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Condition Guide

Hypertension (High Blood Pressure)

A common disease in which blood pressure is persistently elevated against the vessel wall; it often progresses without symptoms and targets organs such as the heart, kidneys and brain.

Hypertension (High Blood Pressure)

Hypertension (High Blood Pressure): What Is It?

Hypertension is when the pressure the heart generates while pumping blood into the vessels runs above normal limits. Values of 140/90 mmHg and above are generally considered high. It is also known as the "silent disease" because it can damage vessels and organs for a long time without symptoms. It can be controlled with early diagnosis and regular follow-up.

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Symptoms

  • Often causes no symptoms (silent course)
  • Headache, especially in the morning
  • Dizziness and ringing in the ears
  • Palpitations and shortness of breath
  • Nosebleeds

Warning

If your blood pressure rises suddenly and very high (e.g. above 180/120 mmHg) accompanied by chest pain, shortness of breath, speech difficulty or vision loss, this is a hypertensive emergency; go to the emergency department immediately.

Causes

  • Excessive salt consumption
  • Obesity and a sedentary lifestyle
  • Family history (genetic predisposition)
  • Excessive alcohol and smoking
  • Chronic stress
  • Kidney and hormonal disorders

Risk Factors

  • Being over 45 years old
  • Family history of hypertension
  • Diabetes and high cholesterol
  • Excess weight and low physical activity
  • A diet high in salty and processed foods

Diagnostic Methods

Office and Home Blood Pressure Measurement

Confirming blood pressure with repeated measurements at different times.

24-Hour Ambulatory Blood Pressure Holter

Recording blood pressure changes throughout the day to detect masked hypertension.

Echocardiography and ECG

Assessing the heart’s structure and the effects of hypertension on the heart.

Blood and Urine Tests

Measuring kidney function, cholesterol and blood sugar levels.

Treatment Methods

  1. 1

    Lifestyle Changes

    Salt restriction, weight control, regular exercise and quitting smoking.

  2. 2

    Dietary Adjustment (DASH Diet)

    A low-salt eating plan rich in vegetables, fruit and whole grains.

  3. 3

    Antihypertensive Medication

    Keeping blood pressure at target values with medication selected for the patient.

  4. 4

    Regular Follow-up

    Periodic monitoring of blood pressure values and organ involvement.

When Should You See a Doctor?

  • If your readings are consistently above 140/90 mmHg
  • If you have severe headache, chest pain or shortness of breath
  • If you experience blurred vision or altered consciousness
  • If there is a family history of early heart disease

Technologies Used

24-Hour Blood Pressure Holter Echocardiography Exercise Stress Test

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Frequently Asked Questions

Does hypertension go away completely?

In most patients it is a chronic condition; however, it can be effectively controlled with lifestyle changes and medication.

Once I start medication, do I have to take it for life?

This depends on the severity and organ involvement. In some patients the dose can be reduced with lifestyle changes; your doctor decides.

Is home blood pressure measurement reliable?

Home measurements made with the right device and technique are very valuable in treatment follow-up and give your doctor important information.

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Web and Medical Editorial Board

The Hisar Hospital Web and Medical Editorial Board contributed to the development of this content. All content on this website is provided for general informational purposes only. Please consult a physician for the evaluation, diagnosis and treatment of your condition.

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