Hypertension

What is Hypertension?
Hypertension is when there is excessive pressure against the blood vessel walls. The heart has to work harder in order to pump the blood through the body when it is working against this elevated pressure, and this can eventually lead to an enlarged heart and heart damage. Normal blood pressure is less than 130/85.
High normal is 130-139/85-89. Anything above these numbers is considered hypertension, and puts the patient at risk for complications.

Symptoms of Hyper Tension
High blood pressure can cause symptoms such as headaches, dizziness, fatigue and ringing in the ears. However, it often causes no symptoms.

Diagnosis of Hyper Tension
Just about every physical examination includes checking the patient’s blood pressure. It is done with an inflatable cuff around the arm, and the person checking the blood pressure listens over the patient’s artery. This test may, however, not always be accurate. Recent exercise, stress, or incorrect cuff size can temporarily increase the measurement. If the first reading is found to be high, it is suggested that the reading be repeated a few minutes later. People with normal blood pressure should be rechecked at least every two years. If someone if found to have high normal blood pressure or above, they should be monitored more closely. Evaluating the blood pressure at home can eliminate those patients with a syndrome known as "white-coat syndrome." This is when the patient’s blood pressure is slightly elevated when in the doctor’s office, most likely due to anxiety, and once the patient is at home, the blood pressure returns to normal. If this syndrome is ruled out, and the hypertension is found to be real, the patient will need further follow up.

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