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. This requires the heart to work harder than normal to circulate blood through the blood vessels. Hypertension is classified as either primary (essential) hypertension or secondary hypertension. About 90-95% of cases are categorized as "primary hypertension" which means high blood pressure with no obvious underlying medical cause. The remaining 5-10% of cases (secondary hypertension) are caused by other conditions that affect the kidneys, arteries, heart or endocrine system.

A proportion of people with high blood pressure report headaches (particularly at the back of the head and in the morning), as well as lightheadedness, vertigo, tinnitus (buzzing or hissing in the ears), altered vision or fainting episodes. These symptoms however are more likely to be related to associated anxiety than the high blood pressure itself. The purpose of producing this clinical management protocol is to achieve conformity in the management of patients diagnosed with hypertension.

high blood pressure
Classification of Hypertension

The classification of blood pressure for adults aged 18 and older is based on the average of two or more properly measured, seated BP readings.

Category

  • Normal
  • Prehypertension
  • Stage 1 hypertension
  • Stage 2 hypertension

SBPmmHg

  • <120
  • 120-139
  • 140-159
  • >=160

DBPmmHg

  • and <80
  • or 80-89
  • or 90-99
  • or >=100

A new category designated prehypertension (systolic BP of 120-139mmHg or a diastolic BP of 80-89mmHg) has been added. Adults with prehypertension are at twice the risk to develop hypertension as those with lower values.

Initial Assessment
Aims
  1. To assess lifestyle and identify other cardiovascular risk factors or concomitant disorders that may affect prognosis and guide treatment.
  2. To reveal identifiable causes of high BP
  3. To assess the presence or absence of target organ damage
Physical Examination
  1. Body mass index (BMI)
  2. ii. Cardiovascular system
  3. Abdominal system
  4. Neurological examination to exclude evidence of cerebral vascular damage
  5. Palpation of thyroid gland
Investigations

  1. Urinalysis for blood, protein and glucose
  2. Blood for serum electrolytes, creatinine, fasting glucose, fasting lipid profile
  3. Electrocardiogram (ECG)
  4. Other tests if indicated

Lifestyle Modifications

Adoption of healthy lifestyles by all persons is critical for the prevention of high BP and is an indispensable part of the management of those with hypertension. Lifestyle modifications can reduce BP, enhance antihypertensive drug efficacy, and decrease cardiovascular risk.

  • Reduce salt intake in your diet
  • Reduce fats in diet
  • Loose weight if over weight
  • Avoid smoking
  • Reduce stress & practice relaxation
  • Increase your physical activity & exercise regularly

Blood pressure measurements should be measured at regular intervals as per doctor's instructions to ensure improvement.

Homoeopathic remedies for hypertension can normalize your blood pressure by stimulating your own body. Your blood pressure abnormality can be because of physical or mental spheres. Only limited medical system does consider these both spheres. Homeopathy is one among these that considered both physical as well as mental symptoms, and thus it can provide effective treatment to normalize high blood pressure.

Our specialized programs at bodhin, relieve patients from all these complaints.