Hypertension – A Silent Killer

hypertension

Hypertension is the most common disorder affecting the heart and blood vessels and is the major cause of heart failure, kidney disease and stroke.

Category

Systolic(mmHg)

Diastolic(mmHg)

Normal

Less than 120

Less than 80

Prehypertension

120 - 139

80 – 89

Stage 1 hypertension

140 - 159

90 - 99

Stage 2 hypertension

Greater than 160

Greater than 100

Types and causes of hypertension

Several disorders cause secondary hypertension

1) Obstruction of renal blood flow or disorders that damage renal tissue may cause the kidneys to secrete excessive amounts of rennin into the blood. The resulting high level of angiotensin causes vasoconstriction, thus increasing systemic vascular resistance.

2) Hyper secretion of aldosterone resulting from tumor of the adrenal cortex stimulates excess reabsorption of salt and water by the kidneys, which increases the volume of body fluids.

3) Hyper secretion of epinephrine and nor epinephrine by a pheochromocytoma increase heart rate and contractility and increase systemic vascular resistance.

Lifestyle changes to reduce hypertension

Following changes are effective in managing hypertension

1) Lose weight

2) Limit alcohol intake

3) Regular exercise

4) Reduce intake of sodium salt

5) Maintain dietary intake of calcium, potassium and magnesium

6) Don’t smoke

7) Manage stress





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