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High blood
pressure -
(hypertension)
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U | High blood pressure (hypertension) is
often called the silent killer because you can have it for years without
knowing it. Blood pressure is determined by the
amount of blood your heart pumps and the amount of resistance to blood
flow in your arteries. Your blood pressure normally varies during the
day. It can even vary slightly with each beat of the heart. It increases
during activity and decreases with rest. Under new, stricter national blood
pressure guidelines issued in May 2003, a resting blood pressure reading
below 120/80 millimeters of mercury (mm Hg) is normal. If your resting
blood pressure is consistently 140/90 mm Hg or higher, you have high
blood pressure. A reading in between these levels places you in the prehypertensive category. Under the new guidelines, a reading of 115/75
is the level above which your risk of cardiovascular complications
starts to increase. Many people may not view a blood
pressure above 115/75 as life-threatening because there are few, if any,
symptoms. But uncontrolled high blood pressure can increase your risk of
stroke, heart attack, heart failure and
kidney failure. Fortunately,
high blood pressure can be detected with a simple test — and once you
know you have high blood pressure, you can work with your doctor to
control it. Symptoms
of Hypertension
The symptoms are
Headache-. Usually occipital and on waking
Dizziness.
Visual problems
Sweating
Tremours
Breathlessness
Numbness or weakness of limbs Related
signs The related signs
are Diastolic is very
important and is grouped as
mild- less than 100
moderate- 100-120
severe-120-140
Gross-more than 140. Peripheral
arterial vessels
Bounding Pulse,
Radial artery hard (whip cord).
Locomotor brachials may be seen. Optic fundi
Retinal changes.
Grade-I:
Mild arteriolar narrowing.
Grade-II:
More marked narrowing and arteriovenous kinking or compression.
Grade-III:
Flame-shaped or circular hemorrhages and cotton wool exudates.
Grade-IV:
Any of the above plus edema of the disc.
Physical Examination
Repeated B.P. examination
Examination of heart
Pulse
Abdomen, for presence of kidney lump
Signs of Cushing's syndrome: Abdominal striae,
truncal
Obesity, moon face.
Fundus examination
High blood pressure
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Treatments
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