High blood pressure causes, symptoms and treatment methods



As the weather got colder, the health care of patients with high blood pressure was put on alert.


People with high blood pressure are 4 to 7 times more likely to develop stroke (middle wind) and 2 to 3 times more likely to die suddenly due to heart failure than normal people.

In particular, the incidence of stroke increases during the change of seasons and early winter when the weather becomes chilly because the lower temperature causes the skin vessels to contract and reduce exercise than usual, which increases the risk of brain vessels clogging or bursting.

Therefore, high blood pressure should be treated more actively during this period to escape the risk of fatal diseases such as stroke and sudden heart death.


■ Types and causes of high blood pressure


High blood pressure is largely classified as congenital and secondary hypertension. Of these, more than 90% are native hypertension, and the rest are secondary hypertension, which increases blood pressure due to various diseases.

So everything we usually say means congenital hypertension.

The cause of congenital hypertension is not clear, but it includes excessive salt intake, increased peripheral vascular resistance, and kidney abnormalities.

In addition, many substances that contract peripheral blood vessels are secreted or lack of substances that expand peripheral blood vessels.

In particular, Korea has a much higher daily salt intake of more than 20 grams, which is considered the biggest reason than other countries.




■ Symptoms


The characteristics of high blood pressure are often called "Silent Killer" in foreign countries because they die suddenly or become abandoned due to severe aftereffects after not feeling any symptoms.

Symptoms such as headache, dizziness, anxiety, helplessness, and heart palpitations can also include stiffness or tightness of the back of the head, muscle pain in the arms and legs, fatigue, and ringing in the ears (tinnitus).

These symptoms vary depending on the individual, so no matter how high the blood pressure is, they sometimes feel no symptoms, and on the contrary, some complain of severe symptoms even if the blood pressure rises a little.

Complications are most common with hypertension and heart disease, resulting in difficulty breathing, coughing, phlegm and abdominal pain. In case of cerebrovascular complications, unconsciousness and limb paralysis occur.

In particular, the risk of sudden death increases due to heart muscle abnormality.




■ Treatment


The goal of hypertension treatment is to maintain normal blood pressure (140/90 mmHg or less), and the earlier the treatment begins, the easier and simpler it is.

Drug therapy starts with one drug at first, gradually increases the amount, and if the blood pressure does not return to normal in a sufficient amount, the most common method is to change to another drug or add a drug.

This method reduces the side effects of the drug and accurately identifies the type and amount of the drug suitable for you. It is important to proceed slowly because there are many side effects if you try to reduce blood pressure in a short period of time with medicine.

Recently used drugs are more effective and have less side effects than in the past, so they can be used for a long time. In particular, when treating more than one combination, it can increase each other's effectiveness and reduce side effects.

Common coercive agents include diuretics, beta receptor blockers, alpha receptor blockers, and alpha.Beta receptor blockers, calcium antagonists, angiotensin conversion enzyme inhibitors, and angiotensin II antagonists.

High blood pressure patients are often accompanied by other diseases because they are mostly old. Therefore, it is necessary to carefully examine the side effects of the drug selection.