Hypertension
Thursday, June 19th, 2008Whats the best medication for palmonary hypertension?
Answer :
pulmonary hypertension is treated with more than one medication because it is a result of more than one problem, this is something you need to decide in consultation with your doctor.
What is the best anti-hypertension drug in this case and why?
MR M.A is a healthy 36-year old obese male.his BP was found of 178/114 mmhg. He is a heavy smoker and drinks 10 or more units of alchohol each evening. He has a sedentary occupation.
what anti hypertension agent coud be used in initial management of his hypertension?
Answer :
First thing is you cannot diagnose hypertension from a single reading. You need at least two more.
If he does have hypertension, the first thing is he needs to stop drinking so much, exercise more, lose weight, and stop smoking. Lifestyle modifications always come first. you wouldn’t let a 300 pound person keep eating 4000 Cal. a day, why would you not counsel this patient to stop his destructive habits?
All of the above answers are at least partially correct. a 36 year old with stage II hypertension should be evaluated for a secondary cause. If one is found then you treat based on that. a Pheochromocytoma would be treated with surgical resection and an alpha 1 and beta blocker. Renal artery stenosis would be treated medically with ACE inhibitors ro angiotensin receptor blockers if possible, otherwise surgical correction would be necessary
Beta blockers and CCBs are no longer recommended as first line agents, he should be put on a or a thiazide diuretic, probably including an ACE-Inhibitor with that high of a blood pressure. If those don’t bring down the BP enough then a CCB or beta blocker would be added.
Is atherosclerotic vascular disease caused by hypertension?
my father recently passed of a heart attack. I just got the death certificate and it said hypertension which i know is high blood pressure and “atherosclerotic vascular disease” which I believe is hardening of the heart arteries. I assume the two are related diseases, in that one caused the other? anyone have any info? and can AVD be caused by inhaling harmful chemicals? like fumes on a job site or something?
Answer :
Atherosclerosis and hypertension are directly related as are kidney disease and retinal disease . In general diet and hypertension team up to cause the hardening ,the HBP by injuring the inside of the ateries and the fat compounds by depositing at the site of the injuries in thick cheesy linings w.hich calcify and restrict blood flow to the heart .
Enviromental air pollution could cause lung ,liver kidney ,dermatological problems but not atherosclerosis
What is the best natural remedy for Hypertension?
I am 40 and have Hypertension for no known reason.
For medication, the doctor gave me Diovian, and Norvasec. These seem to work well. I do get light headed sometimes after taking the Diovian.
Then he gave me the Toprol XL. I started suffering from heartburn; sensitivity to bright lights, and light headedness. I could not sleep (nightmares). I’d get random erections when I was just idling (while driving, or watching TV)
He reduced the Toprol XL, and things got a little more normal. I still could not sleep. So I started taking Melatonin (one when I got home, and one shortly before bed). I discovered my blood pressure went way down. Is this because I am sleeping better, or does the stuff really help my blood pressure?
Melatonin is really cheap. Today I just take Diovian, Norvasec, Melatonin, and B vitamins. I have pretty much normal blood pressure all the time. Once in a while it goes up
What works for you?
Answer :
Hypertensive people can remarkably reduce their blood pressure through nutritional changes. Increasing the amount of vegetables and fruit and reducing the amount of fat and cholesterol will not only reduce blood pressure but can help with weight loss, which also lowers blood pressure.
Eat whole, fresh, unrefined, and unprocessed foods. Include fruits, vegetables, garlic, onion, whole grains, soy, beans, seeds, nuts, olive oil, and cold-water fish (salmon, tuna, sardines, halibut, and mackerel).
Low sodium-high potassium diet. Most people are aware that reducing sodium (salt) intake can help reduce blood pressure. However, that may not be the whole picture. Restricting sodium intake to lower blood pressure appears to work better if accompanied by increasing potassium intake. Keep in mind that reducing sodium intake involves more than not using a salt shaker, but also reading processed and prepared food labels for the sodium content.
Avoid salt, sugar, dairy products, refined foods, fried foods, junk foods, and caffeine.
Eliminate food sensitivities. Use an elimination and challenge diet to determine food sensitivities.
Drink 50% of your body weight in ounces of water daily (e.g., if you weigh 150 lbs, drink 75 oz of water daily).
Hypertension???What are the symtoms???What are the causes???
Answer :
Hypertension can have no symptoms, that is why regular BP checks are so important. Causes are, but not limited to, obesity, too much sodium in the diet, heredity, kidney problems and anxiety.
What are the predisposing factors of hypertension?
Answer :
Cholesterol comes from animal fat like meat, cheese, butter, cream & eggs. Too much cholesterol causes high blood pressure. Eat more vegetables instead.
Secondary Pulmonary Hypertension due to CREST Scleroderma?
Hi everyone, I was wondering if there is anyone out there that has or knows someone that has Pulmonary Hypertension due to CREST Scleroderma? My Mom has just been diagnosed with it, and she is currently on Revatio (20mg 3X’s a day), and she said that she doesn’t really feel any different, she has been on it for about 6 months. Is there any other medicines out there that other people have tried and have they worked for you? Please let me know by replying back to the message, and is there any forums or chatgroups that anyone might know about to talk with people that have this disease? Thanks everyone.
Answer :
okay well i know of one forum that is extremely helpful…
www.roadback.org click on the community tab and then go to bulletin board. the website has to do with ap treatment and people recovering from diseases like ra and scleroderma through this treatment. i can atest to that(i have systemic scleroderma and have done very well on ap) poke around a bit and see if it might be something your mom would consider.
Give adrenaline with caution if presenting with hypertension or hypovolemia..why?
Im a student paramedic trying to learn my drugs…just some questions about adrenaline….Our indications for giving adrenaline pre-hospitally is: croup with life threatening airway compromise, anaphylaxis, asthma with imminent arrest, and cardiac arrest.
Why is hypertension and hypovolemia a precaution for adrenaline? Please answer in as much detail as possible!!
Thank you 
Answer :
Adrenaline increases cardiac output by increasing both heart rate and cardiac contractility (beta-1 agonist effects). It also increases systemic vascular resistance (in both arteries and veins due to alpha-1 and alpha-2 agonist effects).
In administering adrenaline to a hypertensive pt, you risk causing a hypertensive emergency that could manifest clinically in failure of one or more organ systems:
CNS — ischemic stroke (r/t disrupted cerebral autoregulation), hypertensive encephalopathy, and (less commonly) acute intracerebral bleed
CVS — left ventricular failure, myocardial ischemia (caused by increased myocardial oxygen demand), and acute MI
RESP — acute pulmonary edema
GU — acute renal ischemia (again r/t disruption of already taxed autoregulatory mechanisms)
In a volume-depleted (”dry”) pt, administering adrenaline could cause extreme tachycardia (further exacerbating hypotension as the heart becomes less efficient (remember the Frank-Starling law … LVEDP lowers because of poor contractility, low stroke volume and zilch atrial kick)) … and some lethal dysrhythmias (esp. if the pt is hyperkalemic or has a low mag. or ICa++ level).
Of course, as the poster “Fivemgmorphine” pointed out, these are things you need to know and keep in the back of your mind when pushing epi, but if your pt. is having an acute anaphylactic reaction or is otherwise crashing, giving the drug ASAP could literally save a life (it’s the drug of choice for bronchospasm, shock, and angioedema (here I mean swelling of the throat) in severe anaphylactic rxns).
Is hypertension usually a family history?
And nothing can prevent it if both of ur parents, ur grandparents suffered from it? True?
Answer :
Family history is one of the risk factors. The other risk factors that you cannot control are your age (over 65 is higher risk) and your ethnicity (those of South Asian, Black, Aboriginal, or Inuit descent have greater risk).
The best course of action is to live a heart healthy lifestyle to minimize the other risk factors. This includes not smoking, being at a good body weight, eating a heart-healthy diet, exercising, etc.
A website with great information about all of this is http://www.smart-heart-living.com/high-b… and the home page with links to all kinds of great resources at http://www.smart-heart-living.com/index….
I hope this helps… good luck!
How to take care of a hypertensive person?
Answer :
First, of course, is to follow the advice of your health care providers… doctor, nurse, rehab, etc.
In general terms you need to ensure a proper diet and appropriate amount of physical activity.
Cut back on salt… and be aware of all the “hidden” salt (sodium) that you’ll find in just about every packaged or processed food.
Try to eat as much whole food (i.e., unprocessed) as you can.
A good source of additional information can be found on http://www.smart-heart-living.com/high-b…
Hope this helps… good luck!