Hypertension

Hypertension
Hypertension

Hypertension is the medical term for high blood pressure. Blood pressure is the force of blood pushing against the walls of arteries as it flows through them. Arteries are the blood vessels that carry oxygenated blood from the heart to the body’s tissues.

As blood flows through arteries, it pushes against the inside of the artery walls. The more pressure the blood exerts on the artery walls, the higher the blood pressure. The size of small arteries also affects the blood pressure.

When the muscular walls of arteries are relaxed, or dilated, the pressure of the blood flowing through them is lower than when the artery walls are narrow, or constricted.

Blood pressure is highest when the heart beats to pump blood out into the arteries. When the heart relaxes to fill with blood again, the pressure is at its lowest point. Blood pressure when the heart beats is called systolic pressure.

Blood pressure when the heart is at rest is called diastolic pressure. When blood pressure is measured, the systolic pressure is stated first and the diastolic pressure second.

Blood pressure is measured in millimeters of mercury (mm Hg). For example, if a person’s systolic pressure is 120 and diastolic pressure is 80, it is written as 120/80 mm Hg. The American Heart Association considers blood pressure above 140 over 90 high for adults.

Hypertension is a major health problem, especially because it has no symptoms. Many people have hypertension without knowing it. In the United States, about 50 million people age sixty and older have high blood pressure.

Hypertension is more common in men than women and in people over the age of 65 than in younger persons. More than half of all Americans over the age of 65 have hypertension. It is also more common in African-Americans than in white Americans.

Hypertension is serious because people with the condition have a higher risk for heart disease and other medical problems than people with normal blood pressure. Serious complications can be avoided by getting regular blood pressure checks and treating hypertension as soon as it is diagnosed.

If left untreated, hypertension can lead to the following medical conditions:
  • arteriosclerosis, also called atherosclerosis
  • blindness
  • heart attack
  • stroke
  • enlarged heart
  • kidney damage

Arteriosclerosis is hardening of the arteries. The walls of arteries have a layer of muscle and elastic tissue that makes them flexible and able to dilate and constrict as blood flows through them. High blood pressure can make the artery walls thicken and harden.

When artery walls thicken, the inside of the blood vessel narrows. Cholesterol and fats are more likely to build up on the walls of damaged arteries, making them even narrower. Blood clots can also get trapped in narrowed arteries, blocking the flow of blood.

Arteries narrowed by arteriosclerosis may not deliver enough blood to organs and other tissues. Reduced or blocked blood flow to the heart can cause a heart attack. If an artery to the brain is blocked, a stroke can result.

Hypertension makes the heart work harder to pump blood through the body. The extra workload can make the heart muscle thicken and stretch. When the heart becomes too enlarged it cannot pump enough blood. If the hypertension is not treated, the heart may fail.

The kidneys remove the body’s wastes from the blood. If hypertension thickens the arteries to the kidneys, less waste can be filtered from the blood. As the condition worsens, the kidneys fail and wastes build up in the blood. Dialysis or a kidney transplant are needed when the kidneys fail. About 25% of people who receive kidney dialysis have kidney failure caused by hypertension.

Causes and symptoms

Many different actions or situations can normally raise blood pressure. Physical activity can temporarily raise blood pressure. Stressful situations can make blood pressure go up.

When the stress goes away, blood pressure usually returns to normal. These temporary increases in blood pressure are not considered hypertension. A diagnosis of hypertension is made only when a person has multiple high blood pressure readings over a period of time.

The cause of hypertension is not known in 90–95% of the people who have it. Hypertension without a known cause is called primary or essential hypertension. When a person has hypertension caused by another medical condition, it is called secondary hypertension.

Secondary hypertension can be caused by a number of different illnesses. Many people with kidney disorders have secondary hypertension. The kidneys regulate the balance of salt and water in the body.

If the kidneys cannot rid the body of excess salt and water, blood pressure goes up. Kidney infections, a narrowing of the arteries that carry blood to the kidneys, called renal artery stenosis, and other kidney disorders can disturb the salt and water balance.

Cushing’s syndrome and tumors of the pituitary and adrenal glands often increase levels of the adrenal gland hormones cortisol, adrenalin, and aldosterone, which can cause hypertension. Other conditions that can cause hypertension are blood vessel diseases, thyroid gland disorders, some prescribed drugs, alcoholism, and pregnancy.

Even though the cause of most hypertension is not known, some people have risk factors that give them a greater chance of getting hypertension. Many of these risk factors can be changed to lower the chance of developing hypertension or as part of a treatment program to lower blood pressure.

Risk factors for hypertension include:
  • age over 60
  • male sex
  • race (The African-American community has a higher incidence of hypertension.)
  • heredity
  • salt sensitivity
  • obesity
  • inactive lifestyle
  • heavy alcohol consumption
  • use of oral contraceptives

Some risk factors for hypertension can be changed, while others cannot. Age, male sex, and race are risk factors that a person cannot deter. Some people inherit a tendency to get hypertension.

People with family members who have hypertension are more likely to develop it than those whose relatives are not hypertensive. People with these risk factors can avoid or eliminate the other risk factors to lower their chance of developing hypertension.

Diagnosis

Because hypertension does not cause symptoms, it is important to have blood pressure checked regularly. Blood pressure is measured with an instrument called a sphygmomanometer. A cloth-covered rubber cuff is wrapped around the upper arm and inflated.

When the cuff is inflated, an artery in the arm is squeezed to momentarily stop the flow of blood. Then, the air is let out of the cuff while a stethoscope placed over the artery is used to detect the sound of the blood spurting back through the artery.

This first sound is the systolic pressure, the pressure when the heart beats. The last sound heard as the rest of the air is released is the diastolic pressure, the pressure between heartbeats. Both sounds are recorded on the mercury gauge on the sphygmomanometer.

A number of such factors as pain, stress, or anxiety can cause a temporary increase in blood pressure. For this reason, hypertension is not diagnosed on the basis of only one high blood pressure reading.

If a blood pressure reading is 140/90 or higher for the first time, the physician will have the person return for another blood pressure check. Diagnosis of hypertension usually is made based on two or more readings after the first visit. Sometimes, patients have high blood pressure only while in the doctor’s office.

This phenomenon, called “white-coat hypertension” has usually been dismissed as mere anxiety over visiting the doctor. In late 2001, an Italian study questioned dismissal of these patients as not being hypertensive and encouraged further study.

Systolic hypertension of the elderly is common and is diagnosed when the diastolic pressure is normal or low, but the systolic is elevated, e.g.170/70 mm Hg. This condition usually coexists with hardening of the arteries (atherosclerosis).

Blood pressure measurements are classified in stages according to severity:
  • normal blood pressure: lower than 130/85 mm Hg
  • high normal: 130–139/85–89 mm Hg
  • mild hypertension: 140–159/90–99 mm Hg
  • moderate hypertension: 160–179/100–109 mm Hg
  • severe hypertension: 180–209/110–119
  • very severe hypertension: 210/120 or higher

A typical physical examination to evaluate hypertension includes:
  • medical and family history
  • physical examination
  • ophthalmoscopy: examination of the blood vessels in the eye
  • chest x ray
  • electrocardiograph (ECG)
  • blood and urine tests


The medical and family history help the physician determine if the patient has any conditions or disorders that might contribute to or cause the hypertension. A family history of hypertension might suggest a genetic predisposition to the disorder.

The physical exam may include several blood pressure readings at different times and in different positions. The physician uses a stethoscope to listen to sounds made by the heart and blood flowing through the arteries. The pulse, reflexes, height, and weight are checked and recorded. Internal organs are palpated, or felt, to determine if they are enlarged.

Because hypertension can cause damage to the blood vessels in the eyes, the eyes may be checked with an instrument called an ophthalmoscope. The physician will look for thickening, narrowing, or hemorrhages in the blood vessels.

A chest x ray can detect an enlarged heart, other heart abnormalities, or lung disease.

An electrocardiogram (ECG) measures the electrical activity of the heart. It can detect if the heart muscle is enlarged and if there is damage to the heart muscle from blocked arteries.

Urine and blood tests may be done to further evaluate health and to detect the presence of disorders that might cause hypertension.

Treatment

There is no cure for primary hypertension, but blood pressure can almost always be lowered with the correct treatment. The goal of treatment is to lower blood pressure to levels that will prevent heart disease and other complications of hypertension.

In secondary hypertension, the disease that is responsible for the hypertension is treated in addition to the hypertension itself. Successful treatment of the underlying disorder may cure the secondary hypertension.

Treatment to lower blood pressure usually includes changes in diet and getting regular exercise. Patients with mild or moderate hypertension who do not have damage to the heart or kidneys may first be treated primarily with lifestyle changes.

Lifestyle changes that may reduce blood pressure by about 5–10 mm Hg include:
  • reducing salt intake
  • reducing fat intake
  • losing weight
  • getting regular exercise
  • quitting smoking
  • reducing alcohol consumption
  • managing stress

Natural remedies approved by a physician may also lower or even prevent hypertension. Aromatherapy as a treatment option uses essential oils either inhaled from a bottle in times of anxiety or massaged daily into the skin at bedtime in the area beneath the collarbone. Blue chamomile and lavender are known for their stress relief and relaxation effects.

Food therapy has also been shown to affect blood pressure. Muscles that regulate blood pressure have been noted to dilate with the intake of celery; celery juice has also been found to have a mild diuretic effect.

Eating fresh fruits and vegetables, which are high in potassium and magnesium, lowers systemic sodium and fluid levels in the circulatory system. A 2001 study showed that reducing intake of sodium decreases blood pressure in participants with or without hypertension.

Garlic intake has also been linked with lowering blood pressures. Taken either via enteric-coated capsules or fresh garlic cloves, allicin is thought to be the ingredient that brings down the blood pressure.

Relaxation and meditation can help lower blood pressure. Focusing on relaxing music can also slow the heart rate and lower blood pressure, as can imagery (envisioning coolness seeping into the pores and throughout the body, sensing that blood pressure is within normal range).

Yoga experts cite two specific poses, the corpse pose and the knee squeeze, when used in combination with breathing exercises, as being particularly helpful in relieving tension and improving blood flow.

Allopathic treatment

Patients whose blood pressure remains higher than 139/90 will most likely be advised to take antihypertensive medication. Numerous drugs have been developed to treat hypertension. The choice of medication will depend on the stage of hypertension, side effects, other medical conditions the patient may have, and other medicines the patient is taking.

Patients with mild or moderate hypertension are initially treated with monotherapy, a single antihypertensive medicine. If treatment with a single medicine fails to lower blood pressure sufficiently, a different medicine may be tried or another medicine may be added to the first.

Patients with more severe hypertension may initially be given a combination of medicines to control their hypertension. Combining antihypertensive medicines with different types of action often controls blood pressure with smaller doses of each drug than would be needed for monotherapy.

Antihypertensive medicines fall into several classes:
  • diuretics
  • beta-blockers
  • calcium channel blockers
  • angiotensin-converting enzyme inhibitors (ACE inhibitors)
  • alpha-blockers
  • alpha-beta blockers
  • vasodilators
  • peripheral-acting adrenergic antagonists
  • centrally-acting agonists

Diuretics help the kidneys eliminate excess salt and water from the body’s tissues and the blood. This helps reduce the swelling caused by fluid buildup in the tissues. The reduction of fluid dilates the walls of arteries and lowers blood pressure.

Beta-blockers lower blood pressure by acting on the nervous system to slow the heart rate and reduce the force of the heart’s contraction. They are used with caution in patients with heart failure, asthma, diabetes, or circulation problems in the hands and feet.

Calcium channel blockers block the entry of calcium into muscle cells in artery walls. Muscle cells need calcium to constrict, so reducing their calcium keeps them more relaxed and lowers blood pressure.

ACE inhibitors block the production of substances that constrict blood vessels. They also help reduce the buildup of water and salt in the tissues. They are often given to patients with heart failure, kidney disease, or diabetes. ACE inhibitors may be used together with diuretics.

Alpha-blockers act on the nervous system to dilate arteries and reduce the force of the heart’s contractions.

Alpha-beta blockers combine the actions of alpha and beta blockers.

Vasodilators act directly on arteries to relax their walls so blood can move more easily through them. They lower blood pressure rapidly and are injected in hypertensive emergencies when patients have dangerously high blood pressure.

Peripheral-acting adrenergic antagonists act on the nervous system to relax arteries and reduce the force of the heart’s contractions. They usually are prescribed together with a diuretic. Peripheral acting adrenergic antagonists can cause slowed mental function and lethargy.

Centrally-acting agonists also act on the nervous system to relax arteries and slow the heart rate. They are usually used with other antihypertensive medicines.

In 2001, a medical device company announced findings about the effectiveness of a breathing device to work along with antihypertensive medications.

By helping patients alter breathing patterns to lengthen the phase in which they exhale, they could slow breathing and see beneficial effects on blood pressure accumulate. The device is available through prescription only, but is pending over-the-counter-clearance from the Food and Drug Administration (FDA.)

Expected results

There is no cure for hypertension. However, it can be well controlled with the proper treatment. The key to avoiding serious complications of hypertension is to detect and treat it before damage occurs.

Because antihypertensive medicines control blood pressure, but do not cure it, patients must continue taking the medications to maintain reduced blood pressure levels and avoid complications.

Prevention

Prevention of hypertension centers on avoiding or eliminating known risk factors. Even persons at risk because of age, race, or sex or those who have an inherited risk can lower their chance of developing hypertension.

The risk of developing hypertension can be reduced by making the same lifestyle changes recommended for treating hypertension.

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