Hypertension - No 2 of the Deadly Quartet

In many people in Germany, the blood flows with an increased pressure through the vessels. The fatal: Hypertensive patients usually notice nothing of it. However, the health of those affected is constantly endangered, because high blood pressure is a burden on both the heart and the circulation and can lead to serious sequelae such as heart attacks, strokes and kidney failure.

Metabolic syndrome

Thus, hypertension is a real killer, which is why he belongs to the infamous fatal quartet with the other three B's - elevated blood sugar, elevated blood lipid levels and belly-dominated overweight. The quartet's advance, which experts call the "metabolic syndrome, the scourge of the 20th century, " costs millions of people a year in Western industrialized countries In many cases, "only" mild symptoms, such as dizziness, headache and visual disturbances, are found in elevated levels, but severe damage to the heart, kidneys and brain in the more severely affected patients High blood pressure (over 140/90 mm Hg) is permanently symptom-free in many patients - poor, it can develop into a deadly danger, because it leads to massive damage to the inner sides of the vessel - the so-called arteriosclerosis - the patients themselves are not aware of an imminent heart attack, stroke or kidney failure, especially the level of diastolic blood pressure - the " lower value "- is important, he says something about the state of the circulatory system in the periphery - the smallest arteries and arterioles. Diastolic values ​​over 90 mmHg are always in need of treatment!

Eliminate risk factors

Hypertension can be remedied in some cases by eliminating risk factors such as high-salt diet or obesity, and high levels of cigarettes and alcohol. Light endurance sports such as jogging, swimming or cycling not only do the line well, but also ensure a healthy heart that is not under too much pressure. Speaking of pressure: Equally necessary for a natural and gentle antihypertensive therapy is to avoid stress. An evening walk, autogenic training, reading a good book or the relaxing enjoyment of a balanced meal with plenty of fresh vegetables and fruit or fish are an ideal balance to the stressful work routine and do both the soul and the heart very well.

Medical therapy

Still, it does not help: if your blood pressure is permanently elevated, your medication must be taken for a lifetime. The doctor usually initially prescribed only a preparation. In many cases, however, this is not enough to lower the blood pressure, so various medications can be combined. Most people with hypertension receive such a combination therapy. For every blood pressure patient it is also important to check the blood pressure at regular intervals. For this reason, it is advisable to purchase a measuring device for your home.

The blood pressure

The blood pressure levels of humans are stable to a certain extent. A short-term and temporary change can be triggered by physical work, a change of position, pain, psychological effects or stress. Blood pressure is also subject to daily fluctuations: the highest values ​​occur in the morning, late afternoon and early evening. During lunchtime (especially after lunch), blood pressure drops significantly, most during the night. The blood supply of the individual organs is quite different at certain times. Thus, due to increased physical activity from the liver and spleen as a natural blood reservoir reserve blood can be activated.

Blood pressure measurement according to Riva-Rocci

The principle of bloodless blood pressure measurement goes back to the Italian physician Scipione Riva-Rocci (1863-1943), so for the blood pressure measured on the arm the abbreviation RR after Riva-Rocci is common. An inflated pressure cuff puts pressure on the upper arm that blocks the arteries and severely limits local blood flow. By releasing the pressure with the stethoscope the typical "Korotkow sounds" can be heard. These are due to the fact that the blood is swirled, and therefore the movement sounds are audible. After reaching the diastolic value, no pulsating noises are more noticeable. The blood pressure (RR) in the arterial arteries normally reaches a value of 120 mmHg in the systole, in diastole it falls by about one third of the value to an average of 80 mmHg.

Blood pressure should always be measured at the same time, before eating, and before taking antihypertensive pills, unless otherwise instructed by the doctor. Before the measurement no caffeine-containing coffee must be drunk and also not smoked. The values ​​and conditions are to be noted in a blood pressure pass for control.

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