Hypertension
Hypertension
Presented By:
Hafiza Rabia Ibrahim
Hypertension; High blood pressure
Systolic ≥ 140mm Hg
Diastolic ≥ 90mm Hg
Types:
Primary or Essential Hypertension;Unknown etiology, can be influenced by
dietary & behavioural factors.
Secondary Hypertension;less common ,may result by known conditions such
as renal,endocrine or neurological disorders.
Pathophysiology:
Diagnosis:
Diagnosis is determined by at least two elevated blood pressure reading on two or more
occasions.
Stage 1: 140-159/ 90-99 mm Hg
Stage 2: 160-179/ 100-109 mmHg
Stage 3: >180 / > 110 mm Hg
Risk Factors:
Smoking
Dyslipidemia
Genetics
Diabetes Mellitus
Age
Gender as male are at higher risk
Family History of CVD
Medication
Being overweight or obese
Sedentary life style
Sign & Symptoms:
severe headaches
chest pain
dizziness
difficulty breathing
nausea
vomiting
blurred vision or other vision changes
anxiety
confusion
buzzing in the ears
nosebleeds
abnormal heart rhythm
Complications:
Heart Disease
Stroke
Nephropathy
Peripheral arterial disease
Retinopathy
Paralysis
Diabetes
Medication For Hypertension:
There are several common blood pressure medicines:
ACE inhibitors including enalapril and lisinopril relax blood vessels and prevent
kidney damage
Angiotensin-2 receptor blockers (ARBs) including losartan and telmisartan relax
blood vessels and prevent kidney damage
Calcium channel blockers including amlodipine and felodipine relax blood vessels
Diuretics including hydrochlorothiazide and chlorthalidone eliminate extra water
from the body, lowering blood pressure
Primary Prevention for Hypertension:
Primary prevention focuses on reducing the risk of developing hypertension through
lifestyle modifications and health education.
Lifestyle Modifications:
Maintaining a healthy diet, such as the DASH diet, can significantly lower blood
pressure levels.
Regular physical activity, aiming for at least 150 minutes of moderate exercise weekly,
is vital for cardiovascular health.
Reducing sodium intake to less than 2,300 mg per day is recommended to help
prevent hypertension.
Weight Management:
Achieving and maintaining a healthy weight can greatly reduce the risk of
developing hypertension.
Even modest weight loss of 5-10% of body weight can lead to significant
improvements in blood pressure.
Incorporating a balanced diet and regular exercise can assist individuals in reaching
their weight management goals.
Stress Management:
The DASH diet focuses on vegetables, fruits and whole grains. It includes fat-
free or low-fat dairy products, fish, poultry, beans and nuts. The diet limits
foods that are high in salt, also called sodium. It limits sodium intake to 2,300
mg per day, and ideally to 1,500 mg for greater benefts.
It also limits added sugar and saturated fat, such as in fatty meats and full-fat
dairy products.
Why DASH Diet is prefered for hypertension
treatment instead of Mediterranean Diet?
References: