PULMONARY HYPERTENSION

Pulmonary Hypertension (P.H.) is a lung disorder. When the blood pressure levels in the pulmonary artery, vein, or capillaries is increased, it leads to disease known as the lung vasculature, which lead to fainting, dizziness, shortness of breath or other various symptoms. They all are exacerbated by exertion. Pulmonary hypertension can essentially be divided categories:

  • Primary pulmonary hypertension (PPH), which cannot be attributed by specific cause
  • Secondary pulmonary hypertension (SPH), where there is a known cause, like bronchitis or emphysema.

high blood pressure and pulmonary hypertensionPPH is referred to as pulmonary arterial high blood pressure or by another recent name, Idiopathic Pulmonary Arterial Hypertension (IPAH). The net effect of this increased blood pressure may tighten the interior passageway of the arteries, which constricts the arterial flow. The arterial walls may become thick resulting in scar tissues, which further narrows the arteries. Blockages result from the blood clots and in extreme cases the right ventricle ceases to function in the right way causing heart failure and eventual death of the patient. P.H. may also be accompanied by left ventricular dysfunction. Moreover, as high blood pressure is difficult to identify, Pulmonary Hypertension affects 1 of 3 adults in the United States alone. Unfortunately, PH has no known cure. There are a large variety of very specialized P.H. treatment options available, which are effective in reducing Pulmonary High Blood pressure symptoms by enhancing daily activity, reducing blood pressure, and most importantly, which would increase the patients’ life expectancy. p.H. symptoms include dizziness, tiredness, breathing difficulty, fainting, inflammation of legs and ankles, bluish lips and chest pain.

Unfortunately Pulmonary Hypertension prognosis is poor and there is no known cure for this condition, though some methods like lifestyle changes, medication, lung and heart transplants have been effective in pulmonary high blood pressure treatment. Treatment also includes use of anticoagulants, which bring about some improvement of quality of life of patients suffering from P.H. over and above the anti-clotting medication prescribed by doctors, there are some other drugs used in pulmonary hypertension treatment. These include calcium channel blockers and vasodilators. Recently the use of Viagra (Sildenafil) has been seen to provide satisfactory improvement to conditions of P.H., but it is still awaiting approval for formal use in the treatment of the condition.

Usually, pulmonary Hypertension causes remain unknown but generally attributed to genetic or familial factors, diseases of the immune system or over exposure to drugs/chemicals’ There are several drugs like cocaine, amphetamines and diet drug Fen Phen have been associated with causing P.H.

One should consider who is most susceptible to the disease. While no age, race, gender or ethnicity is completely exempt, if one is a woman or a young adult, one may face a higher risk. In fact, women are twice as likely to suffer from pulmonary hypertension as men are. Some forms are passed on genetically, so one may also be at high risk if the family has a history of the condition. pulmonary hypertension can also be caused by a number of other medical conditions such as suffering from a liver disease, rheumatic disorder, lung condition, thromboembolic disease or a heart condition such as aortic valve disease, mitral valve disease, left heart failure, or congenital heart disease, extra diligence when looking for symptoms is recommended. A shortage of oxygen due to obesity, sleep apnea or even because one lives at a high altitude, can also lead to pulmonary hypertension.

WHAT IS HYPERTENSION?

Hypertension is the medical term used to describe high blood pressure. The two terms are often used interchangeably, but typically, the term ‘high blood pressure’ is used when referring to a blood pressure reading consistently above 140/90 mmHg. The term ‘prehypertension’ or ‘pre-hypertensive’ is used when the systolic (top number) reading is consistently between 120 and 139 or the diastolic (bottom number) reading is consistently between 80 and 89. Those in the pre-hypertension range are more likely to develop high blood pressure.

High blood pressure or hypertension

When the underlying cause of high blood pressure is not determined, it is classified as ‘essential hypertension.’ It’s also referred to as ‘primary hypertension.’ Of those patients with high blood pressure, 90-95 percent are diagnosed with essential hypertension. The medical expression, ‘idiopathic’ is also used to describe an illness without an obvious cause. When the cause of hypertension is clearly identified or determined, it is diagnosed as secondary hypertension. This diagnosis can be the result of a number of health issues, including medication side effects, some types of cancers and tumors, kidney problems.

Hypertension is a common medical problem experienced during pregnancy. This type of hypertension is classified into the four following categories:

  • Chronic hypertension
  • Preeclampsia-eclampsia
  • Preeclampsia superimposed on chronic hypertension
  • Gestational hypertension

Hypertension may be a risk factor for kidney disease, heart disease, stroke and vascular disease. people with hypertension have a risk of suffering heart attacks and strokes, since it puts a strain on the heart by increasing its need for oxygen. Hypertension can be caused due to several factors. Some factors include hereditary or genetic tendencies, environmental factors, unhealthy eating habits, stress, smoking, and lack of exercise. Other factors that affect the blood pressure are salt content in the body, volume of water in the body, level of various hormones, and obesity.

HYPERTENSION SYMPTOMS

Hypertension can lead to other serious ailments like kidney and eye problems. It is best to have the blood pressure checked so that one will know if it is within the normal level.

  • The presence of blood in urine
  • Chronic or severe headaches
  • Palpitations or irregular heartbeat
  • Irregular Heartbeat – If one feels the heart beating irregularly, call the doctor immediately.
  • Blurred Vision
  • This is a classic hypertension symptom.
  • Confusion – Buzzing In The Ears
  • Blood in the urine

High blood pressureThese are just some of the possible symptoms and signs of a dangerous level of hypertension. It’s important to note that these symptoms can have numerous possible causes but must never be ignored, especially when a blood pressure check is so easy to do. If one is suffering from high cholesterol, the situation becomes more complicated. When there is excess cholesterol in the blood, the excess can become trapped in the inside walls of the arteries, clogging arteries and restricting blood flow. This over time will build up and narrow the arteries and slowing or even blocking the flow of blood to the heart muscle. So not only high blood pressure is the leading cause of heart diseases, but there is a direct connection between it and elevated cholesterol. Do not complicate things by eating food high in cholesterol. One must avoid cholesterol in foods and manage the levels in the blood.

Extreme hypertension gives morning headache, blurred vision, dyspnea (breathing difficulties) and elevated values of certain components in the blood, like urea and serum creatinine. Hypertension will in the long run hurt the blood vessels, and serious hypertension can do extensive damage to the blood vessels in a few months or years. Hypertension symptoms are too easily overlooked.

One of the biggest reasons that risk factors are so important is that the symptoms of hypertension normally do not manifest in an obvious way. Most people who have undiagnosed hypertension experience no symptoms at all until the problem is serious. With serious hypertension an individual may experience dizziness, nose bleed, or headache. Even these symptoms are so mild that most people would not be alarmed by them. This is one main reason why hypertension can be so dangerous.

Once, doctor said that one positively have hypertension, then it is nothing to lose if one tries using 3 easy exercises to naturally normalize blood pressure below 120/80 in less than a week. No side effects, no medical cost.

HYPERTENSION TREATMENT

Causes of hypertension that can be addressed by natural hypertension treatment include anxiety, tension, stress, over-emotional reactions such as anger, jealousy or shock as well as vital organ malfunctions. Systolic pressure naturally increases in some people, but hereditary factors in addition to poor diet can greatly contribute to the onset of hypertension. In order to determine the presence of hypertension and possible address with natural hypertension treatment individuals should be aware of the symptoms.

Natural hypertension treatment can be accomplished with strict dietary regime, proper amount of sleep and consistent sleep pattern, appropriate amount and level of exercise and avoiding stress. Along the lines of diet people with hypertension or at risk of developing it should avoid spicy foods, salt, chocolate and other sweets, hydrogenated oils, foods high in carbohydrates and limit red meat. Food items beneficial for natural hypertension treatment include parsley, alfalfa, garlic and other types of herbs that further research could bring to light for one searching for a natural hypertension treatment. Naturally, a doctor should be consulted before taking any homeopathic remedies.

Some patients may resort to herbal remedies and treatments such as raw garlic. A qualified doctor, however, will be able to provide one with a range of safe and successful hypertension treatments. When deciding upon a treatment, it’s important to consider the patient history and the fact that not all medications are a good fit and therefore not a default for all hypertensive patients.

HYPERTENSION MEDICATIONS

High blood pressureThere is a world of different medication used to treat hypertension. A few of the common drug medications used to treat hypertension are different groups of ace inhibitors, angiotensin II receptor antagonists, calcium channel blockers, diuretics (also called HCTZ), alpha blockers, beta blockers, and combination products (usually containing HCTZ and one other drug)’ The aim of anti-hypertensive drugs (drug medications used to treat high blood pressure) should be to lower blood pressure to <140/90 mmHg or lower for most patients. Changes in one’s lifestyle are the best hypertension medication. Lifestyle changes like, weight loss, lowering alcohol intake, decreasing sodium (salt), increasing fruit and vegetable consumption, and cutting back on smoking. These lifestyle changes are enough to reduce mildly elevated blood pressure without any additional treatment. Though all anti-hypertensive drugs have negative effects, there are a few out there with minimum.

  • Thiazides or ACE-inhibitors are the first line of treatments for hypertensive patients, because compared to other anti-hypertensive drugs, they have minimum side effects. Some guidelines state that patients over 55 years and African American patients should start on calcium blockers or thiazide diuretics, while younger patients of other ethnicity should begin drug treatment with ACE-inhibitors. Thiazide diuretics are effective and much more affordable than other drug medications. Thiazide diuretics also include negative effects, like hypercholesterolemia, and impaired glucose tolerance with consequent increased risk of developing type 2 Diabetes. When taking any antihypertensive drug it is recommended to take low doses. There is clear evidence showing that low doses decreases the potential of any negative effects. Thiazides have been combined with a potassium agent, but it isn’t clear if this combination has an advantage over the use of low doses. However, diuretics in combination with potassium supplements or potassium sparer may show some favorable results. Serum potassium should be checked within 4 to 5 weeks of starting low-dose thiazide therapy. Beta blockers are less effective compared to thiazides but can be used as an alternative or supplementary therapy to thiazide diuretics.
  • Long acting dihydropyridine calcium antagonist drugs can be used for elderly hypertensive patients, but there is proof that long term efficiency and safety is lacking for many drugs in this group. Long acting dihydrpyridine calcium antagonists can be used as alternative therapy to thiazide diuretics or supplementary to other therapy, particularly in patients with isolated systolic hypertension. Short acting dihydropyridine calcium antagonists should be avoided, never use them, because there has been no study on how these can benefit you.
  • Pulmonary Arterial Hypertension is treated with a variety of medications. The Prostacyclin Analogues enables the vessels in the lungs to expand. More so, the drug allows the blood to move freely without resistance. The Endothelin Receptor Antagonists reverses the effects of endothelin which causes the vessels to constrict.
  • Another drug to treat Pulmonary Hypertension is Anticoagulants. This drug is used to assist with the prevention of blood clotting. Diuretics and Oxygen are also used to treat the rare disease. Keep in mind; most of these drugs have major annoying side effects that can be potentially dangerous if dosages are not effectively monitored.
  • Surgery is generally the treatment for Chronic Thromboembolic Pulmonary Hypertension. Pulmonary Thromboendarterectomy is the surgical procedure that is very effective for treating this form of the disease. This is why it is so important that it is diagnosed accurately and in a timely manner.