Hypertension [high blood pressure] - Diagnosis & Treatment

Hypertension - so common in our lives, yet so much underrated. Fueled by stress, pressure, tension, and anxiety, that suddenly jacks up our energy and brings emotional tides in our expressions, is usually trivialized and not considered a major cause of concern. People are getting hysteric or violent so often these days.

But little do we realize whether it’s a one-off incident of a sudden rage or behavioral hypertension, it can cause dangerous complications, even death.

Causes of hypertension

According to American Health Association guidelines, hypertension is high blood pressure, with readings higher than 130 over 80 millimeters of mercury(mm Hg). Stress and anxiety release hormones that increase the heart rate. More blood is pumped by the heart than usual and presses against the walls of the narrow blood vessels and gives rise to higher blood pressure.

People with elevated blood pressure usually have a hard time dealing with an adverse or unfavorable situation, comment, etc. and end up with an emotionally blind outburst.

Symptoms of hypertension

Hypertension is often called a silent killer because a person with hypertension either may not be able to realize the presence of it or may tend to ignore it.

This poses danger because undetected hypertension can lead to damage to the cardiovascular system and other organs such as the kidneys.

However, since hypertension is the sustained high blood pressure it generates symptoms such as:

  • Anxiety.
  • Lack of sleep.
  • Facial flushing or blushing with a warm feeling.
  • Shoulder pain.
  • Temper tantrum.
  • Headache.
  • Bleeding from the nose.
  • Swelling of feet, ankles, legs, or abdomen.
  • Tiredness.
  • Breathing trouble.

Risks from hypertension

Continued hypertension leads to atherosclerosis where high blood pressure causes cracks on the artery walls and allow plaque formation inside the blood vessels. This further increases hypertension as the heart has to pump harder to maintain the blood flow. This can increase the risk of:

  • Heart attack.
  • An aneurysm, or an abnormal bulge in the wall of an artery that can burst, causing severe bleeding and, in some cases, death.
  • Kidney failure.
  • Stroke.
  • Amputation.
  • Hypertensive retinopathies in the eye, which can lead to blindness.

Diagnosis and treatment approaches in an urgent care facility

The severity of your hypertension depends upon the status of your blood pressure, as shown below:

● Normal blood pressure - As long as it is below 120/80 mm Hg. (systolic/diastolic).
● Elevated blood pressure - The systolic pressure ranges from 120 to 129 mm Hg and a diastolic pressure below 80 mm Hg. Care must be taken at this stage to prevent it from going further up.
● Stage 1 or primary hypertension - When the systolic pressure ranges from 130 to 139 mm Hg or the diastolic pressure ranges from 80 to 89 mm Hg.
● Stage 2 or secondary hypertension - More severe hypertension, with a systolic pressure of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher.

While both systolic and diastolic readings are important but after the age of 50, the rise in systolic reading becomes more responsible for the rise in blood pressure. Further increase in systolic pressure( beyond 130 mm Hg.) is common after 65 years of age.

The goal in the treatment of hypertension is to reduce the blood pressure to less than 140/90. For patients with diabetes or kidney disease, the goal is to limit the blood pressure below 130/80.

There can be various ways such as weight loss measures, exercises, changes in diet, etc. that help reduce blood pressure without taking medicine, as long as it is at the prehypertension stage(bp < 130/80 mm Hg.). However, additional treatment may be needed in case you also have diabetes.

If your blood pressure isn’t controlled by the above lifestyle changes, use of medicines becomes imperative which requires doctor’s advice. A visit to a center of Urgent Care Texas can be beneficial to you.

Our certified experts and physicians can diagnose and treat your condition considering all factors. Some of the medicine types that are used to reduce your hypertension include:

  • Thiazide diuretics.
  • Angiotensin-converting enzyme (ACE) inhibitors.
  • Angiotensin II receptor blockers (ARBs).
  • Calcium channel blockers.
  • Alpha blockers.
  • Alpha-beta blockers.
  • Beta blockers.
  • Vasodilators.
  • Aldosterone antagonists.

Depending upon your unique condition there can be any one type of drug or a combination of drugs, that will give you the best result.

Like in other treatments it is important to stick to your medications as prescribed. We will be in touch with you until your treatment goal is achieved. Any side effect or new developments can be addressed immediately.

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