Unlike high blood pressure arterial hypertension
Unlike high blood pressure arterial hypertension
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Unlike high blood pressure: Arterial hypertension — Definition, causes and consequences The term hypertension is used in everyday life is often synonymous with arterial hypertension. Scientifically speaking, these terms are not entirely congruent and a differentiated approach for clinical practice is of great importance. Definition and delimitation Arterial hypertension is a chronic condition in which the blood pressure is persistently above the normal value. According to the current guidelines (e.g., the ESH/ESC) is considered to be a systolic value of ≥140 mmHg and/or diastolic ≥90 mmHg as diagnostically relevant. The colloquial term high blood pressure, however, can also include transient increases in blood pressure — for instance as a response to Stress, physical exertion or certain medicines. Such temporary increases physiologically, and constitutes, per se, is not a disease. Causes: Primary vs. secondary hypertension Arterial hypertension can be divided into two large groups: Primary (essential) hypertension: over 90% of cases, no clear known cause can be found. Instead, the multi-factorial influences play a role: genetic predisposition; Style factors (excess weight, unhealthy diet, high salt consumption, lack of physical activity, alcohol consumption) life; Age; chronic Stress. Secondary hypertension: This Form goes back to a specific, identifiable disease. Important causes are: Kidney disease (e.g., glomerular or vascular lesions); endocrine disorders (hyperthyroidism, Cushing's syndrome, Phäochromzytom); Medication side effects (e.g., corticosteroids, NSAIDs, oral contraceptives); Sleep apnea syndrome. Pathophysiological Mechanisms Dieuch in primary as secondary hypertension are involved in several regulatory mechanisms: Renin‑Angiotensin‑aldosterone‑System (RAAS): Overactivity leads to vasoconstriction and volume expansion. Sympathetic nervous system: Increased activity, increases heart rate and vascular tone. Endothelial dysfunction: Decreased production of vasodilating substances (e.g., nitric oxide) ends. Ion transport problems: impaired sodium and Potassium balance. Clinical implications and target organ damage In the long term, increased blood pressure, the cardiovascular System and can cause the following damage: Heart: left ventricular hypertrophy, congestive heart failure, coronary heart disease; Brain: stroke, vascular dementia; Renal: renal impairment, up to and including renal failure; Eyes: retinal vascular changes; Vessels: Atherosclerosis, Aneurysms. Diagnostic and therapeutic approach A reliable diagnosis requires repeated blood pressure measurements, ideally complemented by 24‑hour blood pressure monitoring. The therapy is based on several Points: Style changes: weight loss, DASH diet (low salt life, a lot of vegetables/fruit), regular exercise, reduction of alcohol and nicotine. Drug therapy: ACE inhibitors, AT1‑receptor-blockers, calcium antagonists, diuretics, beta-blockers, often in combination. Treatment of the cause of secondary hypertension (for example, removal of the tumor, treatment of kidney disease). Conclusion Arterial hypertension is more than just a high blood pressure. It is a complex, multifactorial disease with significant health risks. A differentiated delineation of transient increases in blood pressure and the identification of possible secondary causes are crucial for an effective and individual therapy. Early detection and adequate treatment can reduce the risk of target organ damage significantly.
Sa pangunahing (esensyal) na altapresyon, ito ay dahil sa impluwensya ng namamana, hilig sa mataas na presyon ng dugo sa konteksto ng hindi malusog na pamumuhay, masamang gawi, hindi malusog na pagkain, na nagdudulot ng labis na timbang. Dagdag pa ang stress, kalikasan, kakulangan sa tulog at aktibidad. Lahat ito ay negatibong nakakaapekto sa trabaho ng puso at sa tono ng mga daluyan ng dugo. Ang presyon ay unang tumataas nang hindi napapansin at pagkatapos ay mas nagiging malinaw. Unlike high blood pressure arterial hypertension. People have long used Hawthorne berries for treating high bp, heart issues, and cholesterol levels. A number of Clinical research conclude that it improves cardiovascular function, shortness of breath, and fatigue. In another study, 1200 mg hawthorn extract or placebo was taken by hypertension patients for 16 weeks. Those who were taking hawthorn extract had a significant decrease in blood pressure than the other group taking a placebo.
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