Hypertension Management

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hypertension-management

Hypertension Management

Hypertension is defined as having a blood pressure reading of 140/90 mmHg or higher over a sustained period. It is categorized as:

  • Primary (Essential) Hypertension: Most common form with no identifiable cause; develops gradually over time.
  • Secondary Hypertension: Caused by an underlying condition such as kidney disease, hormonal disorders, or medication side effects.

Symptoms and Causes:

Symptoms (often subtle or absent):
  • Persistent headaches
  • Dizziness or blurred vision
  • Shortness of breath
  • Chest pain or irregular heartbeat
  • Fatigue or confusion

Common Causes and Risk Factors:
  • Sedentary lifestyle
  • Obesity or being overweight
  • Excessive salt or alcohol intake
  • Smoking and tobacco use
  • Stress and anxiety
  • Family history of hypertension
  • Chronic kidney or endocrine disorders
  • Age (especially after 40)

Treatment & Management Approach:

Dr. Varun Deodhar provides a holistic and evidence-based approach to managing high blood pressure, which includes:

Medical Evaluation:
  • Comprehensive assessment including medical history, physical examination, and blood pressure monitoring
  • Diagnostic tests like ECG, kidney function, lipid profile, and hormonal studies to find secondary causes
Lifestyle Modification:
  • Personalized dietary guidance (low-sodium, heart-healthy diets like DASH)
  • Exercise routines to maintain healthy weight and improve heart health
  • Stress management through relaxation techniques, meditation, or counseling
  • Alcohol and smoking cessation support
Medication Management:
  • Prescription of antihypertensive drugs tailored to the patient’s needs (ACE inhibitors, beta-blockers, calcium channel blockers, etc.)
  • Regular monitoring and dosage adjustments to minimize side effects and maximize control
  • Combination therapy for resistant hypertension
Monitoring and Follow-up:
  • Regular follow-ups to track blood pressure and organ function
  • Home BP monitoring guidance and alerts for warning signs
  • Early intervention for associated risks like diabetes or cholesterol

Prevention Tips:

While hypertension can't always be avoided, it can be delayed or well controlled with these preventive steps:

  • Eat a balanced, low-salt diet
  • Maintain a healthy body weight
  • Engage in regular physical activity (30 minutes most days)
  • Limit alcohol and avoid smoking
  • Manage stress effectively
  • Monitor blood pressure regularly, especially if you have risk factors
  • Stay compliant with medications if already diagnosed
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