Hypertension (High Blood Pressure)
Hypertension is a chronic medical condition in which the pressure of blood against the arterial walls is persistently elevated, increasing the risk of cardiovascular, renal, and cerebrovascular diseases.
Classification of Blood Pressure
| Category | Systolic (mmHg) | Diastolic (mmHg) |
|---|---|---|
| Normal | < 120 | < 80 |
| Elevated | 120–129 | < 80 |
| Grade 1 Hypertension | 130–139 | 80–89 |
| Grade 2 Hypertension | ≥ 140 | ≥ 90 |
| Hypertensive Crisis | ≥ 180 | ≥ 120 |
Clinical Features
- Often asymptomatic (“silent killer”)
- Headache (especially morning)
- Dizziness
- Palpitations
- Blurred vision
- Fatigue
- Shortness of breath (in advanced cases)
Laboratory & Diagnostic Evaluation
- Blood pressure measurement (multiple readings)
- Fasting blood glucose / HbA1c
- Lipid profile
- Renal function tests (Urea, Creatinine, eGFR)
- Serum electrolytes
- Urine analysis (proteinuria)
- ECG ± Echocardiography
- Fundoscopy (for hypertensive retinopathy)
Management
Lifestyle Modifications
- Salt restriction (<5 g/day)
- Weight reduction
- Regular physical activity
- DASH-style diet
- Smoking cessation
- Limit alcohol intake
- Stress management
Pharmacological Treatment
- ACE inhibitors / ARBs
- Calcium channel blockers
- Thiazide diuretics
- Beta blockers (selected cases)
- Individualized therapy based on comorbidities
Complications
- Coronary artery disease / Myocardial infarction
- Stroke (ischemic & hemorrhagic)
- Heart failure
- Chronic kidney disease
- Hypertensive retinopathy → vision loss
- Peripheral arterial disease
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Call to Action
Don’t wait for symptoms. Check your blood pressure regularly.
Early detection and proper management can prevent life-threatening complications.
Frequently Asked Questions about Hypertension:
1. What is hypertension?
Hypertension is a condition in which blood pressure remains consistently elevated.
2. What are the symptoms of high blood pressure?
Most people have no symptoms. Some may experience headaches, dizziness, or blurred vision.
3. Why is hypertension dangerous?
Uncontrolled hypertension can increase the risk of heart attack, stroke, kidney disease, and heart failure.
4. Can hypertension be controlled?
Yes. A healthy lifestyle, reduced salt intake, regular exercise, weight management, and medications can help control blood pressure.
5. How often should blood pressure be checked?
Adults should check their blood pressure regularly, especially if they have risk factors or a previous diagnosis of hypertension.
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