Hypertension: "A Silent Killer"

10 Questions on Hypertension

10 Questions about Hypertension Office Prof. Valerio Sanguigni Cardiologist salario nomenato
 Blood Pressure is the amount of force that blood exerts against the walls of our arteries.
 It is represented by two numbers (PS / PD) for example: 135/75.
 Systemic Systolic Pressure (PS) is the value of blood pressure in our arteries when the heart contracts.
 Diastolic Arterial Pressure (PD) is the value of blood pressure in our arteries when the heart releases.

 2) Why is it important for our health Hypertension?
 Because of Normal Blood Pressure, blood is pushed from our heart to all organs of our body that in this way can receive the oxygen and the nutrients they need.

 3) What is Hypertension?
 It is a pathological condition characterized by an increase in Blood Pressure values in the blood.  The optimum values for adult pressure are 120/80 mmHg.  We talk about hypertension when the pressure values are equal to or greater than 140/90 mmHg.

 4) Why is high blood pressure dangerous?
 High Blood Pressure is dangerous and damaging to our body because our heart is too hard, which makes our arteries harder and less elastic.

 Many scientific studies have clearly shown that in subjects with hypertension the risk of being affected by a myocardial infarction is more than twice the norm, while the risk of cerebral ischemia is eight times greater.  But hypertension also increases the risk of other serious illnesses such as kidney failure, lower limb arteriopathies, and eye damage from retinopathy.

 5) What are the symptoms of hypertension?
 Hypertension usually does not give any significant symptoms and is only occasionally discovered during a check.  But sometimes some general disorders such as mild headaches, fatigue, difficulty in sight, palpitations, dizziness, may be the first signs of hypertension.

 6) If no symptoms then it is really a disease?
 Hypertension is a disease responsible, alone or in competition with other factors, of widespread damage to the wall of the arteries and the heart and a fast acceleration of atherosclerosis.  It’s asymptomatic so is considered a silent Killer.  Hypertension often doesn’t make you feel ill, but its cardiovascular risk has increased considerably.

 7) - Hypertension is a common disease?
 It is a fact that hypertension is the No. 1 killer in the world.  Approximately 1 billion people in the world suffer from hypertension and this number is expected to increase to 1.56 billion in 2025. This means that about one in four in the world is suffering from hypertension.  It is estimated that in Italy today there are about 13 million hypertensives.  In a 1983 study conducted by Italian GPs, the prevalence of hypertension was 67.8% in the elderly population aged 65 years or older.  A large part of these hypertensives do not know how to be, and a large part of the hypertensive treatment does not cure it effectively.

 8) What is the Ambulatory Blood Pressure Monitoring (Holter PA 24 H)?
 Our Blood Pressure varies continuously over 24 hours in an optimal range.  Usually, arterial pressure is at the lowest value when we sleep (physiological pressure drop) but it rises rapidly when we wake up.  Maintaining these regular variations in the pressure profile throughout the day is crucial to the health of the entire body.  Emotions, stress, physical effort increase blood pressure values.

 The Monitoring Ambulatory Blood Pressure (BP Holter 24 h) is a key diagnostic test in the diagnosis and patient care hypertensive that records the daily pressure variations.  Any subject with a suspected hypertension diagnosis must be subjected to a 24-hour PA Holter to verify the true variations in the pressure profile.  Just as every hypertensive patient must periodically perform a PA Holter to really check whether the antihypertensive tablet is effective over the 24 hours.

 9) What tests are important in hypertensive patients?
 Due to the fact that hypertension is a systemic disease that can affect many vital organs, it is necessary to carry out a series of examinations in the patient with hypertension to evaluate the health of the body and exclude the presence of organ damage.  The main examinations of this diagnostic screening, which may vary according to the patient's risk profile, are: hematochemical examinations, echocardiogram, epi-doppler epicardial vessels, renal ultrasound, and base of the eye.
 10) Why is it important to treat hypertension? 
Most studies have clearly demonstrated the importance of effective antihypertensive therapy.  In fact, the lower the pressure, the increase of life span and improvement in its quality.  If the therapeutic control of hypertension is really effective over all 24 hours (Holter of PA), the risk of hypertension complications on vital organs (heart, brain, kidney, eyes) is minimized.  Hypertension is taken care of throughout life.

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