Questions about hypertension?

in Medication Info on .

Hypertension has been and continues to be the most common disease of the cardiovascular system, since, according to recent data, it affects more than a quarter of the adult population of the world.

Are there standards for the treatment of hypertension?

Considering the prevalence of this disease, scientific work on its study and the creation of recommendations is continuously going on. It is these recommendations that guide the doctor, taking the patient's supervision. According to these recommendations, if the patient has high blood pressure, especially when the figures are moderate, to 150/90 mm Hg. and there are no signs of damage to the "target organs" we are talking about a newly diagnosed disease, the treatment begins with a change in lifestyle and only in case of ineffectiveness of such measures within 1 month, resort to the appointment of antihypertensive drugs.

By changing the way of life we understand the restriction of salt intake in food to 1 teaspoon per day or the preparation of not salted food, so that it would be desirable to slightly salted. Do sports at least 40-60 minutes a day to walk at an intense pace. If you are 40-50 years old, do not try to start running, especially if you have never done this before. But if some patients still decided, then it should be performed very carefully, because such a load, for an unaccustomed person, can lead to the development of serious problems with the spine. The most optimal simulator is the orbit track, if you are able to purchase it. It is necessary to sleep at least 7 hours a day and of course try to avoid emotional stress.

What are the causes of hypertension?

It should immediately be noted that only 3-5% of patients with this problem can answer this question unambiguously - these are the so-called cases of secondary hypertension. The emergence of it is associated with some one particular condition: kidney disease, endocrine system, vascular pathology, heart defects, impaired conduction in the heart muscle, etc. The treatment of these hypertensions is usually surgical, so earlier they were called: "surgical hypertension”.

All the remaining 95-97% of cases of hypertension are called esential or primary, and for them a single cause of development does not exist. We know only a number of theories: from complex disorders in the work of the nervous system, ending with a family predisposition and a breakdown in genes. At present, work on finding new causes and risk factors for the development of this disease continues, but it is not known whether new discoveries will be useful in practice.

However, there is no big trouble here, for a patient with normal hypertension it is not so important to know all these reasons. After all, the tactics of treatment, the main purpose of which is to control blood pressure, does not change from this especially. And if you have already been diagnosed with a diagnosis, then do not go deep into the causes and ask yourself a different problem: how to achieve normal pressure and how to change your lifestyle so that complications do not develop, the cause of which will certainly not cause any doubts.

I'm not sure that I have hypertension, how do I make sure?

Measure the pressure every day for three weeks in the morning and evening. This is the time period for diagnostic search. The problem of the presence of hypertension or its absence should worry the patient more than a doctor. We certainly care about your health, but believe that no one better than the patient himself will understand this question. You only need to purchase and learn how to use any type of tonometer - automatic or manual, and, of course, measure pressure daily, observing a set of rules that will be described below. It is on the basis of your measurements, which it is desirable to carefully arrange in the form of a diary, that the doctor will be able to make the right conclusion and even choose a therapy.

As for the type of diary there is no fixed form, there must be a date, a time for measuring the pressure and still, not bad, to indicate the pulse. Formally, several (at least three) increases in arterial pressure recorded by the medical worker on different days are enough to make the diagnosis, but self-monitoring data can become additional arguments. Today, in difficult cases, it is possible to carry out daily monitoring of pressure, which allows not only to obtain a pressure level, but also to estimate its changes in time, including the average daily and night pressure, as well as the rate of its increase in the morning hours or under load.

If you still doubt, you can always refer to several specialists, but do not inform them that they are participating in your "experiment", and then you can get several independent opinions of experts. But if the diagnosis is still confirmed, then select only one specialist and trust him, otherwise you will not escape any catastrophe.

In conclusion, it must be said that in most cases the diagnosis is not difficult, especially after accepting the fact that patients rarely consult a doctor at the initial stages of the disease when the pressure is still at the borderline, there are still no complaints and other indirect signs of the disease.

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