What is hypertension?
When blood pressure is above normal, we call it hypertension. The blood pressure that occurs during the contraction, that is, systole, of the heart – which is popularly known as high blood pressure – does not exceed 140mmHg, and during the relaxation of the heart, that is, diastole, when the heart cavities are filled, it does not exceed 85mmHg. In other words, it can be said that the upper limit of 14 is 8.5 (cmHg). We refer to cases where it exceeds these limits as systolic or diastolic or systolodiastolic hypertension. Normal blood pressure tends to rise from lower levels to these limits with increasing age, without exceeding these limits. However, blood pressure levels exceeding these limits should be considered as hypertension, regardless of age.
How common is it?
In the adult age group, both the Cardiology Society's The "Single Letter Study" conducted by the Turkish Society of Hypertension and the "Prevalence Study" conducted by the Turkish Association of Hypertension and Kidney Diseases showed that the prevalence of hypertension is 35% epidemiologically in Turkey. In other words, one out of every three people is hypertensive. We know that this frequency increases with age in these studies, for example, it is around 70% between the ages of 60-70.
TWhen and how should anemia be measured?
o Blood pressure also varies within normal limits in normal people during the day. The lowest level of blood pressure is in the hours before waking up in the morning while asleep. After waking up, it rises gradually and reaches its highest level in the evening and starts to decrease again during resting hours. Again, in normal people, blood pressure may increase in states of nervousness and excitement or when we make an effort. This variation in blood pressure under normal conditions is also seen in patients with hypertension. Therefore, if an effort has been made, blood pressure should be measured preferably from both the right arm and the left arm, mostly in the afternoon, after resting for a while, and if several measurements are made, the highest values should be taken into account. Consider even the hypertension when we go to the doctor, which we call white shirt hypertension. property and, if necessary, should be treated. High blood pressure first starts as labile hypertension in the initial stages and then settles down.
Can we understand whether our blood pressure is high?
o often dizziness and lightheadedness in hypertensive people Although symptoms such as pain are observed, there may be no symptoms at all. The Prevalence Study mentioned above showed that half of people with high blood pressure are not aware of their high blood pressure. (silent killer). That's why blood pressure should be measured at all ages without complaints.
Is hypertension related to kidneys?
o kidneys are about to keep blood pressure constant They both control salt excretion and secrete a substance called renin, which stimulates hormones that cause narrowing of the vessels. Therefore, it can be said that hypertension is a functional disease of the kidneys. In addition, most kidney patients also have hypertension.
∙SWhat does secondary hypertension mean?
o The most common type of hypertension (90%) is primary or essential hypertension, meaning unrelated hypertension. Apart from this, hypertension is seen in kidney disease, renal artery stenosis or some diseases of the endocrine glands, which we call secondary hypertension.
What are the negative consequences of hypertension?
o Hypertension is a major cause of cardiovascular diseases, cerebrovascular diseases (stroke, cerebral hemorrhage), eye diseases and kidney diseases. leads to Since the first two groups are life-threatening diseases, they are among the deadliest diseases.
Which specialty should a patient with hypertension refer to?
o Hypertension patients are the closest family members should consult a physician or health center physician. If there is a finding or suspicion in terms of secondary hypertension or target organ involvement, it should be directed to the relevant specialties. For example: patients with resistant hypertension, which may be caused by renal artery stenosis or nephritis, If there is a heart disease with blood pressure, a cardiologist or if there is no doctor belonging to these two specialties in your area, you should consult an internal medicine specialist.
Is there any tests that should be done in a hypertension patient?
p>o hypertension patients, regardless of their age, must be examined by the physicians they apply for the differential diagnosis of secondary hypertension (urine analysis and kidney functions), risk factors (such as diabetes, cholesterol) and target organ involvement (ECG, fundus of the eye).
Can hypertension be prevented?
o Although hypertension is a hereditary disease, heredity is especially in terms of salt sensitivity. If we are in the habit of eating less salt and not gaining weight and doing sports from childhood, it is possible to prevent hypertension or at least delay it to older ages.
Should every hypertension patient be treated?
p>o First stage, that is, BP: Between 140-150, in the risk group and/or in patients without signs of target organ involvement, non-drug measures are tried, if no results are obtained within 6 months, drug treatment should be considered.
Are there non-drug measures for treatment?
o The most important measure in the treatment of hypertension is a salt-free diet. 6 gm of salt per day is recommended. In addition, nutrition with vegetables and fruits rich in potassium, losing weight, quitting smoking and exercising are the most important non-drug measures that provide blood pressure control.
What should be known about drug therapy?
p>o There are many drugs in different groups in the treatment of hypertension. All these blood pressure medications are very effective, they only differ in terms of side effects and situations that should not be used. These drugs will be selected according to the age of the patient, the severity of the disease, the comorbidities of the person and the lifestyle. Preferably, a single drug is used, but if necessary, two or three drugs are used together. The most important point is that the patient should comply with non-drug precautions, especially a salt-free diet, while taking these drugs. may city. He should not be afraid of the side effects of the drug, so that he should not stop taking the drug on his own in case of necessity and should talk to his doctor. It should not be forgotten that these drugs should be taken for life, even if blood pressure drops. Ineffectiveness of the drug (tolerance) or long-term use is not expected.
Should blood pressure be immediately corrected in patients with hypertension?
o of heart failure, cerebrovascular disease occlusion or bleeding, rupture of the inner wall of the aorta, and pregnancy, blood pressure does not need to be lowered urgently. Even in elderly people, sudden drop can be harmful and dangerous.
Can hypertension occur with some drugs?
o Hypertension mainly birth control pills and female hormones for gynecological purposes such as rheumatic diseases and some other systemic diseases, steroid hormone preparations such as cortisone, nonsteroidal pain reliever rheumatism drugs increase blood pressure or reduce the effectiveness of the blood pressure medication used.
What is hypertension?
o We call it hypertension when blood pressure is above normal. The blood pressure that occurs during the contraction, that is, systole, of the heart – which is popularly known as high blood pressure – does not exceed 140mmHg, and during the relaxation of the heart, that is, diastole, when the heart cavities are filled, it does not exceed 85mmHg. In other words, it can be said that 14 by 8.5 (cmHg) is the upper limit. We refer to situations where it exceeds these limits as systolic or diastolic or systolodiastolic hypertension. Normal blood pressure tends to rise from lower levels to these limits, not exceeding these limits, with advancing age. But blood pressure levels where these limits are exceeded should be considered as hypertension, regardless of age.
How often is it seen?
o in the adult age group, both the Cardiology Society' Both the "Single Letter Study" by the Turkish Association of Hypertension and Kidney Diseases and the "Prevalence Study" conducted by the Turkish Hypertension and Kidney Diseases Association showed that the prevalence of hypertension in Turkey� �� is also 35% epidemiologically. In other words, one out of every three people is hypertensive. In these studies, we know that this frequency increases with age, for example, it is around 70% between the ages of 60-70.
When and how to measure blood pressure?
o Blood pressure day It also varies within normal limits in normal individuals. The lowest level of blood pressure is in the hours before waking up in the morning while asleep. After waking up, it rises gradually and reaches its highest level in the evening and starts to decrease again during resting hours. Again, in normal people, blood pressure may increase in states of nervousness and excitement or when we make an effort. This variation in blood pressure under normal conditions is also seen in patients with hypertension. Therefore, if an effort has been made, blood pressure should be measured preferably from both the right arm and the left arm, mostly in the afternoon, after resting for a while, and if several measurements are made, the highest values should be taken into account. When we go to the doctor, which we call white coat hypertension, even hypertension should be taken into account and treated if necessary. High blood pressure first starts as labile hypertension in the initial stages and then settles down.
Can we understand whether our blood pressure is high?
o often dizziness and lightheadedness in hypertensive people Although symptoms such as pain are observed, there may be no symptoms at all. The Prevalence Study mentioned above showed that half of people with high blood pressure are not aware of their high blood pressure. (silent killer). That's why blood pressure should be measured at all ages without complaints.
Is hypertension related to kidneys?
o kidneys are about to keep blood pressure constant They both control salt excretion and secrete a substance called renin, which stimulates hormones that cause narrowing of the vessels. Therefore, it can be said that hypertension is a functional disease of the kidneys. Also, most kidney patients have hypertension.
What does secondary hypertension mean?
o&nb
Read: 0
