Hypertension


Hypertension (HTN) or high blood pressure, sometimes called arterial hypertension, is a chronic medical condition in which the blood pressure in the arteries is elevated. Hypertension puts strain on the heart, leading to hypertensive heart disease and coronary artery disease. Hypertension is also a major risk factor for stroke, aneurysms of the arteries (e.g. aortic aneurysm), peripheral arterial disease and chronic kidney disease. As per WHO ISH (World Health Organization-International Society of Hypertension) define hypertension as a persistent elevation of blood pressure greater than 140/90 mm Hg. The theme for World Health Day (WHD) 2013 is “high blood pressure.” The goal of WHD 2013 is to reduce heart attacks and strokes.

Ayurvaid's treatment modality for hypertension includes both internal medications and therapies, judiciously administered after considering the patient's individual clinical condition. Therapies like Talam (anointions), Shirodhāra (pouring of medicinal liquid in a particular fashion), virechana(procedural purgation), raktamokshana(blood letting), are often employed. Significant improvement in respect to maintenance of hypertension within normal levels can be brought about by the appropriate treatment. Early intervention with ayurveda helps prevent development of complication.

Signs & symptoms of GOUT

A. Symptoms of Hypertension B. Signs of Hypertension

The disease has been shown to place an enormous burden on society.

Some 600 million people worldwide have high blood pressure and nearly 3 million die every year as a direct result. Yet seven out of every 10 people with hypertension are not being treated adequately, according to WHO and the International Society of Hypertension (ISH). With nearly 100-million affected people, India is on the vitiation verge of becoming the "heart disease capital of the world", experts warn today. Cardiovascular disease is the world's leading killer, accounting for 16.7 million or 29.2 percent of have also been incorporated total global deaths in 2003. The World Health Organization (WHO) estimates that 60 % of the world's cardiac patients will be Indian by 2010. Although it can occur at any age, it begins most often between ages 35 and 65.

Risk Factors

Risk Factors associated with hypertension include the following:

Diagnosis and Lab investigations

Diagnosis

Diagnosis is made clinically by recording the Blood pressure in Sphygmomanometer. A systolic blood pressure ( SBP) >139 mmHg and/or a diastolic (DBP) >89 mmHg is diagnostic. Based on the average of two or more properly measured, seated BP readings.

Testing

Testing is extremely important to determine the stage of the disease and in selection of appropriate treatment options in case of primary hypertension. Prehypertension with systolic of > 120 & < 139 mmHg and Diastolic of > 80 & < 89 mmHg. NOT a DISEASE category. Should encourage Lifestyle modification as this group has an increased risk of becoming hypertensive. Life style modifications include weight reduction adopt DASH dieting plan, regular physical activity like brisk walking for 30min , moderation of alcohol intake.

Stage 1 : hypertension with systolic ranging from 140-159 mmHg and Diastolic ranging fromm 90-99mmHg. Along with lifestyle modifications needs medical intervention too.

Stage 2 : hypertension with systolic of ≥160 mmHg and Diastolic of ≥ 100mmHg. Along with lifestyle the above two needs treatment like dhara and virechana to prevent further complications. Testing can include blood tests and/or ECG, Echo etc to rule of other secondary causes of hypertension, such as Intrinsic renal disease, Renovascular disease, harmonal excess, Sleep Breathing disorder, Pheochromocytoma Coarctation of Aorta, & Hyper/hypothyroidism

Ayurveda Treaments for Hypertension.

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