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Silent killer ( hypertension ) HTN

Written By Admin on Thursday, June 2, 2016 | 10:40:00 PM

Hypertension disease:

a person who has sustained systolic pressure of 150mmhg or above and diastolic pressure above 90 or both is considered hypertensive
The tow type of Hypertension :-
Primary Hypertension 
Un known cause .it affects 90% of Hypertensive patients.

Secondary Hypertension :

caused by : 
1– enlargement of the adrenal gland " pheochromocytoma "
2 – Eclampsia 
3 – congenital heart anomalies 
4 – disease of the kidney
primary Hypertension : is characterized by sustained elevation of diastolic blood pressure over of 90 mmhg .

Malignant Hypertension :

specific term used to describe the condition when
has a sudden onset and is followed by severe symptoms and complications
the factors are :-
age : old age more than younger 
obesity 
coffee intake 
smoking 
drugs 
emotional disturbances
sex , affect female more than male

Signs and Symptoms :

dizziness , headache fatigue , insomnia -
epistaxis bleeding from the nose -
blurred vision
 - may experience anginal pain and dyspnea -
- renal symptoms 
including elevated B U N nocturia and creatinine
- prolonged elevation in blood pressure damage blood vessels in the eyes , heart , brain and kidneys . so that it will lead to vision problems . 
coronary occlusion .C H F , renal failure . stroke
diagnostic evaluation . 
health history -
- physical examination 
fndus exam -
( electro cardio gram ) - ECG 
Urine analysis { protein in urine } -
Kidney function test : urea, creatinine -

Treatment :

1- anti hypertensive drug 
Diuretics ex :- lasix
Aldactone 
Methyldopa 
Cholorthiazide
Hydralazine
Propranlol
2- vasodilators 
3- law salt diet 
5- decrease stress and anxiety
6- regular exercise

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