Managing High Blood Pressure

Gordon Cameron asked:


High blood pressure causes major health problems for many people around the world and work goes on all the time to improve the monitoring and control of blood pressure in patients who have the condition. A new study has shown that pharmacists may be very good at keeping an eye on the BP levels in groups of selected patients. A new bit of internet software and a secure Web interface helped control BP in a group of about three thousand American patients.

Those with high BP are at risk of stroke or heart attack if the problem is not brought under better control. Both stroke and heart attack can lead to either early death or a severe deterioration in the quality of life. Smoking, diabetes and a high cholesterol level are also commonly found in those people with high BP and the combination of these factors is extremely dangerous if not dealt with properly.

Many people with hypertension / high BP need to take medication on a daily basis. Sometimes just one tablet a day is enough but in many cases it needs a combination of BP tablets and some medication to lower the cholesterol level too. All of this can result in side effects due to the interactions of the BP drugs with each other and with any other medication that the patient is taking. Almost all of those who take regular blood pressure medications will experience drug related side effects of one sort or another. Common side effects are fatigue, cough and - in men - problems with a loss of sex drive and a loss of sexual arousal due to the BP meds.

Hypertension (the other name for high blood pressure) is often poorly controlled and BP levels often run high even in those who are on medication every day. Research done previously has shown benefit by adding input from a nurse or pharmacist into the patients care pathway.

The research used a home BP monitor with the results supervised by a pharmacist - the patients fed their results into a secure web based form and the pharmacist reviewed the readings and worked closely with each patient. The group studied were all adults between 25 and 75 - all had poorly controlled hypertension but were otherwise well.

The patients were divided randomly into three groups: group one had their usual care; group two had home BP monitoring and secure patient Web services training only but no pharmacist input and group three had the full package of home BP monitoring and Web training plus pharmacist care management delivered through Web communications.

The results showed that there was no real difference in BP readings in the two groups who did not have a pharmacist looking after them - both groups saw no real change in their BP control. But the group with the pharmacy input saw much better results. Fifty percent of the patients developed readings that were normal when they had previously been high all the time.

It looks like Web-based pharmacy care of people with hypertension is feasible and can improve BP control and I suspect we may see a lot more of this kind of thing in the future.



Dora

peterhutch asked:


High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. High blood pressure does not mean excessive emotional tension, although emotional tension and stress can temporarily increase blood pressure. Normal blood pressure is below 120/80; blood pressure between 120/80 and 139/89 is called “pre-hypertension”, and a blood pressure of 140/90 or above is considered high.

There are many causes of high blood pressure, from genetic predisposition to obesity to poor diet, and many other reasons. Some cases are not bad enough to warrant anything more than some suggestions from your doctor about lifestyle and diet choices, while other cases of high blood pressure are so dangerous that you need to be on medication to regulate it. If this is true in your case, here is some simple information to help you better understand commonly prescribed medications:

Diuretics, beta-blockers, ACE inhibitors, angiotensin antagonists, calcium channel blockers, alpha-blockers, alpha-beta blockers, nervous system inhibitors and vasodilators are the high blood pressure medications that you can take as recommended by your doctor. You can take any of these medications, but often, two or more of these drugs work better than one, as long as they are according to your doctor’s recommendation.

Angiotensin II receptor antagonists

Angiotensin II receptor antagonists, also known as angiotensin receptor blockers (ARBs) or AT1-receptor antagonists, are a group of pharmaceuticals which modulate the renin-angiotensin-aldosterone system. Their main use is in hypertension, diabetic nephropathy (kidney damage due to diabetes) and congestive heart failure. No drugs in this class are currently available in generic formulations. Losartan (Cozaar) is the oldest drug in this class and will most likely be the first of the ARBs to become available generically.

Calcium-channel blockers

These drugs affect the way calcium is used in the blood vessels and heart muscle. This has a relaxing effect on the blood vessels. Again, there are various types and brands. For example, amlodipine, diltiazem, felodipine, isradipine, lacidipine, lercanidipine, nicardipine, nifedipine, nisoldipine, and verapamil. Calcium-channel blockers can also be used to treat angina.

Angiotensin Converting Enzyme (ACE) inhibitors

Angiotensin converting enzyme (ACE) inhibitors prevent the formation of a hormone called angiotensin II, which normally causes blood vessels to narrow. The ACE inhibitors cause the vessels to relax and blood pressure drops.

Hyzaar

Hyzaar is a medication used mostly to treat hypertension (high blood pressure) by not only lowering blood pressure but it may decrease the risk of stroke in certain hypertension patients. Hyzaar is a combination drug–angiotensen II receptor blocker and diuretic. It works by relaxing the blood vessels and helping the kidneys to get rid of fluid and sodium in the body. It is often referred to as a water pill



Edwin

knowme36 asked:


I am 21 years old, Male and am from India. I have a high blood pressure of 140/96. I weigh 93 kgs and am obese. I guess my cholesterol levels are also very high. What are the possible dangers I might face ? What corrective actions to take ? My parents also have BP but not very high.

I’ve just started swimming for around 1 hour (30 mts of actual swimming). Is that enough ? Is heart attack at such a young age possible ? Kindly advise.

Julia

Central N.Y. Guy asked:


Aside from the obvious methods of eating right, exercises and lowering salt intake. Are there any natural herbs or remedies that can lower really high blood pressure quickly ? I’m talking really high as in 180 over 110.. Heart attack stroke kinda blood pressure. Thanks for your replies.. God bless you !

Ida

Alvin Hopkinson asked:


Many individuals are put on medications to control their high blood pressure. Depending greatly on the severity of the blood pressure you might be able to discontinue using the medications with some modifications to your lifestyle and diet.

Many doctors will begin a medicinal treatment with mild medications for high blood pressure and sometimes it might be necessary to start off with a more vigorous medication and slowly work down to a mild one.

Understanding the different types of medications and how they actually treat and benefit the condition is important. Throughout this article you will learn the medications that are used for treating high blood pressure and gaining control over it. Generally, all of the medications that are currently being used for the successful treatment of high blood pressure fall into one of five categories.

The category or type of medication your doctor will put you on will greatly depend on a few factors. Among them are the level of high blood pressure you have, existing medical conditions, current medications you take as well as family medical history. Here are the categories:

* Vasodilators

* Diuretics

* Angiotensin II receptor blockers and ACE inhibitors

* Calcium channel blockers

* Beta-adrenergic blocking agents

Let’s start off by discussing the Vasodilators. These are designed to make the veins and the arteries wider, thus allow the blood to flow a bit more freely. In some circumstances a doctor might prefer to combine another medication with a Vasodilator to get your blood pressure to the ideal level and maintain it.

ACE Inhibitors is the next medication we will briefly discuss. These are among the most popular medications prescribed for treating and stabilizing blood pressure. These are designed to successfully relieve the stress of blood vessel contraction as well as regulate the blood flow and decrease the blood pressure. ACE inhibitors will then convert the hormone that is usually inactive into an active hormone.

The next medication is the Calcium Channel Blockers. These decrease the blood pressure because they relax the blood flow and the vessels themselves. The blood generally is able to flow with ease once the medication gets into the individuals system. The relaxation enhances the flow of the blood without stressing the heart.

Beta blockers or Beta-adrenergic blocking agents are often the first choice for many doctors in treating high blood pressure. Basically, this type of medication will minimize the stress on the heart by limiting the work that is needed to be done by the heart.

The number of beats the heart has to do to make sure the blood is pumping is lowered because the heart no longer has to work as hard. This also decreases the intensity of the heartbeats, thus combining all of this the blood pressure is often successfully modified and reduced to a healthy level.

Mild medications for high blood pressure will be determined generally on an individual patient basis. The prescribing doctor will take into consideration several other health related issues before prescribing the best medication for your blood pressure. Be sure you are giving as much information to your doctor as you can about your medical history and your family medical history.

Alvin Hopkinson is a leading health researcher in the area of natural remedies and high blood pressure treatment. Discover how you can lower high blood pressure naturally using proven and effective home remedies, all without using harmful medications or drugs. Visit his site now at http://www.minusbloodpressure.com



Marilyn

Paul Rodgers asked:


 

Blood is carried from the heart to all parts of your body in vessels called arteries. The pumping action of the heart must create enough force to push blood through the major arteries, into the smaller arteries, and finally into the tiny capillaries, where the porous walls permit fluid exchange between the blood and body tissue. The actual mechanisms which explain why the blood pressure is high has to do mainly with the constriction of the small arterioles which are in all of the tissues of the body. The body is usually successful at providing enough blood around the obstruction, but the pressure is low, including the pressure to the kidneys. In this way, that kidney may produce enough blood pressure to satisfy itself, while the rest of the body sees very high pressures as a result.

With high blood pressure, the heart works harder, your arteries take a beating, and your chances of a stroke, heart attack, and kidney problems are greater. It can enlarge the heart, create small bulges (aneurysms) in blood vessels, damage the blood vessels in the kidneys, harden arteries, produce bleeding in the eyes. In this situation, the kidney which is blocked doesn’t “see” enough blood pressure, and releases chemicals causing the blood pressure to go up. If high blood pressure is left unchecked, it can cause blood vessels in the kidneys to become thickened and narrowed, possibly leading to reduced blood supply and reduced kidney function. It is a major cause of kidney failure (renal failure) which may require dialysis Heart Failure is a frequent occurrence in long standing hypertension. Treating and controlling your hypertension can help prevent damage to your heart, brain, kidneys, blood vessels, and eyes.

Experts recommend investigation of patients who seem to be at above average risk on such epidemiological grounds as age and sex or on the presence of symptoms or signs of specific disorders. Many patients eventually require two or more drugs to effectively control their blood pressure. However, in some patients– especially those who have made lifestyle modifications such as losing weight– may be able to modify their antihypertensive medication regimen after hypertension has been controlled for at least one year. In patients with high blood pressure, side effects and costs of medications are also factors which weigh heavily on which agent if any is prescribed. For any number of reasons, patients may not take their drugs as prescribed or may not take them at all.

High blood pressure is a problem that won’t go away without treatment and changes to your diet and lifestyle. The goal of treatment is to reduce your blood pressure to normal levels with medicine that’s easy to take and has few, if any, side effects. Your physician will use both the systolic and the diastolic blood pressure to determine your blood pressure category and appropriate prevention and treatment activities. For the physician, it is a difficult area due to the fact that patients don’t feel bad, yet must be prescribed medicines which can be costly and have side effects which make the patient feel worse than they did prior to treatment. If your blood pressure has remained stubbornly high despite taking at least three medications, including a diuretic, you may have resistant hypertension - blood pressure that is resistant to treatment. If these causes of resistant hypertension aren’t to blame or treatment doesn’t work, talk to your doctor about joining a clinical trial for high blood pressure.

Having high cholesterol increases your probability of having a heart attack and/or stroke. With its circulatory-supporting nutrients, Resterol is your natural means for preventing health complications caused by elevated cholesterol.

 



Adam

Mike Herman asked:


Though the cause of high blood pressure, in the majority of cases, is unknown. This type of high blood pressure is known as “primary or essential hypertension” and ninety five percent of sufferers, more than 70 million Americans, have “primary or essential Hypertension”.

Normal blood pressure has a reading below 120/80. Blood pressure between 120/80 and 139/89 is referred to as “pre-hypertension”. High blood pressure has a reading of 140/90 or above.

Fortunately some of the contributing factors to high blood pressure are known.

Arteriosclerosis is the hardening of plaque along the walls of the arteries is one contributing factor. Another is the thickening of the artery wall and yet another contributing factor for high blood pressure is small arteries.

The other causes are not a single underlying problem but a combination of various factors that have been concluded to be the causes of high blood pressure include:

* Excess alcohol - Alcohol also plays a direct part in your blood pressure. It has been found in several studies, that the higher the alcohol consumption, the higher the blood pressure. However similar studies have also shown that moderate drinkers appear to have a lower blood pressure than non drinkers.

Moderation is the key.

* Excess salt - There is little doubt that salt intake has a direct effect on blood pressure. Both this and the ingestion of dietary potassium have been found to have adverse effects on a person’s health.

High salt intake is considered to be anything more than 5.8 grams per day.

* Diet and Being Overweight - Obesity is another major problem. Overweight people are more liable to have a higher blood pressure than their slim counterpart. The heart and other vital organs have to work harder which leads to added strain.

* Stress - At work or home.

The two most important and affecting factors are high salt intake and genetic tendencies. The first is easily controlled, for the second, diligent monitoring is key.

The only true way of ascertaining whether you have high blood pressure or not is by having it checked by a doctor or even self monitored at home. This is a an easy procedure and every adult should have their blood pressure taken at least on an annual basis if not more often.

Secondary Hypertension

There are a few cases of high blood pressure in which the underlying problem from which it stems is known. This type of high blood pressure is known as ’secondary hypertension’.

Secondary hypertension is said to be caused by kidney abnormality, a tumor or tumors in the adrenal gland, or a congenital defect of the aorta. Treating the underlying cause will usually return the blood pressure back to normal.

Unfortunately of all high blood pressure patients only five percent of people with high blood pressure have ’secondary hypertension’

Adopting healthy lifestyle habits is an essential and effective in both preventing and controlling high blood pressure. Lifestyle changes alone, however, may not be enough it may be necessary to take blood pressure medications.



Cindy