CureFactor for Hypertension

Hypertension:
Hypertension is a condition characterised by systemic arterial pressure consistently above 140 mmhg systolic and 90 mmhg diastolic. Normal blood pressure is 120/80 mmhg.

ETIOLOGY:
Cause of hypertension is divided into

  • Primary(essential) hypertension.
  • Secondary hypertension.

Cause for primary hypertension are- idiopathic.
Predisposing causes-smoking,mental stress,hyperlipaemia,excessive intake salts,fats,obesity,lack of physical activity.
Cause for secondary hypertension are:

  • Renal cause-chronic renal failure,polycystic kidney disease,hydronephrosis,renal artery stenosis.
  • Endocrine cause-thyrotoxicosis,acromegaly,cushing’s syndrome,hyperaldosteronism,phaeochromocytoma.
  • Neurological cause-brain tumours,cerebrovascular accident(CVA).
  • Other causes are psychogenic,atherosclerosis,polycythaemia,pregnancy.

CLINICAL FEATURES:
Clinically hypertension is charcterised by asymptomatic phase during compensatory phase. symptoms like throbbing headache,giddiness,faintness,sleeplessness,epistaxis,angina pectoris,exertional fatigue,decreasing exercise tolerance,oliguria,nocturnal cough.

COMPLICATIONS:

  • Cardiovascular-left ventricular failure(LVF).congestive cardiac failure(CCF),myocardial infarction.
  • Cerebral-cerebro-vascular accidents(CVA),hypertension encephalopathy.
  • Retinal-hypertension retinopathy.
  • Renal-uraemia.

GENERAL MANAGEMENT:
Treat the cause,stop all the predisposing causes like smoking,mental and physical rest,diet-restrict salt diet,low fat diet,reduce weight if obese,regular moderate exercise.


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