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How To Control High Blood Pressure

Updated on July 12, 2012

How to manage hypertension

Before I begin in explaining how to manage hypertension, let me begin by giving a little back ground on high blood pressure (hypertension). High blood pressure is anything at or above 140 mm Hg systolic (top number) and 90 mm Hg diastolic (bottom number) so 140/90, for patience that have diabetes mellitus, how to manage hypertension, should be below the 130/90 range. The new classification for “normal” adult Blood pressure is less than 120 mm Hg systolic and less than 80 mm Hg Diastolic. Anything over 120 – 139 mm Hg systolic and 80-89 mm Hg diastolic is now pre-hypertension (pre- high blood pressure. Systolic 140-149 mm Hg diastolic 90-99 mm Hg is now Stage 1 Hypertension (high blood pressure) and Systolic greater than or equal to 160 mm Hg and diastolic greater than or equal to 100 mm hg are now the new standard for how to manage hypertension.

People who are considered pre-hypertensive (pre- high blood pressure) are now in need of lifestyle changes to deter cardiovascular complications, relationship between high blood pressure and cardiovascular events is direct and independent of other factors. The higher the blood pressure the greater chance for coronary (heart), cerebral (brain), renal (kidney), and peripheral (arms, legs, fingers, toes) vascular disease so curbing this disease early is important for longer life expectancy. How to manage hypertension, however, has resulted in major decreases in cardiovascular morbidity and death.

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How to manage hypertension

How to manage hypertension vs. Different Kinds

Essential Hypertension or primary high blood pressure has no known cause but it has many risk factors such as the ones mentioned earlier age greater than 60, family history of High blood pressure, extreme calorie consumption, smoking, and high sodium (salt) intake to name a few with the major risk factor being that of family history. Malignant hypertension (high blood pressure) is a severe type of high blood pressure that rapidly progresses a person could possibly exhibit sever morning headaches, blurred vision, and shortness of breath and/or symptoms of uremia (substances normally excreted in urine that build up in the blood). The ages affected are 30s – 50s and will have a systolic greater than 200 mm Hg the diastolic can be as high as 150 mm Hg. This person needs immediate medical intervention to prevent renal failure, left ventricular failure, or stroke. Secondary hypertension (high blood pressure) is caused by another disease/ condition present in the body. For example Cushing’s disease, Primary aldosteronism, renal vascular disease, and pregnancy cause secondary high blood pressure. Drugs that cause secondary high blood pressure are estrogen, glucocorticoids, mineralocoricoids, and sympathominmetics. How to manage hypertension definitely depends on the type of high blood pressure.

How to manage hypertension

Risk factors for Hypertension

A person’s age, race, family history of high blood pressure, average intake of daily calories, sodium and potassium supplements or foods, alcohol, and exercise habits all play a role in how to manage hypertension. When somebody is diagnosed by a doctor with high blood pressure the person may say “I have not felt any different, how can that be?”, because most people do not have any symptoms. It is possible for some to still suffer from headaches, dizziness, or fainting as a result of increased blood pressure. Some may also show some redness in the face, almost like blushing.

When you go to the doctor they may get two blood pressure readings and average them to get your blood pressure reading for each visit, because blood pressure can vary throughout the day. If there is a problem with changes in blood pressure when lying, sitting, or standing as manifested by systems of dizziness, or fainting, etc. There will be a blood pressure taken while lying, sitting, and standing. Orthostatic hypotension is a decrease in blood pressure, 20 mm Hg systolic and/or 10 mm Hg diastolic, when a person goes from lying to sitting. An examination of the eye can be done by an MD to observe vascular changes in the eye mainly the retina because the retina can be the tell all when it comes to the severity and diagnosis of hypertension.

How to manage hypertension

How to manage hypertension. The body's way

The body has mechanisms to help stabilize itself four of these controls are arterial baroreceptor system, regulation of body fluid volume, renin-angiotensin/aldosterone system, and vascular autoregulation. At the risk of boredom, just know that if any of these systems doesn’t function properly for whatever reason high blood pressure can begin.  The arterial baroreceptors are located in the carotid sinus, aorta, and wall of left ventricle of the heart. Why this receptor fails in hypertension is unknown.  Fluid volume is another control, excess sodium (salt) or water in a person’s system elevating blood pressure if the kidneys are working properly a rise in the pressure will produce dieresis which will eventually work to lower blood pressure by urinating the fluid.  The renin, angiotensin, aldosterone regulate blood pressure chemically.  Just know that an inappropriate secretion of renin from the kidneys can affect blood pressure.

How to manage hypertension

The doctor's visit and how to manage hypertension

During a physical assessment of a person’s entire body it may be possible to determine if the high blood pressure is a result of a more serious immediate condition/disease.  For example with the presence of abdominal bruits (reflecting turbulence of flow), can mean renal (kidney) vascular disease, rapid heart rate, sweating, and pale appearance could be pheochromocytoma (adrenal medulla tumor). Coarctation of the aorta is evidenced by elevation of blood pressure in arms with normal blood pressure in legs, the femoral pulse (Inner  thigh near groin) may be delayed or absent (it should be noted that the femoral pulse can be hard to find even in the healthy adult and should be attempted by a health professional to ensure accuracy.  Again, the above symptoms will be accompanied by hypertension as the primary reason the blood pressure is elevated.

The environment we live in everyday can be a risk factor for high blood pressure.  A person’s job, economic status, and other life stressors in combination with the way that person copes with these stressors can contribute to elevations in blood pressure and should be curbed if possible.

How to manage hypertension using diuretics

How to manage hypertenson using diuretics !

There are three main types of diuretics that are used to lower blood volume and lower blood pressure. Thiazides prevent sodium (salt) and water from reabsorbing in the distal tubules of the kidneys while still promoting potassium excretion.  Hydrochlorthiazide is an example.  Loop duietics lower sodium (salt) reabsorption in the upper portion of the Loop of Henle and allow sodium and potassium excretion.  Lasix is an example. Potassium sparing diuretics act on the distal tubules of the kidney to inhibit reabsorption of sodium ions in exchange for potassium; this allows the potassium to be spared, hence the name potassium sparing diuretics.  An example is Aldactone.  Diuretics should be used with caution as they can increase the effectiveness in lowering high blood pressure when used with anti-hypertensive (high blood pressure drugs) drugs to the point of causing low blood pressure. Even still diuretics are an important part of how to manage hypertension.


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    • profile image


      3 years ago

      I am 23 I have high blood pressure and I am student

    • jagged81 profile imageAUTHOR


      8 years ago from New Mexico

      Interesting, surely much more study is needed for this type of intervention when discussing how to manage hypertension. thanks for your info.

    • Dmitriy bestlife profile image

      Dmitriy bestlife 

      8 years ago from Moscow

      let me say that hypertenson may result from dehidration. And drinking tap or boyyeled water would not help, because one should drink structured water. THe water from a natural spring is good for human organism because it preserves its natural structure. So big city inhabitants should think about water structuring in addition to the water cleaning with the help of filters.

      An easy to usr device for water structuring is created in Russia, and itis described in mymaterials. It is tested that blood presure could be normalised after several days of drinking structured water! It could be as easy as that!

    • jagged81 profile imageAUTHOR


      8 years ago from New Mexico


    • premsingh profile image


      8 years ago

      Excellent hub jagged. Well presented facts.


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