Symptoms Of Renal Artery Stenosis
Renal artery stenosis usually does not cause any specific symptoms. Sometimes, the first sign of renal artery stenosis is high blood pressure that is extremely hard to control, along with worsening of previously well-controlled high blood pressure, or elevated blood pressure that affects other organs in the body.
What Are The Symptoms Of High Blood Pressure
Most people who have high blood pressure do not have symptoms. This is why its sometimes called the silent killer. It is very important to have your blood pressure checked regularly.
Some people experience headaches, nosebleeds, or shortness of breath with high blood pressure. However, those symptoms can mimic many other things . Usually, these symptoms occur once blood pressure has reached a dangerously high level over a period of time.
High Blood Pressure Treatment
The best way to lower blood pressure begins with changes you can make to your lifestyle to help lower your blood pressure and reduce your risk of heart disease. Additionally, your doctor may prescribe medicine to lower your blood pressure. These are called antihypertensive medicines.
The goal of treatment is to reduce your blood pressure to normal levels. Your doctor may prescribe medicine thats easy to take and has few, if any, side effects. This treatment is highly successful. If your blood pressure can only be controlled with medicine, youll need to take the medicine for the rest of your life. It is common to need more than one medicine to help control your blood pressure. Dont stop taking the medicine without talking with your doctor. Otherwise, you may increase your risk of having a stroke or heart attack.
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How Your Blood Pressure And Circulatory System Work
In order to survive and function properly, your tissues and organs need the oxygenated blood that your circulatory system carries throughout the body. When the heart beats, it creates pressure that pushes blood through a network of tube-shaped blood vessels, which include arteries, veins and capillaries. This pressure blood pressure is the result of two forces: The first force occurs as blood pumps out of the heart and into the arteries that are part of the circulatory system. The second force is created as the heart rests between heart beats.
What Are The Risks Of Resistant Hypertension
Over time, uncontrolled hypertension damages the arteries, contributing to their stiffening. As the arteries become narrower and less flexible, the heart has to work harder to move blood through the body. Uncontrolled high blood pressure can lead to stroke, heart attack, heart failure and other heart conditions cause damage to your kidneys, memory and vision and contribute to erectile dysfunction.
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What Can You Do To Prevent High Blood Pressure
You can help lower your risk of high blood pressure by practicing the lifestyle changes mentioned above.
Additionally, consider working with your doctor to carefully manage any preexisting health conditions that can contribute to high blood pressure, such as diabetes or hyperthyroidism.
You can also monitor your blood pressure at home if youd like to keep a closer eye on changes in your blood pressure outside of your routine checkups.
Blood Pressure Checks During Pregnancy
If you are pregnant, you should have your blood pressure checked on a regular basis, even if it is not high.
Watching your blood pressure while you are pregnant reduces your risk of developing pregnancy-induced hypertension. This can lead to a serious condition called pre-eclampsia where there is a problem with the placenta .
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What Is Systolic Blood Pressure
When you get a blood pressure reading, youll see two numbers one on the top and one on the bottom. The top number is your systolic blood pressure, and this is the amount of pressure your heart creates as it beats to pump blood through your arteries. The bottom number is your diastolic blood pressure, which is the amount of pressure in your arteries in between heartbeats.
Low systolic blood pressure is defined as being lower than 90, and low diastolic blood pressure is any number lower than 60.
Can High Blood Pressure Affect Pregnancy
High blood pressure complicates about 10% of all pregnancies. There are several different types of high blood pressure during pregnancy and range from mild to serious. The forms of high blood pressure during pregnancy include:
Chronic hypertension: High blood pressure which is present prior to pregnancy.
Chronic hypertension with superimposed preeclampsia: Preeclampsia, which develops in someone who has chronic hypertension .
Gestational hypertension: High blood pressure in the latter part of pregnancy, but no other signs or symptoms of preeclampsia are present. Some women will later develop preeclampsia, while others probably have high blood pressure before the pregnancy.
Preeclampsia: This is found in the latter half of pregnancy and results in hypertension, protein in the urine and generalized swelling in the mother. It can affect other organs in the body and cause seizures .
Your blood pressure will be checked regularly during prenatal appointments, but if you have concerns about your blood pressure, be sure to talk with your provider.
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Pearls And Other Issues
Isolated systolic hypertension is common in the elderly population. SBP has a better prediction for the risk of cardiovascular disease as compared to DBP. Hence, treatment of isolated systolic hypertension is beneficial to reduce all-cause mortality and cardiovascular risk, and stroke. The optimal SBP remained unclear, but an SBP goal of less than 140 mmHg and keeping DBP at 70 mmHg or higher are considered appropriate in most patient populations.
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What Medications Are Used To Treat High Blood Pressure
Four classes of high blood pressure medications are considered first line when starting treatment. Sometimes other medications are coupled with these first-line drugs to better control your high blood pressure. First-line, pressure-lowering medications are:
- Angiotensin-converting enzyme inhibitors block the production of the angiotensin II hormone, which the body naturally uses to control blood pressure. When angiotensin II is blocked, your blood vessels dont narrow. Examples: lisinopril , enalapril or captopril.
- Angiotensin II receptor blockers block this same hormone from binding with receptors in the blood vessels. ARBs work the same way as ACE inhibitors to keep blood vessels from narrowing. Examples: metoprolol , valsartan or losartan.
- Calcium channel blockers prevent calcium from entering the muscle cells of your heart and blood vessels, allowing these vessels to relax. Examples: amlodipine , nifedipine , diltiazem .
- Diuretics flush excess sodium from your body, reducing the amount of fluid in your blood. Diuretics are often used with other high blood pressure medicines, sometimes in one combined pill. Examples: indapamide, hydrochlorothiazide or chlorothiazide.
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Wrong Medication Or Wrong Dose
For each person theres an ideal combination of medications and dosages that would best control their hypertension. Some people havent yet received that ideal combination. Its important to work with a doctor who is familiar with the range of medications and who knows what works best for each individual.
What If Lifestyle Changes Dont Help Lower My Blood Pressure
If diet, exercise and other lifestyle changes dont work to lower your blood pressure, your healthcare provider will prescribe medications to help lower your blood pressure. Your provider will take into account other conditions you may have, such as heart or kidney disease and other drugs youre taking when prescribing medications to treat your high blood pressure. Be sure to follow your providers dosing directions exactly.
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Secondary High Blood Pressure
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:
- kidney conditions, such as a kidney infection, or kidney disease
- narrowing of the arteries
- hormonal conditions, such as Cushing’s syndrome
- conditions that affect the bodys tissue, such as lupus
- medication, such as the oral contraceptive pill, or the type of painkillers that are known as nonsteroidal anti-inflammatory drugs , such as ibuprofen
- recreational drugs, such as cocaine, amphetamines and crystal meth
Occasionally, a rise in blood pressure can result from taking herbal remedies, such as herbal supplements.
Learning To Cope With Stress Can Help
Stress and hypertension have often been linked, but researchers are still looking into a direct relationship between the two. Still, the best advice to hypertensive patients: Try to relax.
When you are stressed, your body sends stress hormones adrenaline and cortisol into the bloodstream. These hormones create a temporary spike in blood pressure, causing your heart to beat faster and blood vessels to narrow. When the stressful situation is over, blood pressure goes back to its normal level.
Chronic stress, however, may cause your body to stay in this highly-charged state longer than natural.
While stress itself may or may not affect blood pressure, how you cope with stress does. For instance, overeating, smoking and drinking alcohol in response to stressful situations are direct causes of sustained high blood pressure. On the flip side, healthier coping mechanisms like exercising, practicing yoga and meditating can all help lower blood pressure.
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What Are The Risk Factors For Hypertension
While the exact causes of HBP remain a mystery in most cases, risk factors are much easier to identify. Fortunately, most of them are within your power to controlwhich means your hearts destiny may lie largely in your own hands. They include:
If youre overweight or obese, your body requires your heart to pump more blood to supply it with oxygen and other essential nutrients. This extra work adds to the pressure on the walls of your blood vessels.
How Blood Pressure Is Measured
Hypertension can be mild, moderate or severe. Your blood pressure is naturally higher when you are exerting yourself, such as during physical exercise. It is only a concern if your blood pressure is high when you are at rest, because this means your heart is overworked and your arteries have extra stress in their walls.Blood pressure readings are a combination of two measurements. These are:
- Systolic is the highest pressure against the arteries as the heart pumps. The normal systolic pressure is usually between 110 and 130mmHg.
- Diastolic is the pressure against the arteries as the heart relaxes and fills with blood. The normal diastolic pressure is usually between 70 and 80mmHg.
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What Are The Symptoms Of Hypertension
Hypertension is generally a silent condition. Many people wont experience any symptoms. It may take years or even decades for the condition to reach levels severe enough that symptoms become obvious. Even then, these symptoms may be attributed to other issues.
of severe hypertension can include:
According to the American Heart Association , contrary to popular thought, severe hypertension doesnt typically cause nosebleeds or headaches except when someone is in hypertensive crisis.
The best way to know if you have hypertension is to get regular blood pressure readings. Most doctors offices take a blood pressure reading at every appointment.
If you only have a yearly physical, talk with your doctor about your risks for hypertension and other readings you may need to help you watch your blood pressure.
For example, if you have a family history of heart disease or have risk factors for developing the condition, your doctor may recommend that you have your blood pressure checked twice a year. This helps you and your doctor stay on top of any possible issues before they become problematic.
There are two types of hypertension. Each type has a different cause.
What Is Blood Pressure
Blood pressure is the force of blood pushing against the walls of arteries as the heart pumps blood. When a health care professional measures your blood pressure, they use a blood pressure cuff around your arm that gradually tightens. The results are given in two numbers. The first number, called systolic blood pressure, is the pressure caused by your heart contracting and pushing out blood. The second number, called diastolic blood pressure, is the pressure when your heart relaxes and fills with blood.
A blood pressure reading is given as the systolic blood pressure number over the diastolic blood pressure number. Blood pressure levels are classified based on those two numbers.
- Low blood pressure, or hypotension, is systolic blood pressure lower than 90 or diastolic blood pressure lower than 60. If you have low blood pressure, you may feel lightheaded, weak, dizzy, or even faint. It can be caused by not getting enough fluids, blood loss, some medical conditions, or medications, including those prescribed for high blood pressure.
- Normal blood pressure for most adults is defined as a systolic pressure of less than 120 and a diastolic pressure of less than 80.
- Elevated blood pressure is defined as a systolic pressure between 120 and 129 with a diastolic pressure of less than 80.
- High blood pressure is defined as 130 or higher for the first number, or 80 or higher for the second number.
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Primary High Blood Pressure
While the specific cause of primary high blood pressure remains unknown, there is compelling evidence to suggest that a number of risk factors increase your chances of developing the condition.
These risk factors include:
- age – the risk of developing high blood pressure increases as you get older
- a family history of high blood pressure – the condition seems to run in families
- being of Afro-Caribbean or South Asian origin
- high amount of salt in your diet
- lack of exercise
- excessive alcohol consumption
A number of health conditions, such as diabetes and kidney disease, have also been linked to an increase risk of developing primary high blood pressure.
What Makes Blood Pressure Suddenly Increase
Asked by sam
What Makes Blood Pressure Suddenly Increase?
During a recent visit to the doctor my blood pressure was suddenly very high, so high that I had to go to the emergency and be monitored for several hours. I was put on metaprolol, but my blood pressure still spikes throughout the day. What would make my blood pressure go up like that? At what point is it so high that I should go to the ER again?
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The Top 10 Risk Factors For High Blood Pressure Include:
Being overweight or obese
The more you weigh the more blood flow you need to supply oxygen and nutrients to your tissues. As the volume of blood circulated through your blood vessels increases, so does the pressure inside your arteries.
Too much salt in your diet
Too much sodium in your diet can cause your body to retain fluid, and also causes the arteries in your body to constrict. Both factors increase blood pressure.
Too little potassium in your diet
Potassium helps balance the amount of sodium in your cells. Potassium causes the smooth muscle cells in your arteries to relax, which lowers blood pressure.
Not being physically active
Exercise increases blood flow through all arteries of the body, which leads to release of natural hormones and cytokines that relax blood vessels, which in turn lowers blood pressure. Lack of physical activity also increases the risk of being overweight.
Drinking too much alcohol
Having more than two drinks per day can cause hypertension, probably by activating your adrenergic nervous system, causing constriction of blood vessels and simultaneous increase in blood flow and heart rate.
High levels of stress can lead to a temporary, but dramatic, increase in blood pressure. If you try to relax by eating more, using tobacco or drinking alcohol, you may only exacerbate problems with high blood pressure.Relaxation and meditation techniques effectively lower blood pressure.
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Blood Pressure Is Linked To Other Medical Issues
High blood pressure can be the first indication of a serious underlying condition. When a patient comes in with high blood pressure, doctors will check their urine and kidney function do an electrocardiogram to check the size of the heart and look for lung changes.
Stress on the blood vessels makes people with hypertension more prone to heart disease, peripheral vascular disease, heart attack, stroke, kidney disease and aneurysms. Correspondingly, chronic conditions such as diabetes, kidney disease, sleep apnea and high cholesterol increase the risk for developing high blood pressure.
In some women, pregnancy can contribute to high blood pressure, leading to preeclampsia. Postpartum blood pressure typically goes back to normal levels within six weeks. However, some women who have high blood pressure during more than one pregnancy may be more likely to develop high blood pressure and other cardiovascular diseases as they age.
Some of these medical issues can also cause spikes in high blood pressure .
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Why Is High Blood Pressure A Concern
High blood pressure, or hypertension, directly increases the future risk of coronary heart disease and stroke.
Heart attack and stroke related to high blood pressure are rare in children and adolescents. Yet, high blood pressure can start without any other signs or symptoms and persist undetected for years if not measured. If undiagnosed high blood pressure exists in childhood, then young adults in their 20s can begin to exhibit harmful effects on their heart and blood vessels that can lead to heart attacks and stroke.
Blood Pressure And Ageing
With advancing years, the arteries tend to become more rigid . This may change a persons blood pressure pattern, with a higher systolic pressure and a lower diastolic pressure. The higher systolic pressure is important because it can further accelerate the rigidity of the arteries. This state is referred to as isolated systolic hypertension. Although these changes are due to ageing, this is not a normal state and may need medication to control the systolic pressures.
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