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It’s not always a good idea for everyone to load up on potassium. People with chronic kidney disease and especially people on dialysis should speak with their healthcare provider about potassium in their diet. They need to avoid excess potassium because while the kidneys usually maintain appropriate levels of potassium in the blood, kidney disease can result in dangerously high levels of potassium.
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As the American Heart Association urges, it is critical to “Know Your Numbers” your life may depend on it. If the nurse doesnt tell you what your numbers are, ask. Dont assume its normal its not always the case. Its important to be an empowered patient so you can follow up. Your doctor may assume a one-time reading is just due to nervousness, also known as white coat syndrome, says Bartels.
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Some cases of high blood pressure are the result of underlying factors or cause and this is known as secondary high blood pressure.
Underlying factors include:
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Whether or not a drug works will also depend on whether you have any other medical conditions and are using any other medication. Thats why its helpful to talk with your doctor before starting a treatment. She or he may check your kidney function, among other things, to make sure that you can safely use certain medications.
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Tumor Necrosis Factor Inhibitors
Tumor necrosis factor alpha is a pro-inflammatory cytokine produced by macrophages and lymphocytes. It is found in large quantities in the rheumatoid joint and is produced locally in the joint by synovial macrophages and lymphocytes infiltrating the joint synovium. TNF is one of the critical cytokines that mediate joint damage and destruction due to its activities on many cells in the joint as well as effects on other organs and body systems. TNF antagonists were the first of the biological DMARDS to be approved for the treatment of RA. These drugs began to enter the market for rheumatoid arthritis in 1999 and are now considered a part the ACR recommendations for treatment of RA. There are currently five TNF inhibitors FDA approved for the treatment of RA etanercept , infliximab , adalimumab , certolizumab pegol , and golimumab . Etanercept is a soluble TNF receptor-Fc immunoglobulin fusion construct infliximab, adalimumab, and golimumab are monoclonal antibodies and certolizumab pegol is an anti-TNF antigen binding domain-polyethylene glycol construct. While differing in structure, the efficacy and safety of the drugs is similar across the class in reducing the signs and symptoms of RA, as well as in slowing or halting radiographic damage, when used either as monotherapy or in combination with methotrexate.
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Treatment for high blood pressure will depend on your blood pressure levels and your associated risk of developing a cardiovascular disease, such as a heart attack or stroke.
There are seven main risk factors for developing a cardiovascular disease. These are:
- having a high level of cholesterol in your blood
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Know Your Numbers And The New Numbers
According to the new rules, a reading at or above 130/80 mmHg qualifies as high blood pressure, but to call it hypertension, you need more than one visit. Consistency counts in the determination, but in reality a high blood pressure reading might not be tackled by a physician. New research led by Bartels shows that only one in three visits with high blood pressure by the old guidelines were addressed follow-up was recommended in only one in ten eligible rheumatology visits.
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The only way to find out whether you have high blood pressure is to have your blood pressure checked regularly. Ask your GP when you are next due for yours to be checked.
Blood pressure checks are usually available on request at most GP surgeries and health clinics. Some surgeries have home monitoring devices available, which you may be able to use at the time of blood pressure medication start up or change. Many also have a policy of arranging regular checks for you.
Adults who are over 40 and have not been diagnosed with high blood pressure should have their blood pressure checked at least once every five years. However, your blood pressure should ideally be checked more frequently, particularly if you have any contributory risk factors.
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