Hypertension
- A persistently elevated
blood pressure, over 140 mmHg systolic pressure, 90 mmHg diastolic
- Common in obese individuals
because they have more "miles" of blood vessels than thin people.
- Hypertension slowly strains
the heart and damages the arteries. A person can remain asymptomatic for
10-20 years, then suddenly drop dead.
- Prolonged hypertension is
the major cause of heart failure, vascular disease, renal failure and stroke
- 90% of hypertension cases
are primary or essential hypertension, which
has no discernable cause. There are suspected factors however: diet (sodium,
fat or cholesterol intake; potassium, calcium or magnesium deficiencies),
obesity, age, race, genetics, stress or smoking
- there is no cure for primary
hypertension, but it can be controlled through diet, weight loss or drugs
(diuretics, sympathetic nerve blockers, calcium channel blockers)
- secondary hypertension
has obvious causes, such as atherosclerosis, endocrine disorders (Graves’
disease, Cushing’s disease), or excessive renin secretion by the kidneys.
Treatment is directed at the cause.