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High blood pressure or “hypertension” is responsible for approximately half of all strokes and heart attacks globally. High blood pressure may remain undetected for years owing to the paucity of symptoms in most patients.
A successful treatment strategy begins with an accurate understanding of the mechanisms behind its causation, complications and proposed treatment plans. Majority of patients, in whom a specific cause cannot be identified, are labeled with “essential” or “primary” hypertension.?Some people have “secondary” hypertension where the high blood pressure is a result of another medical problem or medication. It is considered the most important risk factor for coronary artery (heart) disease, being more common than diabetes, cigarette smoking and high cholesterol levels. It can also lead to stroke, atrial fibrillation (irregular heart beat), vision loss, kidney damage, memory loss, erectile dysfunction and peripheral arterial disease (hardening of arteries outside the heart).
If you are diagnosed with any type of high blood pressure, your doctor will review your medical history, conduct a physical examination and recommend routine tests, such as a urine test (urinalysis), blood tests and an electrocardiogram (ECG) — a test that measures the heart’s electrical activity.
Although high blood pressure is a life threatening illness, symptoms don’t develop until our blood pressure becomes so high that the body cannot tolerate it. Commonly reported symptoms are headaches (particularly at the back of the head and in the morning), dizziness, flushing, nose bleeds, fainting episodes, tinnitus (buzzing or ringing in the ears) and impaired vision.
High salt diet, family history (genetics), obesity, cigarette smoking, alcohol intake, decreased physical activity, stress, sleep apnea, old age, medications (steroids, birth control pills etc), narrowing of arteries that supply blood to the kidneys and hormone disorders (pituitary, thyroid, adrenal etc) are some of the factors that can affect your blood pressure. According to American Society of Hypertension (ASH), less than one third of high blood pressure patients are able to achieve the target blood pressure control. Keeping fat intake under 27% of total calories, eating many servings of fruits and vegetables, choosing whole instead of processed grains, including low-fat or nonfat dairy products and small portions of poultry, fish, and nuts as your primary source of protein rather than red meat constitutes the DASH diet (source: New Eng Journal of Med).
Addition of foods rich in potassium (e.g bananas, dairy products, salt substitutes etc) can help lower your blood pressure.
Engage in regular moderate intensity physical activity, such as brisk walking for at least 30 minutes per day. A major study (source: Framingham database) found that hypertension is about twice as prevalent in the obese as compared to the non-obese.
If you are anything like how I used to be, you are popping far too many ibuprofen tablets (Advil, Motrin, Nuprin & Nurofen) for everything ranging from headache, backache and other muscular aches and pains.
Over the past year, my friend Dave at PaleoHacks has been working on a secret cookbook with world-renowned Le Cordon Bleu chef Peter Servold. This site is designed for educational purposes only and is not engaged in rendering medical advice, legal advice or professional services. Please note: If you have a promotional code you'll be prompted to enter it prior to confirming your order. If you subscribe to any of our print newsletters and have never activated your online account, please activate your account below for online access. When it comes to preventing and treating high blood pressure, one often-overlooked strategy is managing stress. Low back pain has many different causes, including the normal wear and tear that comes with aging. Mobility — the ability to move purposefully around your environment — is vitally important to health and well-being. If a growth or mole looks like a melanoma, the doctor will take a biopsy to confirm the diagnosis. An overactive bladder (also known as urge incontinence) causes a sudden urge to urinate, even when your bladder isn't full. It might seem like retirement is a time to take it easy and devote yourself to gardening, golfing, and napping. Sleep shortfalls can lead to a range of health problems, from being more likely to catch a cold or gain weight to increased risk of developing heart disease or diabetes. To bring blood pressure under adequate control, it may require taking one or more medications (in addition to exercising and eating a healthy diet). The "sweet spot" for blood pressure control in older adults is a systolic blood pressure between 130 and 150 mm Hg. The recent recommendations were based on evidence that if you take people with systolic blood pressures of 160 and higher and give them drugs to reduce it below 150, those people get more health benefits than the treatment "costs" them in side effects.
However, he adds, "I wouldn't go too low." Forcing a blood pressure between 160 and 180 down to anywhere near 120 could require excessive amounts of medication and could cause dangerous side effects. What is hypertension?Hypertension, or high blood pressure, is a common condition that will catch up with most people who live into older age. To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements. Obstructive Sleep Apnea (OSA): The more common of the forms of apnea, is caused by blockage of the airway, usually when the soft tissues in the back of the throat collapses during sleep.
The Mallampati Score System has been used for more than 20 years as an oral airway classification system.
If patient is neither compliant with the Oral Appliance nor CPAP Therapy then an ENT specialists can be consulted to perform one of few surgeries that have been seen as alternatives. Having identified a link between being obese and being diagnosed with Obstructive Sleep Apnea, Weight Loss has been seen as a possible treatment in helping treat most sleep disorders, including Obstructive Sleep Apnea.
Associated with the cardiovascular system, systematic circulation is responsible for transporting oxygenated blood away from the heart to supply the rest of the body. Portal: This route takes blood away from the digestive system and transports it to the liver, regulating blood glucose concentrations. Coronary: In this route, blood from the heart is transported to the heart wall muscular layer to provide the oxygen necessary for the heart to pump blood. Foetal: In pregnant women, this route delivers nutrition and oxygen to the foetus from the mother’s bloodstream.
Reduced brain function: Approximately one fifth of the blood required by the brain to function properly is received from blood transported through the heart. Compromised nutrient supply: Blood carries crucial nutrients throughout that body and in areas of poor circulation cells may die due to an inadequate supply of nutrients.
Despite the prevalence and seriousness of poor blood circulation, there are some simple measures that can be taken to improve this condition. The American scientific community declared NO as the ‘Molecule of the Year’ in 1992, and in 1998, a Nobel Prize was awarded to the scientists that discovered its role as a critical signalling molecule. Nitric oxide is naturally produced within the endothelial cells that occur within blood vessels. Essentially, NO supports optimal blood circulation and improves the body’s overall performance2. In order for the body to manufacture NO it must be able to convert the amino acid arginine.
It’s possible to boost NO levels by increasing citrulline intake to facilitate arginine conversion. There are many supplements on the market that combine arginine and citrulline in order to help individuals boost their NO concentrations. Once Arginine gets absorbed in the body, it travels into the bloodstream, where it can convert into NO. As a potent antioxidant, Pine Bark Extract can also help to fight free radicals that cause disease and aging. By including foods rich in arginine and citrulline into your diet you can help to optimise blood circulation and decrease the damaging effects of poor circulation.
Rich food sources for citrulline include watermelon, cucumber, cantaloupe, beans, onions, garlic, eggs, fish (especially salmon, haddock and tuna) and poultry. Poor blood circulation has numerous negative side effects on our body, some of which can lead to life threatening diseases. While NO occurs naturally in our body, its availability is closely linked to the amino acids arginine and citrulline.
That said, anyone with poorly treated or un-diagnosed hypertension at least doubles his or her risk of developing stroke, heart disease and kidney failure — “the silent killer”. It is always given as two numbers, the systolic (top number) and diastolic (bottom number) pressures. The doctor may also recommend additional tests, such as fasting cholesterol and sugar levels, a kidney ultrasound and an echocardiogram (ultrasound of the heart).
Therefore, we shouldn’t make the mistake of assuming that symptoms will alert us to a high blood pressure. While there is no cure, high blood pressure is manageable and lifestyle changes form the fundamental basis of any blood pressure lowering plan. An analysis of 25 controlled studies showed approximately 1 mmHg drop in blood pressure for each kilogram lost (source: Hypertension journal). Three keys to success are setting realistic goals, following a healthy diet, and aiming for 30 minutes of physical activity most days of the week. Alcohol intake should be limited to less than two alcoholic drinks per day in men and one drink per day in women. Keeping notes, putting mobile phone alarms and friendly reminders from close relatives and friends can help you adhere to medication regimes. Asaad is currently completing his advanced cardiology fellowship from Harvard Medical School. If you feel that you have a medical problem, you should seek the advice of your Physician or health care Practitioner.

Many end up taking medication to prevent heart attacks, heart failure, stroke, kidney failure, and erectile dysfunction.
But taking multiple medications—besides being more expensive and inconvenient—multiplies the chance of side effects. The older you are, the greater the chance that drug therapy could overshoot the mark and trigger blurry vision, confusion, dizziness, fainting, light-headedness, erectile dysfunction, and weakness. Systolic blood pressure—the upper number in a blood pressure reading—measures the force on the arteries when the heart contracts. However, the older you are and the more health conditions you have, the greater the chance of medication side effects.
Many doctors still believe that's what the goal should be for those age 60 and older, but the quality of the evidence for it is not as strong as we would like it to be. Lipsitz says age is indeed an important consideration in decisions about treating high blood pressure, but a more personalized approach is best.
It is intended for general information purposes only and does not address individual circumstances. It is most characterized by repetitive pauses in breathing during sleep, despite the effort to breathe. This is a non-invasive procedure easily conducted by a trained healthcare provider in less than 15 seconds. Oral Appliances help prevent the tongue from collapsing, promoting adequate air intake and keeping the airway open during sleep.
Working with a network of DME providers, we will make sure you are seen quickly for a new mask and or PAP.
Nasal Surgery, UP3, The Pillar Procedure, Hyoid Advancement, Tongue Advancement, Lower Jaw Advancement and Tongue Reduction are all possibilities.
When your circulation system is compromised, you become susceptible to a wide range of health problems. If the blood flow to the brain is compromised, individuals may experience memory loss, dizziness, and unexplained headaches. Not only does this limit the flow of blood from the heart to other organs, it also compromises the heart itself.
This can also compromise the immune system and healing processes throughout the body, leading to disease susceptibility and poor general health.
One very important step to resolve poor circulation is to ensure that the body is receiving enough nitric oxide (NO). It is involved in an array of pathological and physiological processes within the body and plays a vital role in blood circulation. This molecule signals the body to carry out certain functions when it’s released into the bloodstream.
Arginine is also thought to increase the secretion of HGH, human growth hormone, from the pituitary gland6.
How well our body circulates blood is carefully regulated by nitric oxide, with deficiencies leading to poor circulation. It can decrease the risk of developing cardiovascular diseases, improve brain function, enhance nutrient transport throughout the body, and ultimately, increase our body’s performance. Each time the heart beats the blood pressure is at its highest and this measurement constitutes the “systolic” pressure whereas the “diastolic” reading indicates the pressure maintained in the arteries while the heart rests between beats. These interventions can drop the systolic blood pressure by 7-12 mmHg points (source: Harvard Medical School, Mayo Clinic). Also, making it socially interactive by exercising with your spouse or friend helps keep interest.
Limiting the amount of alcohol to this quantity is expected to reduce the systolic blood pressure by 2-4 mmHg points (source: Hypertension journal). Adherence to lifestyle modifications and prescribed medications along with regular checkups with your doctor can help you trump the blood pressure menace.
Reproduction or Misrepresentation of material available on this website in any form of infringement of copyright if prohibited. The American Heart Association rejected the idea, and five of the 17 members on the NIH panel later publicly dissented with the majority opinion. But in men 70 and older, cardiovascular risk may begin to rise if medication reduces systolic blood pressure below 130 mm Hg.
In an individual, the amount of disease-prevention bang you get for your medication buck depends on how high your pressure is to start.
When it's too high, it increases the heart's workload and can cause serious damage to the arteries. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
Individuals with OSA rarely are aware of their difficulty in breathing, during their sleep, even upon awakening. The risk of having OSA increases two-fold as you move up in class on the Mallampati Scale (as pictured above) so those classified as a Class IV are at an eight-fold chance. Click the button below to take a test that should take no more than 5-10 minutes to complete in the comfort of your own home.
The Narval ( Pictured ) is one of the many oral appliances that have been manufactured to help in the treatment of Obstructive Sleep Apnea.
Blood carries these vital elements throughout to the body to nurture organs, tissues and cells.
One of the best ways to help improve blood circulation naturally is to make changes to your diet and exercise regularly. Lifestyle factors such as tobacco and alcohol use, poor nutrition, lack of exercise and unmanaged stress, can all contribute to blood circulation problems.
It is also advantageous for individuals suffering from cardiovascular disease and high blood pressure 3.
Therefore, NOS acts as a limiting factor on the amount of Arginine that can convert into NO.
Other arginine rich foods include nuts, whole grains, seafood, eggs, sesame seeds, legumes, spinach, poultry, pork and red meat. Through our diet, it’s possible to elevate the production of NO and promote healthy blood flow. A balanced diet containing arginine and citrulline will also contribute to an overall well-being through supporting other important processes within our body.
With an estimated 140 million men suffering from impotence, Viagra has gained much popularity; its competitors include tadalafil (Cialis) and vardenafil (Levitra). Regular aerobic exercise can decrease systolic blood pressure by 4-9 mmHg points (source: Mayo Clinic). Over time, uncontrolled high blood pressure increases the risk of heart disease, stroke and kidney disease. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. If a male patient is to have a neck circumference of 17 inches or greater, or a female patient has the neck circumference of 16 inches or greater, may also be noted as a possible factor in screening for OSA. Hypertension elevates the risk of developing coronary artery disease (atherosclerosis) because of the associated damage to the arteries. The associated improvements in blood circulation can also help to treat mild erectile dysfunction in men without having to resort to drugs such as Viagra4.
If you are already taking medication to lower blood pressure, it’s highly recommended that you consult a physician before taking arginine and citrulline supplements.
Taking Pine Bark Extract (also known as Pycnogenol in the USA) increases the activity and amount of NOS available to catalyse the conversion. About 50 percent of men suffering from ED are believed to be caused by medical conditions such as diabetes, heart disease, stroke and others. Hypertension harmHigh blood pressure is sometimes called a silent killer because it usually causes no symptoms. The effects of high blood pressure on the body increase the risk of congestive heart failure, blindness, stroke, and kidney disease.
For most men with ED, this medication works well and causes few side effects.Over the years, Viagra has gained popularity not just for men suffering from ED but also among young adults.
Internally, it can quietly damage the heart, blood vessels, eyes, brain and kidneys if left untreated. The trade name “Viagra” has been widely recognized in pop culture because of its association with treating ED.
With the belief that this medication can boost libido, enhance sexual performance, or help permanently increase size of the penis, recreational use of this drug has become apparent. This is also the reason why Viagra is available only with prescription.Currently, Viagra is exclusively manufactured by Pfizer. There is no generic form of sildenafil on the market although it is supplied in a different brand name – Revatio. The lower number (diastolic) measures pressure at rest between heartbeats, when the heart refills with blood. Occasionally, kidney or adrenal gland disease can lead to hypertension but in most cases, the underlying cause of hypertension is unknown.
Prehypertension: A warning signPrehypertension is where blood pressure is consistently just above the normal level, falling anywhere between 120 and 139 for systolic pressure or 80 to 89 for the diastolic pressure.

People in this range have twice the risk of developing heart disease than those with a lower reading. Specifically, Viagra inhibits the action of the enzyme phosphodiesterase-5 (PDE5) which destroys cyclic guanosine monophosphate (cGMP).
The longer this compound stays, the more prolonged penile erection is.Viagra does not increase your libido and it does not instantly cause an erection. This is why it's important to get your blood pressure checked on a regular basis as often as advised.
Who gets high blood pressure?High blood pressure becomes more common for both men and women with increasing age. This medication only helpsHow to Take ViagraRead your prescription label or the patient information leaflet carefully. You have a greater risk if a close family member has high blood pressure or if you have diabetes. Allow at least 24 hours before taking each dose.Avoid eating high-fat meal as it can delay the onset of this medication. Grapefruit and grapefruit juice should also be avoided.Usually, your healthcare provider will start you with the lowest dose of Viagra. Hypertension and racePeople of African-Caribbean origin are more likely to develop hypertension - and to develop it at a younger age. Each patient is given a unique dosage based on their response to treatment.Important Things To Remember When Using ViagraTell your healthcare provider if you use nitrate drug for chest pain (angina) or heart problems. Hypertension and saltSalt can raise blood pressure by causing the body to retain fluid, which leads to a greater burden on the heart. Combining sildenafil with nitrate drugs can lead to sudden and potentially life-threatening drop in blood pressure.If you experience dizziness, or pain, tingling, or numbness in your chest, neck, jaw or arms while engaging in sexual activity, stop and contact your healthcare provider right away. Government advice is that adults should consume no more than 6g of salt a day - around one full teaspoon. These symptoms may indicate serious side effects of Viagra.If you experience painful erection that lasts longer than 4 hours, contact your healthcare provider immediately or seek emergency medical help. This condition is known as priapism and cause damage to your penis.Viagra has been associated with vision loss due to NAION. Inform your healthcare provider if you experience any change in vision after taking Viagra. Hypertension and stressStress can make your blood pressure spike, but it's unclear whether it directly causes high blood pressure as an ongoing condition.
However, stress may lead to other unhealthy habits, such as an unhealthy diet, alcohol use or smoking, which can contribute to high blood pressure and heart disease.
It treats erectile dysfunction in men by increasing the body’s nitrous oxide levels which leads to a relaxing of muscles and increase in blood flow to the penis.LevitraLevitra (Vardenafil) tablets are normally prescribed to men who suffer from erectile dysfunction. Hypertension and weightBeing overweight places a strain on your heart and increases your risk of high blood pressure.
This enables them to achieve and maintain erections and experience orgasms more easily during sexual intercourse.AmbienAmbien and it's extended release version, Ambien CR are the brand names for the generic drug Zolpidem. The NHS recommends that men should not regularly have more than 3-4 units a day, and women should not regularly have more than 2-3 units a day. Hypertension and caffeineIf caffeine can make you jittery, can it also raise your blood pressure? It might have a temporary effect, but studies haven't shown any link between caffeine and the development of hypertension.
However, the NHS suggests restricting your caffeine consumption to fewer than five cups of coffee or tea a day to try and avoid blood pressure increases.
Hypertension and pregnancyGestational hypertension is a kind of high blood pressure that occurs in the second half of pregnancy.
Without treatment, it may lead to a serious condition called pre-eclampsia that endangers both the mother and baby. The condition can limit blood and oxygen flow to the baby and can affect the mother's kidneys and brain. Hypertension and medicationCold and flu medicines that contain decongestants are one of several classes of medicine that can cause your blood pressure to rise.
Others include NSAID painkillers such as ibuprofen, steroids, diet pills, contraceptive pills and some antidepressants. If you have high blood pressure, talk to your doctor about what medicines and supplements you are taking that may affect blood pressure. To get a more accurate reading, take your blood pressure at home, chart your readings, and share them with your doctor. It is also a good idea to bring in your home monitor for a check of the device and your technique. Your doctor may suggest you use an ambulatory blood pressure monitoring device for 24 hours.
This consists of wearing a blood pressure cuff attached to an automatic blood pressure machine which takes a series of readings during your normal daily life away from the stress of the surgery. Hypertension and childrenWhile hypertension is more often a problem for adults, even children can have high blood pressure. Children are at greater risk if they are overweight, have a family history of the condition or if they're of African-Caribbean descent. Treatment: The DASH dietYou may be able to lower your blood pressure by switching to a better diet. The DASH diet - Dietary Approaches to Stop Hypertension - involves eating more fruit, vegetables, whole-grain foods, low-fat dairy products, fish, poultry and nuts. Adults should do at least 30 minutes of moderate-intensity exercise at least five days a week. Muscle-strengthening activities are recommended at least two days a week and should work all major muscle groups. Treatment: DiureticsDiuretics are one of the medication choices if diet and exercise changes aren't enough. Also called "water pills," they help the body shed excess salt and water to lower blood pressure.
Some diuretics may deplete your body's potassium, causing muscle weakness, leg cramps and fatigue. Treatment: ACE inhibitorsACE (angiotensin converting enzyme) inhibitors reduce your body's supply of angiotensin II, a substance that makes blood vessels contract and narrow. The result is more relaxed, open (dilated) arteries, as well as lower blood pressure and less effort for your heart. Treatment: ARBsInstead of reducing your body's supply of angiotensin II, ARBs (angiotensin II receptor blockers) block receptors for angiotensin, as if placing a shield over a lock. This blockade prevents angiotensin's artery-tightening effects, and lowers your blood pressure.
Possible side effects include dizziness, muscle cramps, insomnia and high levels of potassium.
Treatment: Calcium channel blockersCalcium channel blockers slow the movement of calcium into the cells of the heart and blood vessels. Since calcium causes stronger heart contractions, these medications ease the heart's contraction and relax the blood vessels.
Take them with food or milk and avoid grapefruit juice and alcohol because of possible interactions.
Treatment: Beta-blockersBeta-blockers work by slowing the heart rate, which means that the heart doesn't have to work as hard. They are also used to treat other heart conditions, such as an abnormal heart rate called arrhythmia.
Side effects can include insomnia, dizziness, fatigue, cold hands and feet, and erectile dysfunction. Treatment: Other medicationsOther medications that relax the blood vessels include vasodilators, alpha blockers and central agonists. Side effects can include dizziness, a fast heart beat or heart palpitations, headaches or diarrhoea. Your doctor may suggest them if other blood pressure medications are not working well enough or if you have another condition. Treatment: Complementary therapiesMeditation can put your body into a state of deep rest, which can lower your blood pressure. These relaxation techniques should be combined with other lifestyle changes, such as improved diet and regular exercise. Be aware that herbal therapies may interact with other medications you take, and some herbs actually raise blood pressure. If you keep it under control, you can reduce your risk of stroke, heart disease and kidney failure.

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