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HYPERTENSION

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What is high blood pressure

(hypertension)?

Hypertensionis a blood pressure that is

more than 140/90 mmHg. Hypertension

can also be:

Just a high systolic pressure

Just a high diastolic pressureOr both

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Classifcation o bloodpressure levels o the British

Hpertension Societ

Brit Med J 004 !":#!4$40.

Category Systolic blood pressure Diastolic blood pressure (mmHg) (mmHg)

Normal

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Tpe o Hpertension!

%rimary hypertension

9&' o( all cases

)econdary hypertension

&' o( all cases*hronic renal disease + most common

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Si"n and S#pto#s

,enerally asymptomatic

undetected (or many years

headache- B% eleated systolic*hest pain

Breathlessness

ausea- omiting

niety- coma

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Tar"et Or"ans $a#a"e

HeartLeft ventricular hypertrophyAngina or prior myocardial infarction

Prior coronary revascularizationHeart failure

BrainStroke or transient ischemic attack

Chronic kidney disease

Peripheral arterial disease

Retinopathy

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TreatmentOverview

oals of therapy

Lifestyle modification

Pharmacologic treatment

Classification and management of BP for adults

!ollo"up and monitoring

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Treat#ent o Hpertension

2iuretic

*3$nh

5B Beta bloc6er

lpha bloc6er

2irect renin inhibitor

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7or patients 8ho are prescribed pharmacological therapy: 3ercise should be prescribed as adunctie therapy

%iestle Reco##endationsor Hpertension! Phsical

&ctivitShould be prescribed to reduce blood pressure

ype 2ynamic eercise$ ;al6ing$ *ycling$ on$competitie s8imming

ime $ 4&$#0 minutes

ntensity $ Moderate

7re

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'oals o Therap

Reduce C#$%Cardio #ascular $isease& and renal mor'idity and

mortality(

)reat to BP *+,-./- mmHg or BP *+0-.1- mmHg in patients"ith dia'etes or chronic kidney disease(

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Conclusion

Hypertension is a blood pressure that ismore than 140/90 mmHg. There are type hypertension! primary hypertensionand secondary hypertension. "enerally

hypertention asymptomatic.Hypertension can damage our brain!heart! #idney! and the others. Treatmento$ hypertension consist o$ li$estyle

modi%cation! pharmacologic treatment!and the others.

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