Hypertension: Hypertension is so dramatic

Hypertension: Hypertension is so dramatic

Hypertension: high blood pressure remains dangerous
13.12.2014

Even though more people now know about their high blood pressure, hypertension remains the number one cause of death in this country indirectly. However, the widespread disease would now often be very easy to treat, not only with medication, but also through a healthier lifestyle and home remedies for high blood pressure.

More people know about their high blood pressure. High blood pressure is still one of the greatest health risks in the western world. For example, this places a strain on the vascular system, accelerates the development of arteriosclerosis and increases the risk of heart attack and stroke. As was reported a few days ago, the Germans have their blood pressure under better control than they did two decades ago. At that time, only half of those affected knew that their blood pressure was too high, a quarter were treated and only 10 to 15 percent had a good grip on their blood pressure. As the "Welt" writes in a recent article, Professor Martin Hausberg, chief physician at the Karlsruhe City Hospital, said that "this has now improved". According to the expert, "82 percent of those affected now know of their hypertension, 72 percent are in treatment and 52 percent have passable values," said Hausberg, CEO of the German Hypertension League (DHL).

20 to 30 million hypertension patients According to the experts, it is easier than ever to treat hypertension. There are now over 500 drugs. In the case of interactions that may arise in connection with medications that are necessary due to other conditions, there are sufficient options to avoid them. "And even those who are not optimally in control of their blood pressure, but can only lower it a bit, have already achieved success," says Hausberg according to the "Welt". According to the report, there are still 20 to 30 million hypertension patients. The widespread disease remains the number one cause of death if you take into account that the pressure in the blood vessels leads to a heart attack, stroke and kidney failure hundreds of thousands of times. Every year, more than 140,000 people die in Germany from the consequences of hypertension. "This puts hypertension at the top when you look at the lost healthy years of life," said Professor Jürgen Scholze, director of the medical polyclinic at the Berlin Charité.

Healthier lifestyle As Scholze explained, what has to be understood as high blood pressure has changed several times over the past decades. Based on numerous studies, my researchers can now say that blood pressure does not have to drop below 140/90 mmHg. “For people over 80 years of age, we even assume that lowering the upper value to 150 to 160 is sufficient,” says Scholze. There are basically two ways to get there: healthier lifestyle and medication. The former means, among other things, fighting your own overweight or obesity, giving up smoking, more exercise and a healthier diet, such as less meat, salt and alcohol and more fruits and vegetables. Since stress can also contribute to high blood pressure, relaxation techniques for stress relief, such as yoga or autogenic training, are among the possible aids for lowering blood pressure.

Pay attention to possible drug interactions Doctors only recommend medication if all such measures are not sufficient. According to the “world”, the rule is that those suffering from mild high blood pressure, that is with values ​​up to 160/100, should first try such lifestyle changes for a year. Only when there was no success did the time come for medication. However, since hypertension does not hurt at first, those affected often find it difficult to stick to the measures, and it is much more convenient to take one tablet a day. As the experts in the high-pressure league explained, each patient reacts differently. In addition, some of those affected have additional diseases such as diabetes and are taking other medications that have to be taken into account due to possible interactions. "Some preparations would be counterproductive," said Scholze. "It is therefore important that general practitioners and specialists agree to exchange medication, if necessary, and to keep an eye on the overall situation."

Increasing Obesity and Metabolic Disorders in Children Concerns for medical professionals the increase in overweight and metabolic disorders in children and young adults. Experts have only recently identified two other problems with them: firstly, the increasing consumption of so-called energy drinks with caffeine and secondly, the mass drug treatment of children with attention deficit hyperactivity disorder (ADHD). Both contribute to the increase in blood pressure, according to the report. "Under certain circumstances, drug ADHD therapy does more harm than good," said Charité doctor Scholze. In addition, there has been increased evidence that sick gums damage blood vessels and contribute to high blood pressure. "Gum inflammation, periodontitis, affects the whole body," says Johannes Baulmann, vascular specialist at the University Medical Center Schleswig-Holstein. “The inflammation caused by certain bacteria causes the blood vessels in the body to calcify and age prematurely.” However, if periodontitis is successfully treated, this can stop the calcification and help to lower blood pressure. "It is important that the dentist treats periodontitis and not just removes the tartar."

Further diagnostics in the event of unsuccessful therapy If, despite therapy, the blood pressure has been too high for a long time, it is initially still not known whether the blood vessels are already damaged and whether there is a risk of a stroke or a heart attack. If the hypertension patient carries additional risk factors, such as diabetes or high blood lipid levels, Professor Scholze advises further diagnostics, whereby certain markers can be determined, such as the inflammation indicator CRP in the blood and the protein albumin in the urine. In addition, an imaging procedure, the measurement of the “pulse wave transit time”, can provide information as to whether the vessels are still flexible and healthy or hard and damaged. (ad)

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