Hypertension


Last Updated December 20th, 2021

Overview of hypertension

Environmental stress factors combined with existing physiological conditions can lead to several diseases of varying complexities. Hypertension or “high blood pressure” is one such disorder that contributes to several cardiovascular and associated complications within the human body.

According to recent epidemiological findings by the World Health Organisation, hypertension affects nearly 1 billion lives all over the world and has lead to nearly 7.1 million premature deaths so far. The common misconception associated with hypertension is that it is strictly related to old age. But recent research findings have revealed that young adults and in rare cases small children can also suffer from hypertension conditions. Based on the reports of the Center for Disease Control and Prevention, hypertension accounts for 4.5% of the global disease burden and should be addressed seriously.

What is hypertension?

Hypertension is defined as the condition of elevated blood pressure within the body. Under normal conditions, overall blood pressure is the summation of pressure exerted by the circulating bloodstream on the individual arteries.

The pressure exerted on arterial walls during contraction of the heart muscles is termed as systolic pressure. The pressure exerted on the arterial walls in between consecutive heart beats is called diastolic pressure. Under healthy conditions, the systolic pressure is 120 mm Hg and the diastolic pressure is 80 mm Hg. Elevation of blood pressure above these threshold values leads to hypertension. Under hypertension conditions, the systolic pressure has been found to be 140 mm Hg or more and diastolic pressure has been found to be 90 mm Hg or more. It is to be noted that the rise in diastolic pressure is more alarming than the rise in systolic pressure.

What causes hypertension?

Hypertension can be triggered by several etiological factors. The commonly studied factors are discussed below-

  • Age: Thickened and stiffened blood vessel walls may occur at old age that may give rise to hypertension.
  • Diseases: Pre-existing pathological conditions can lead to hypertension. A few common examples of this category are- Cardiovascular disorders, Renal dysfunctions (Diabetic Nephropathy) and Endocrinal disorders (Cushing’s syndrome, Acromegaly).
  • Diet: Regular diet deficient in essential minerals like potassium and abundant in saturated fat, trans fat, animal proteins, cholesterol and excess sodium can trigger hypertension.
  • Stress: Physical and emotional stress can lead to overactivation of the neuromuscular system, leading to hypertension.
  • Hormones: Imbalance of essential hormones within the body such as thyroid hormones (Triiodothyronine and Thyroxine) and sex hormones (estrogen and progesterone) may lead to hypertension. These conditions are more common during pregnancy or in the post-partum phase.
  • Medications: A few over-the-counter medications such as corticosteroids, oral contraceptive pills etc. can directly impact hormonal activities and trigger hypertension.
  • Respiratory disorders: Some existing respiratory conditions such as sleep apnea (shortage of breath during sleep) can give rise to hypertension due to increased demand for oxygen in the body.
  • Substance abuse: Excess intake of tobacco, alcohol, caffeine, and narcotics can cause stiffening of arterial walls, leading to hypertension.
  • Obesity: Obesity and overweight conditions cause excess fat deposition within the body (adipose tissues) that in turn lead to hypertension.
  • Physical activities: Reduction or complete absence of physical activities or leading a sedentary life can predispose an individual to hypertension (due to reduced muscular activities).
  • Heredity: A familial history of high blood pressure and associated cardiovascular complications can increase risks of hypertension in the future generations. Recent research findings by the National Institute of Health (United States) have revealed 16 mutated variants of genes associated with hypertension.

What are the main symptoms?

In a majority of the cases, hypertension manifests itself silently and progressively and is therefore called the “silent killer”. Identification of the following symptoms is essential for a proper diagnosis-

  • Irregular heartbeats (arrhythmia)
  • Pain and discomfort in the chest
  • Persistent ringing or buzzing sound in the ears (tinnitus)
  • Headaches and morning sickness
  • Nasal bleeding
  • Seizures and convulsions
  • Hot flushes due to a sudden spike of blood pressure
  • Flushed appearance due to dilated blood vessels
  • Shortage of breath during sleep (sleep apnea)
  • Nausea and vomiting
  • Blood spots in the eye (conjunctival hemorrhage)
  • Disturbed sleep (insomnia and sleep apnea)
  • Mental instability and anxiety
  • Extreme fatigue and general body weakness
  • Muscular weakness

Types of hypertension

Hypertension is broadly classified into two categories depending on the source. These are-

  • Primary hypertension: It is believed to be an outcome or combination of complex genetic and environmental factors. It is usually idiopathic (of unknown cause) in nature. It is observed in 97-98% of hypertension cases and is also called “essential hypertension”.
  • Secondary hypertension: Secondary hypertension may arise out of pre-existing renal, cardiovascular or endocrinal disorders. An impacted blood vessel close to the heart or brain may result from congenital defects which can cause hypertension.

Some other types of hypertension are described below-

  • Resistance hypertension: It is more common in a few ethnic groups such as African Americans and may be attributed to a few complex genetic factors. Both the systolic and diastolic pressure rise in this condition due to the elevation in overall peripheral vascular resistance.
  • Output (volume) hypertension: Rise of only systolic pressure occurs due to increased cardiac output.
  • Elastic hypertension: It is caused due to loss of elasticity of blood vessels with age.
  • Isolated systolic hypertension: This condition is observed mainly in elderly people (above 65 years old). Here the systolic pressure rises above 140 mm Hg while the diastolic pressure remains normal.
  • Malignant hypertension: It is more commonly observed in women suffering from “pregnancy toxemia”, more commonly called preeclampsia. It is characterized by impaired vision, numbness, chest pain and dizziness.

Important diagnostic tests

Regular monitoring of Body Mass Index (BMI) is advised by doctors after a certain age to check for hypertension symptoms. Electrocardiography (ECG) of the heart is also essential to detect cardiovascular abnormalities.

Treatment & Prevention

Hypertension can be treated by following a healthy lifestyle and the steps outlined below

  • Healthy lifestyle changes such as the inclusion of exercise, cessation of smoking/drinking, and consuming a diet rich in fresh fruits and vegetables.
  • Medications (diuretics or water pills) may be prescribed that help in flushing out excess salt from the body.
  • Other medications required to treat hypertension include ARBs and ACE inhibitors.
  • Beta-blockers and calcium channel blockers may also be prescribed.

Prevention of hypertension 

  • Consume a diet which is low in fats and sodium (salt)
  • Refrain from leading a largely sedentary lifestyle. Adopt a regular exercise routine.
  • Try to maintain a normal BMI as per your age and gender.
  • Smoking needs to be refrained from completely. Similarly, say no to excessive alcohol and sugar consumption.
  • Have a diet rich in fruits and vegetables, antioxidants, and healthy fats (omega-3 fatty acids found in fish).
  • Stress management is equally important. Stress hormones, such as cortisol, are known to elevate blood pressure leading to chronic cardiovascular ailments.

Hypertension home remedies

In addition to the prescribed drugs and positive changes in diet and lifestyle, the following home remedies can help in attaining better control over hypertension:

  • Dark chocolate: One should carefully choose chocolate with high cocoa concentration (at least 50-70%) and low sugar levels in order to reap maximum benefits. Dark chocolate contains flavonoids that effectively bring down LDL cholesterol and elevate HDL cholesterol that helps bring down both systolic and diastolic blood pressure.
  • Bananas: Bananas and other potassium-rich foods are fundamental in maintaining healthy electrolytic balance. These help in controlling the volume of fluids stored in your body. If you have higher fluid levels, your BP will automatically rise. Potassium helps in bringing a balance in your fluid levels and thus aid in regulating BP.
  • Whole grains: High in dietary fibers, whole grains ensure that the excess cholesterol and fats are routinely removed from the body through bowels. This in turn helps in lowering blood pressure levels and unclogging arteries.
  • Berries: Blueberries and strawberries are great for naturally controlling blood pressure. Including these in your daily diet will increase your nitric oxide levels. This is a key substance that widens blood vessels, relaxes the arteries, and allows smooth circulation of blood. These are low in sugar too.
  • Calcium and Vitamin E: In addition to potassium, calcium also has therapeutic effects on hypertension. 1000 to 1500 mg of calcium per day can help restore normal blood pressure in the longer run. This is abundantly found in dairy products and dark green leafy vegetables. Fish oil supplements which are rich in vitamin E are also known to lower hypertensive states.

TL;DR?

Facts

  • Recent studies have revealed that having chronic hypertension in your midlife (45-65 years) increases your risk for developing dementia.
  • 25% of men and 20% of women within the age group of 35-44 years are hypertensive.

Facts

  • More than 9.4 million fatalities across the globe can be attributed to hypertension.
  • There are more than 1.5 billion individuals worldwide who fall under the hypertensive category.

Facts

  • According to the WHO, about 46% of adults in African countries suffer from hypertension. In the USA, it affects 1 out of every 3 adults.

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Dos and Don'ts

Dos
  • Consume a low-fat and low-salt diet. Sodium and trans fat intake should be minimum.
  • Eat 5 portions of fresh fruits and vegetables per day.
  • Lose weight. Being overweight, high cholesterol and hypertension – are all inter-related and major risk factors for developing heart diseases.
Don'ts
  • Consume alcohol or indulge in high sugar consumption.
  • Let go of your weight. Exercise regularly and maintain a healthy BMI.
  • Remain sleep deficient. 8 hours of sleep every night is a must for hypertensive patients.

 

 

 

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Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
Barium-enema
Barium Enema Barium enema is also known as colon x-ray. Here, the patient is asked to consume small amount of…
Vitamin-D-blood-test
25-Hydroxy Vitamin D test 25-hydroxy Vitamin D test is a blood test used to measure the level of vitamin D in the…
AHBC Igm
Anti-Hepatitis B Core Antigen (AHBc) IgM Anti-hepatitis B core antigen (AHBC) IgM is an investigative procedure to detect the presence of IgM antibodies in…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
gallbladder diet tomato
Gallbladder surgery :Tips on post-operative care and diet What to eat post a gallbladder surgery? What are the key things to avoid if you had a…
What to eat, what not to eat in the South Beach Diet? The South Beach Diet is one among the most popular weight loss programs that have been the talk…
Erythritol: A healthy sugar substitute or yet another marketing ploy? Erythritol is a popular choice of a healthy alternative sweetening agent in foods. But how healthy can a…
Carb Cycling: Weighing the pros vs the cons of this diet routine Completely discarding carbs from your life will do you more harm than good. Read more about carb cycling,…
Gatorade: Top things you need to know about this staple energy drink Gatorade is a popular (in fact the most popular) energy drink worldwide. But this power-packed drinks comes with…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
phenytoin test
Phenytoin test Phenytoin is a drug that is administered mainly to epilepsy patients. The phenytoin blood test measures the level…
HSV-1_IGG
Herpes Simplex Virus I (HSV)-IgG Test Herpes simplex virus I(HSV)-IgG is an Immunoglobulin protein that acts as an antibody & stays in the blood…
Thyroid disorders
Thyroid Profile Thyroid profile is a panel of blood tests performed to check if an individual is suffering from any…
shiitake mushrooms healthy
What are Shiitake Mushrooms and why should you eat them? Shiitake Mushrooms are well known for their smoky and robust taste. However, did you know they are replete…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Hepatitis A virus infected liver
Hepatitis A Virus (HAV) Total Blood test to look for IgM antibodies to know if you are infected with Hepatitis A virus (HAV),…
lose weight fast
12 easy and instant steps to successful weight loss Do you want to lose weight without losing your mind? Does weight loss always mean saying goodbye to…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
How seitan proved to be a blessing in disguise for vegans worldwide Can only meat-eaters enjoy delicious juicy steaks and burgers? With seitan, the best meat substitute available today,even vegans…
Psyllium Husk: More than just an effective natural laxative Psyllium husk, or isabgol, is a popular natural laxative . But did you in addition to regulating bowels,…
BRAT Diet: What is the right way to follow this diarrhea-relieving diet? BRAT diet, a simple diet consisting of just bananas, rice, applesauce, and toast, can help you combat the…
Mood swings
The real reasons for your mood swings and how to overcome them Are you prone to heated moods frequently? Do you also feel bouts of depressive feeling creeping up on…
shakeology woman
Meal replacement or protein drink? Learn all about Shakeology and its claims Shakeology from Beachbody claims to be the most suitable shake that can aid in weight loss, regulate blood…
Chest X-Ray A chest x-ray is a diagnostic test that uses x-rays to visualize the structures inside your chest. It…
Strep throat pain
Anti-Streptolysin-O Test The ASO or Anti-Streptolysin-O is a blood test designed to check for the presence of streptococcus bacterial infection…
free psa test
Free PSA Test The free PSA test is used to detect the level or percentage of free PSA in the body…
apolipoprotein a1 test
Apolipoprotein -A1 (APO-A1) Test Apolipoprotein A-I (Apo-A1) constitutes 70% of protein content in high-density lipoprotein (HDL) and helps in lipid metabolism.
ureteroscopy
Ureteroscopy Ureteroscopy is the diagnostic procedure which is used for the detection of the kidney stones in addition to…