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HYPERTENSION

TAKE CONTROL BEFORE IT’S TOO LATE

One of the most significant modifiable risk factors for cardiovascular illnesses is hypertension, or elevated blood pressure. 7. In 2015, roughly one in four men and one in five women worldwide had hypertension. 1 If left unchecked, it can lead to a variety of illnesses, including renal failure, atherosclerosis (the blockage of arteries), heart attacks, heart failure, brain-related problems including stroke, and many others.

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Nearly, 10.8% of all deaths in India are attributed to hypertension9.
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Data from 1950 to 2014 showed that the overall prevalence of hypertension in India is 29.8% .

Hypertension is responsible for around 10.8% of all fatalities in India9. Data from 1950 to 2014 revealed that 29.8% of Indians had hypertension overall.

In India, hypertension is a serious issue that places a heavy strain on the healthcare system. The Global Burden of Disease (GBD) study from 2016 found that hypertension caused 1.63 million deaths in India in that one year alone11. GBD data also revealed that high systolic blood pressure was responsible for more than half of deaths from ischemic heart disease (54.2%), stroke (56.2%), and chronic kidney disease (54.5%)12.

One in ten people between the ages of 18 and 25 have hypertension, which is a frequent condition even in younger age groups14.

The fact that a significant part of people are unaware of their hypertension status adds to the complexity of the hypertension epidemic in India. Population increase, ageing, and behavioural risk factors such an unhealthy diet, harmful alcohol use, a lack of physical activity, being overweight, and being exposed to ongoing stress are all blamed for the rising prevalence of hypertension. Patients with diabetes have a 1.5–2 times higher frequency of hypertension than Nearly 33% of persons with hypertension develop diabetes at a later stage in life than those without diabetes. Additionally, it is a double-edged sword for people who have kidney disease because their kidneys are crucial for controlling blood pressure15.

WHAT IS HYPERTENSION OR PRESSURE? TYPES OF HYPERTENSION WHY SHOULD WE CONSIDER HYPERTENSION?

One in ten people between the ages of 18 and 25 have hypertension, which is a frequent condition even in younger age groups14.

The fact that a significant part of people are unaware of their hypertension status adds to the complexity of the hypertension epidemic in India. Population increase, ageing, and behavioural risk factors such an unhealthy diet, harmful alcohol use, a lack of physical activity, being overweight, and being exposed to ongoing stress are all blamed for the rising prevalence of hypertension. Patients with diabetes have a 1.5–2 times higher frequency of hypertension than Nearly 33% of persons with hypertension develop diabetes at a later stage in life than those without diabetes. Additionally, it is a double-edged sword for people who have kidney disease because their kidneys are crucial for controlling blood pressure15.

Primary or essential hypertension is the type of hypertension that, by definition, has no other secondary causes that can be identified. Secondary hypertension is the term used when it develops as a result of another medical condition or the use of additional medications.

Because a person with hypertension may not experience any symptoms, the term "silent killer" is frequently used to describe it. When blood pressure remains high, the heart must work harder to pump blood to other end organs.

Additionally, the end organs receive a lot of blood, which can cause symptoms including breathing problems, chest pain, blood in the urine, and a pounding in the chest, neck, or ears.

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CAN YOU QUICKLY DIAGNOSE HYPERTENSION?

Due to the fact that neither SBP nor DBP are static and are both impacted by the actions of the entire cardiovascular system, hypertension is frequently misdiagnosed or is challenging to manage. A person with normotensive blood pressure exhibits a distinctive pattern known as “circadian” rhythm.

Continuous invasive or intra-arterial blood pressure monitoring has demonstrated that normotensives have a mid-afternoon BP peak followed by a continuous reduction in pressure during the night throughout the course of a 24-hour period. The pressure will often drop to its lowest point about midnight and start to increase again a few hours before the person awakens.

In response to the outside environment, BP changes the most dramatically and rapidly. Physical exercise, emotional stress, and environmental factors are all known to cause significant daily variations in blood pressure. Hormones like melatonin and cortisol, among others, regulate all of these impacts.

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