failures.

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Symptoms

High blood pressure can develop over many years with no noticeable symptoms. That is why regular blood pressure checks are so very important. However, when high blood pressure is severe, certain symptoms do surface:

  • Nose bleeds
  • Racing or irregular heartbeats
  • Headaches
  • Dizziness
  • Confusion
  • Nausea
  • Loss of vision

    It is a mistake to conclude that you do not have high blood pressure because you do not have any of the above symptoms.

Prevention

  • Have your blood pressure checked regularly.
  • Keep the stress level down or learn to manage stress through meditation, relaxation, exercise etc.
  • Stop Smoking. Smoking is directly linked with the development of coronary artery disease.
  • Avoid excessive salt intake.
  • Eat more fresh vegetables, fruits, and food high in fiber--- and less fat.
  • Reduce stress on and off the job.
  • Limit alcohol intake to no more than 24 ounces of beer or one glass of wine per day.
  • Exercise regularly and keep your weight within normal limits.
  • If your physician prescribes medication to lower your blood pressure, be sure to follow his or her directions exactly.

Causes

Hypertension occurs when arterioles, small blood vessels that branch off from the arteries, become constricted making it difficult for blood to pass through them. As a result, blood pressure rises causing the heart to work harder. If blood pressure at rest stays at 140/90 or more, it means that the individual is suffering from hypertension.

Causes for essential or primary hypertension:

  • Genetic factors - genetic factors regulate important physiologic processes and interact with environmental influences to produce essential hypertension or high blood pressure.
  • Abnormalities in the Angiotensin-Renin-Aldosterone System - according to experts the angiotensin-renin-aldosterone system (group of hormones) has begun to act adversely upon the human body. Of particular importance in these harmful responses are the hormone aldosterone and a peptide called angiotensin II.
  • Inherited Abnormalities in the Sympathetic Nervous System - Studies suggest that some people with essential hypertension may inherit abnormalities of the sympathetic nervous system, which is the part of the autonomic nervous system that controls heart rate, blood pressure, and the diameter of the blood vessels.
  • Low Levels of Nitric Oxide
  • Low Birth Weight. 
  • Obesity
  • Diabetes Type 2 

    Causes for secondary hypertension 
  • Medical Conditions- Kidney Disease, Sleep Apnea (a condition in which breathing halts briefly but repeatedly during sleep), pregnancy, cirrhosis and Cushing’s disease all contribute to high blood pressure.
  • Medications- Prescription medicines, which include cortisone, prednisone, estrogen, and indomethacin can cause high blood pressure. Long term use of Nonsteroidal anti-inflammatory drugs and cold medicines containing pseudoephedrine has been found to increase blood pressure in hypertensive people. High blood pressure is known to be an uncommon side effect in women taking oral contraceptives.
  • Alcohol, Caffeine, Smoking, and Drugs- An estimated 10% of hypertension cases are caused by alcohol abuse, three alcoholic drinks a day or more, with heavier drinkers having higher pressure. Caffeine causes a temporary increase in blood pressure, which has been thought to be harmless in people with normal blood pressure. Studies are suggesting, however, that regular, heavy coffee drinking (an average of 5 cups per day) can boost blood pressure, and in one study, this was sufficient to increase the risk for heart disease in healthy men. The potential risk of caffeine, however, pale next to the dangers of smoking. One study reported that smokers have blood pressures up to 10 points higher than nonsmokers. Cocaine is known to cause acute episodes of hypertension.
  • Stress, exercise and consumption of large amounts of licorice can contribute to temporary increase in blood pressure.

Dietary Guidelines

  • The incidence of high blood pressure is lower in vegetarians, so eat plenty of oat bran, pectin fruits (such as bananas, apples and melons), vegetables like celery broccoli, cabbage, green leafy vegetables, peas, prunes, beets, carrots and spinach. 
  • Coldwater fish and lean white meats are also recommended.
  • Use olive and flaxseed oil.
  • Garlic is very effective in lowering high blood pressure. It decreases cholesterol and triglyceride levels in blood. Garlic may be eaten fresh, in cooked foods, or taken in capsule form. Onion can also be as effective as garlic.
  • Salt promotes retention of fluids and increases blood pressure. Reduce the intake of salt in your daily diet.
  • Don’t drink soft water; avoid smoked or aged cheeses and meats, chocolates, animal fats, gravies, broths and processed food.
  • Avoid caffeine as it can temporarily elevate blood pressure.
  • Avoid using Nutra-Sweet, which contains phenylalanine.
  • Reduce the intake of white-sugar. It can increase sodium retention and can stimulate adrenaline production, which can cause blood vessel constriction


Home Care Suggestions

  • Monitor blood pressure daily and maintain a chart. Evaluate drug therapy.
  • Try to lose weight by following a weight reduction and exercise plan. Low-impact aerobics, such as walking, are beneficial while weight lifting or isometric exercises are very harmful as they can rise blood pressure.
  • Stop smoking. Smoking leads to coronary artery disease, which can cause high blood pressure. Giving up smoking decreases the risk of blood pressure by half.
  • Try to relax and fight stress. Breathing techniques, yoga, exercise, music etc. can be helpful to inhibit tension.
  • A fish aquarium or a pet can help to relax and reduce stress, consequently lowering blood pressure.

Mind/Body Considerations

  • People who are usually typified by perfectionism, ambition, high levels of motivation and standards of achievement are thought to be more susceptible to stress-related high blood pressure.
  • People who are always in a rush have a tendency to look at their watches often, have trouble sleeping and don’t find times to relax are prone to have high blood pressure.
  • Regular exercise, music therapy, breathing techniques, yoga, etc. can help in the reduction of tension.
  • Although some physicians think that high blood pressure can be a physiological condition rather than a psychological problem but it is established that stress and tension, rise blood cholesterol which results in hypertension and cardiovascular diseases.


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