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Hypertension

What Causes High Blood Pressure?

A rise and fall in your body’s blood pressure is something to be taken seriously. This can happen throughout the day, depending on your activity and physical state. When you have high blood pressure, you are at risk of other life-threatening medical problems. High blood pressure can also occur with other health conditions, such as arthritis.

You can manage your health better by knowing the causes of various conditions. Continue reading to find out more about the causes of high blood pressure.

What Is High Blood Pressure?

High blood pressure, or hypertension, is abnormally high systolic and diastolic blood pressure. These two numbers indicate the pressure in the arteries, the vessels carrying blood from the heart to the rest of the body. Systolic blood pressure is the first or higher number. It measures the pressure when the heart beats. Meanwhile, diastolic pressure, the second number, measures the pressure between beats, when the heart rests. Your doctor can determine if you have high blood pressure based on blood pressure readings that check these numbers.

This condition usually has no severe symptoms, particularly in the early stages. You may feel headaches, nosebleeds, or shortness of breath when your blood pressure becomes severely high.

Types and Causes of High Blood Pressure

There are two types of high blood pressure, depending on the cause. Your family doctor may examine your medical history to determine what causes your hypertension.

●     Primary Hypertension

Most adults suffer from primary or essential hypertension. This type of high blood pressure has no definite cause and gradually develops over time.

●     Secondary Hypertension

Secondary hypertension appears more suddenly. This type of hypertension occurs because of another underlying medical condition in the heart, kidneys, or endocrine system. Examples are arthritis, thyroid problems, problems in blood vessels, obstructive sleep apnea, and more.

Risk Factors Causing High Blood Pressure

Some factors increase the likelihood of having high blood pressure. Although these do not directly cause hypertension, you should monitor your blood pressure closely if you are associated with these risk factors:

●     Age and Gender

Hypertension can affect people at any age. However, the likelihood of acquiring it increases as you get older. Although less common, children may also suffer from hypertension. Poor lifestyle habits and kidney or heart problems can contribute to hypertension in the younger population.

●     Family History and Race

Genetics can play a significant role in developing high blood pressure. Hypertension tends to run in families. According to studies, people of African descent may also develop the condition earlier than others. They are also more likely to develop serious complications such as heart attack, stroke, and kidney failure.

●     Physical Activity

Physical inactivity is generally associated with a higher heart rate. It causes the heart to work harder and produce more intense contractions, leading to hypertension.

●     Weight

Increased weight means the body needs more blood supply and oxygen. When there is increased blood flow in the arteries, the pressure against the artery walls may also increase.

●     Diet

The nutrients in your diet, such as sodium and potassium, can affect your blood pressure. Too much sodium or salt can promote fluid retention in your body, resulting in increased blood pressure. Low potassium levels due to improper diet or dehydration can lead to sodium buildup in the blood.

●     Use of Tobacco and Drinking Alcohol

The use of tobacco products does not only temporarily raise your body’s blood pressure immediately, it can also cause the narrowing of artery walls, leading to permanent damage. Alcohol consumption can also lead to heart damage, especially if the intake is more than one to two drinks a day.

●     Stress

High levels of stress are associated with a temporary spike in blood pressure. Stress-related habits or coping mechanisms such as binge eating, smoking, or drinking alcohol can also cause a permanent increase in blood pressure.

●     Pregnancy

Pregnant women may suffer from gestational hypertension or pregnancy-induced hypertension, or preeclampsia. This condition can pose serious risks before, during, and after birth.

●     Use of Certain Medications

Some birth control pills, pain relievers, cold medications, decongestants, and prescription drugs may affect the body’s blood pressure. Illegal drugs such as cocaine and amphetamines can also cause hypertension.

Treatment For High Blood Pressure and Arthritis in Wellington, FL

High blood pressure affects your overall health in many ways. It should be diagnosed and treated as soon as possible. To get the best medical treatment for hypertension, you should always listen to the experts. Primary care physicians are the trusted and first-hand doctors who can help diagnose and treat your high blood pressure.

If you are looking for a clinic to help you with your high blood pressure, we at Advanced Medical Clinic offer medical services in Wellington and Royal Palm Beach, Florida. Our skilled physicians and staff will surely accommodate your concerns, from diagnosis to treatment.

Contact us today to learn more about how we can help. You may call our friendly staff at (561) 434-1935 or fill out this online request form. We look forward to serving you.

Signs of Hypertension

Hypertension, or high blood pressure, can affect anyone. According to the Centers for Disease Control and Prevention (CDC), about 45% of adult Americans have high blood pressure. Moreover, only about 24% of those individuals have their hypertension under control.

Because hypertension can cause cardiovascular disease and organ failure, it is important to have it treated by a doctor. Let’s talk about some of the main signs of high blood pressure and what you can do about it.

What Are the Symptoms of High Blood Pressure?

Hypertension does not always show obvious symptoms, but some of the initial warning signs include the following:

Shortness of Breath

If you find yourself having breathing difficulty even when you are not doing anything at all, you may have hypertension. This is the most common telltale sign for high blood pressure.

Shortness of breath occurs because the heart is having difficulty pushing oxygen-rich blood to the lungs. Moreover, you may have blocked or narrowed arteries in the lungs, in which case the body is not getting enough oxygenated blood.

Blood in Urine

Also known as hematuria, blood in your urine can be a signal that you may have hypertension. It happens because your blood pressure affects your kidneys and vice versa. Kidneys work as filters for your blood, so if you have kidney problems, then you are also at risk for high blood pressure.

Vision Problems

Untreated hypertension can damage the blood vessels in your retina, which is the part of your eye that is responsible for sending neural signals to the brain for visual recognition. If you are experiencing sudden vision problems, seek immediate medical care by an experienced doctor, as it may indicate severe hypertension or another underlying health condition.

Severe Headaches

High blood pressure can cause headaches because of the excessive pressure that it puts on the brain, leading to swelling. The headaches are likely to occur on both sides of the head and may pulsate and worsen when doing strenuous activities.

Vomiting

If vomiting comes along with your pulsating headache, then you may have hypertension. It may also be a symptom of stroke.

Nosebleed

While not a common sign or result of high blood pressure, having hypertension can make you more prone to having a bloody nose. Moreover, severe hypertension can cause your nose to bleed longer.

Seizure or Stroke

When left untreated, hypertension can progress to a hypertensive crisis, which is a severe increase in blood pressure. This can lead to a seizure or a stroke.

Blood Pressure Checks in Palm Beach County

Signs of hypertension rarely show until your condition is already severe, which then puts you at a greater risk of having a heart attack, heart failure, and stroke. That is why it is important to have regular checkups from your healthcare provider.

Here at Advanced Medical Clinic, we are here to be your healthcare partner. As a patient-centered and family-oriented clinic, we provide the best treatments curated for each patient.

To experience this kind of quality service, call us today at (561) 434-1935, or set an appointment online by filling out our appointment request form now. We look forward to seeing you here.

Learn about Hypertension: Four Stages of Hypertension

Blood pressure is the force of blood being pushed through the arteries that carry blood from your heart and circulate it throughout your body. It is normal for blood pressure to rise and fall throughout the day. However, blood pressure that stays high for a long period can be detrimental to health. High blood pressure puts you at risk for heart failure, hypertension, and stroke, which are the leading causes of death in the United States. 

Hypertension or high blood pressure is a common condition that 75 million American adults suffer from. Meanwhile, 1 in 3 American adults has prehypertension conditions. This means that their blood pressure is not within the normal range but not quite as high to be considered high blood pressure. If left uncontrolled, prehypertension will eventually become hypertension. Unfortunately, only 54% of the people who have hypertension have their condition under control. 

Learn More About Hypertension

Hypertension or high blood pressure is a condition in which blood is pushing into the arteries with higher force than normal. This can eventually damage artery walls and cause heart disease. You may have hypertension without showing any symptoms. This is why it’s important to get regular checkups so your doctor can diagnose it early on. 

There are two types of hypertension – primary hypertension and secondary hypertension. Primary Hypertension is a type of high blood pressure in which there are no underlying conditions that cause it. It usually develops through the years due to aging, lifestyle choices, and poor diet. Meanwhile, secondary hypertension is high blood pressure that tends to appear suddenly due to medical conditions like obstructive sleep apnea, kidney conditions, illegal drugs, and thyroid problems. 

An adult’s blood pressure is measured by using two numbers – upper systolic pressure and lower diastolic pressure. The heart’s rhythmic pumping action creates the upper systolic pressure (normal is 120 mm. Hg. or lower), and its resting pressure between heartbeats is the lower diastolic pressure (normal is 80 mm. Hg. or lower). From this, doctors can determine what stage of hypertension a patient has.

Here are the four stages of hypertension:

1. Normal Blood Pressure

If you have normal blood pressure, your reading is within the normal range. It is below 120/80 mm. Hg. Although you have normal blood pressure, it is important to maintain a healthy diet and lifestyle so as not to increase your risk of developing hypertension.

2. Elevated Blood Pressure

Elevated blood pressure is a systolic pressure ranging from 120 to 129 mm Hg and a diastolic pressure below 80 mm Hg. Although it is still within range, it can be an indication that you are at risk of hypertension. It is important to maintain a healthy diet and regular exercise to lower the risk of it developing into something more serious.

3. STAGE 1 Hypertension

When you have stage 1 hypertension, your blood pressure reading is between the range of 130/80 mm Hg or 139/89 mm Hg. It is best to consult with a doctor immediately and find ways to lower it. If your blood pressure is this high, it might mean that there’s already slight damage to arteries and vessels.

4. STAGE 2 Hypertension

When you have stage 2 hypertension, your blood pressure is 140/90 mm Hg or higher. If this happens, seek medical help immediately. You may need to start taking medication for maintenance and make radical changes to your diet and lifestyle.

Hypertension can be maintained and controlled with the help of your doctor. Taking medication, maintaining a healthy diet, and exercising regularly can help you take control of the condition effectively. 

Contact Advanced Medical Clinic in Wellington

For any heart health concerns, trust Advanced Medical Clinic to help you. Our expert practitioners and friendly staff can provide you with high-quality care that is tailored to your medical condition. 

Call us at (561) 434-1935 and schedule an appointment with one of our compassionate physicians today. You can also request an appointment online.

How Hypertension Affects Women

Hypertension Define

If there is one cardiovascular risk every woman needs to be aware of it is hypertension, also known as high blood pressure. Up until age 65, men and women are equally likely to have high blood pressure—but as we age the risk of high blood pressure in women increases dramatically. High blood pressure occurs when a high rate of blood is forced against the artery walls. Over time the high force of blood within the artery walls will result in health problems associated with high blood pressure. Blood pressure grows higher when the heart pumps excessive amounts of blood at a quick rate into narrow blood vessels.

Hypertension affects people differently. Symptoms vary, but by the time symptoms appear, it may be too late to avoid additional health problem; such as heart disease, stroke, dementia, blindness, heart failure and kidney disease.

Understanding your blood pressure reading is the first step in controlling high blood pressure. Two numbers measure blood pressure; the systolic is the upper number, and diastolic is the lower. Systolic measures the amount of blood in your arteries when the heart contracts. Diastolic measures the amount of blood in the arteries when the heart is between beats.

The American Heart Association places a normal blood pressure as less than 120 over 80.

Stages of Hypertension

If either the systolic or diastolic numbers are above the normal range, it is an indication that blood pressure is too high.

Hypertension Stage 1

  • 130-139 over 80-89.

Hypertension Stage 2

  • 140 or higher over 90 or higher

Hypertension Stage 3

  • More than 180 over higher than 120

 Hypertension is bad news for anyone, but the negative effects on women are cause for concern. The American Heart Association claims that women account for nearly half of adults with high blood pressure. The fact that high blood pressure isn’t gender related doesn’t change the fact that women 65 years of age and older contract high blood pressure at a higher rate than men.

From pregnancy, right through menopause, women should take special care to know their blood pressure numbers so they can eliminate problems related to hypertension.

Family Planning

Women who take birth control pills are at risk of high blood pressure, especially if there’s a family history or if she had high blood pressure during a previous pregnancy. Weight is also a factor. This is true at any stage. There is a link between obesity and high blood pressure. High blood pressure doesn’t occur for all women taking birth control pills, but women who take birth control should definitely monitor their blood pressure. Before prescribing oral contraceptives, your doctor should take your blood pressure. He or she should then apprise their patient of the risk.

Pregnancy

During pregnancy, women are susceptible to gestational hypertension, which occurs for some women after 20-weeks. Hypertension may have never been an issue prior to pregnancy, but this secondary condition of hypertension is actually caused by the pregnancy. Even though the condition will disappear after delivery, it is imperative that the mom is treated so that the danger is eliminated for her and her child. Gestational hypertension can trigger another dangerous illness related to pregnancy, pre-eclampsia or toxemia. Like hypertension, it begins about 20 weeks post baby delivery. The only cure for preeclampsia is for the baby to be born.

By the way, ACE inhibitors, drugs that fight high blood pressure, don’t mix well with pregnancy. Women should not take ACE inhibitors during pregnancy. Speak to your health professional about maintaining normal blood pressure during pregnancy.

Menopause

The chances of increasing normal blood pressure are likely with age, even if your blood pressure has always been normal. Menopausal women should monitor their blood pressure. Get your doctor involved. Make regular visits, once every six months to have your pressure checked.

Monitoring blood pressure is crucial. Women who wish to stay healthy throughout their lives will do everything within their power to get and keep their blood pressure under control.

At Advanced Medical, PA, we pride ourselves in providing quality healthcare in both internal medicine and primary care. To learn more about us and the services we offer, or to schedule a visit, call us at (561) 434-1935 to request an appointment.

 

From the Doctor’s Desk: The Complete Guide to Hypertension

Your blood pressure is a measure of how much pressure is exerted against your arteries and your organs by the blood being pumped by your heart. The higher the pressure, the harder your heart has to work. Hypertension is diagnosed when someone’s systolic blood pressure (top number) is consistently greater than 140, or their diastolic pressure (bottom number) is consistently greater than 90. This doesn’t mean that if you have a single reading that is high, you have hypertension. But if you do have such a reading, you should be monitored to make sure it comes back to normal.

There are some instances in which hypertension can be caused by another treatable problem, but about 95% of diagnosed people have essential hypertension, which often has no one identifiable cause. In these cases, there are a number of lifestyle choices that can be made to lower blood pressure, and in many instances, blood pressure medications will be needed. What is important to remember is that hypertension is a chronic illness. There are usually no symptoms, so there will be no warnings if it goes uncontrolled.  Once you are diagnosed, it is essential to follow your doctor’s advice, continue a healthy lifestyle, and take your medications as prescribed for the rest of your life.

There are many things that contribute to hypertension – some factors you cannot control, while others you can. For instance, it is more common in men than women, more common in African American men, as well as older adults. Sometimes, hypertension can also be genetic, or hereditary. Obviously, these are things that you can’t control. However, being overweight or obese, being inactive, smoking, eating a diet high in sodium, and stress all contribute to hypertension; and these are things that you can control.

So what can you do to ensure that your blood pressure is under control? First, make sure that you have regular checkups with your doctor. Since hypertension often goes undiagnosed, this is an important step in catching it early. Then, if you are found to have high blood pressure, take a look at the things that you can change in your life.

Your diet can have a great influence on your blood pressure. If your body mass index (BMI) is greater than 25, you should plan to lose weight. Try to eat more fruits and vegetables, as well as whole grain foods. Also limit the high fat foods, including meats. Fish is a great source of protein without all the fat that many cuts of beef contain. Stay away from fast food and limit alcohol to no more than 2 drinks per day. You should also limit the amount of caffeine you consume, restricting coffee to less than 2 cups per day. Also, make sure you lower your sodium intake. Anything canned, frozen, boxed or processed will tend to have more sodium. It is important to read labels, but fresh food is always a better choice. Make sure to also avoid foods high in sodium such as olives, soy sauce, Chinese food, bacon, and condiments. And put that saltshaker away!

In addition to diet, exercise will not only help you lose weight, but will help to keep your blood pressure regular. The recommendation is for at least 30 minutes of exercise most days of the week. If you are not active, start slow. Check with your doctor before starting any exercise program, and walking is a great place to start. If you can’t tolerate 30 minutes per day, start with 10 or 15, but increase the time just a little each day until you meet your goal. And if you are a smoker, take a look at what that does, and stop smoking. Talk to your doctor about this, because there are ways to help you kick the habit.

If you still have a blood pressure over 140/90 after making changes to your lifestyle, it may be time to start on medication. Your doctor will determine which medication will be of most benefit. Sometimes you may need more than one prescription, but it is very important that you take all the medication as prescribed, every day. Remember, hypertension often has no symptoms; it is quietly doing damage to your heart and other organs. So don’t think that because you feel fine, that you don’t need your medication any more. If you have any concerns, discuss them with your doctor. It is also a good idea to monitor your blood pressure at home from time to time, and keep a log to bring to your doctor visits.

Finally, even if you are vigilant about your lifestyle, and about taking your medications, there may be times when your blood pressure is high enough to require emergency treatment. If you have a blood pressure higher than 180/110, or if you experience chest pain, shortness of breath, numbness, weakness, vision changes, problems speaking, or a severe headache, you should go to the emergency room or call 911.

If you would like to learn more about hypertension, you can visit the website of the American Heart Association. Advanced Medical has the caring and attentive medical staff you need to help monitor and treat conditions such as high blood pressure. Call today at (561) 434-1935 to schedule an appointment, or book an appointment online.

Hypertension. What You Don’t Know Could Kill You!

Known as the “silent killer,” hypertension does not necessarily present with symptoms; it often goes undetected, and therefore, untreated. The only way to determine if you have high blood pressure is to have it tested. Testing is both simple and painless and takes only a few minutes in a doctor’s office.

Why is Hypertension Dangerous?

According to the Centers for Disease Control, high blood pressure increases your risk for a stroke or heart attack, the leading causes of death in the United States.  About one in every three adults will suffer at some time from high blood pressure.

That number breaks down to around 75 million people living with high blood pressure in the United States. Of those, approximately half have gotten their hypertension under control. Roughly 1,000 people die in the US each day with hypertension listed as a primary cause. Not only can high blood pressure lead to a heart attack, chronic heart failure or stroke, it can also damage other organs–including the kidneys, eyes, and brain.

When is Blood Pressure Considered High?

Blood pressure is considered high if the systolic number, which measures the heart at work, is 140 mmHg or higher and the diastolic, which measures the heart at rest, is 90 mmHg or higher. Although high blood pressure does not always present symptoms, it can cause symptoms such as dizziness, facial flushing or blood spots in the white of the eye from broken blood vessels. Some patients with extremely high blood pressure may also notice the sound of their heart beating in their ears. You should never wait for symptoms to arise to act on high blood pressure. Get your blood pressure checked regularly by a physician instead.

Both men and women are equally likely to develop high blood pressure at some point in their lives. For those under the age of 45, the risk is greater for men than woman. Over the age of 65, women are more likely to have high blood pressure than men. Race and ethnicity also play a role in who is at risk for hypertension. African Americans, for instance, are more likely to develop high blood pressure at an earlier age than their Caucasian counterparts.

How is High Blood Pressure Treated?

High blood pressure can usually be managed by a combination of medication, diet and exercise. Reducing your intake of salt, walking on a regular basis and eating a healthy diet have all been shown to reduce the risks of having high blood pressure. Additionally, your doctor may prescribe any number of different medications to lower your blood pressure. The kind of medication and dose will depend on the severity of your symptoms as well as how well you respond to, or tolerate, a given medication.

If you are concerned about how hypertension is affecting your heart and other organs, board-certified internal medicine specialist Dr. Ishan Gunawardene of Advanced Medical Clinic can help. He will take the time to talk to you, answer your questions and prescribe the necessary medications or lifestyle changes necessary to lower your high blood pressure. To make an appointment with us in Wellington or Royal Palm Beach, request an appointment online or call (561) 434-1935 today.

HBP Meds Essential for Preventing Early Death, But Many Not Taking Them Properly

High blood pressure is called the silent killer for good reason. Many people live with it for years, unaware of their condition and its dangerous consequences. High blood pressure, or hypertension, can cause kidney damage as well as increase your risk of blindness and dementia. Left untreated, hypertension also increases your risk for heart disease, the #1 cause of death in America. Without proper screening, you may not even be aware of a problem until you have a heart attack or stroke.

A new report from the Centers for Disease Control and Prevention (CDC) finds that people who have been given prescriptions to control hypertension are not complying with doctor’s orders. The CDC found that only about half of patients over 65 with hypertension are properly taking prescribed medications to treat their blood pressure.

So why aren’t people taking their necessary blood pressure medications? That is a complex question with many different answers. Some feel that since they aren’t experiencing symptoms, they don’t need to take it. Some drugs cause unwanted side effects, either on their own or when combined with other prescriptions. Patients will often skip doses or quit taking them altogether without asking their doctor for a new prescription. Cost is another factor, and for many hypertension patients, there may be a combination of reason.

Regardless of the reason, “patients aren’t taking their medications,” CDC Director Tom Frieden said. “Health care providers can make treatment easier to help people keep their blood pressure controlled.” The report calls on the health care system to work together to control costs for patients while checking blood pressure regularly, even at the pharmacy. Hopefully this will help to prevent many premature deaths related to untreated hypertension.

If you suspect you have high blood pressure, or have been diagnosed with it and are still having symptoms, talk to your doctor about how to better control your condition. Your medication, including dosage, can be changed if you are experiencing unwanted side effects from your meds or if you feel like you’re taking too many pills. Without the proper medication, hypertension can turn deadly, but there’s no reason it has to.

Dr. Ishan Gunawardene offers state-of-the-art cardiovascular care to help protect his patients against hypertension, coronary artery disease, and other heart disease. As his patient, you will be treated for high blood pressure based on your individual needs, not a one-size-fits-all plan.

Would you like to talk to Dr. Gunawardene about your blood pressure medications to make sure you’re taking the proper dosage for maximum heart protection? Call Advanced Medical at our Wellington, Florida office today, at (561) 434-1935, or request an appointment online.