2.32k likes | 5.55k Vues
World Heart Day. World Heart Day. Celebrated on 29 th September very year Started in 2000 by World heart Federation, Geneva Switzerland To inform people that Heart Disease and Stroke are Worlds Leading cause of Death Claiming 17,300,000 deaths How to keep a healthy heart.
E N D
World Heart Day • Celebrated on 29th September very year • Started in 2000 by World heart Federation, GenevaSwitzerland • To inform people that Heart Disease and Stroke are Worlds Leading cause of Death • Claiming 17,300,000 deaths • How to keep a healthy heart
“UnderstandingBlood Pressure” Objectives of Today • What is it? • How and Why does it occur? • Why is it Important? • What is my blood pressure? • What relation between Blood Pressure, Heart attack, Stroke? • How do I prevent not to have Hyper or Hypo tension?
Facts Blood pressure • Hypertension is Most common Heart problem • “Silent Killer”- • 20-40% in urban adults and 12-17% among rural adults in India • Affects 214 million in 2025 • 67% of those with hypertension were unaware of their diagnosis
Importance of blood pressure • It is necessary to supply blood to all body. • Pressure is characteristic of life. • If pressure is more then normal is called “HYPERTENSION” • If the pressure is less then normal is called “HYPOTENSION”
Normal Blood Pressure • 120/80 mmHg • Systolic – Maximum pressure of blood(120) • Diastolic – Minimum pressure of Blood(80)
Variation in Blood Pressure Age:20-40 years 120/80 Age: New born 70/40 Age:80 years 160/95 Age: 3 years 110/63 Pregnancy: 110/70 Age: 10 years 115/76
Risk Factor Hypertension Hypotension Hypertension on medicine Shock Blood loss Anemia Sever infections Head injury • Age • Race : Black, Americans • Family History • Obese • No physically active • Smoking and Tobacco • Drinking • Much salt in Diet • Stress • M>F
Risk Factor for High Blood Pressure FAMILY HISTORY AGE RACE SEDENTORY LIFE SMOKING OBESITY
STRESS SALT IN FOOD DRINKING
When should I check my blood pressure??? • Once a month – its silent disease • Nervousness • Sweating • Difficulty sleeping • Facial flushing • Dizziness • Fainting • Lying to standing dizziness
Hypertension (HTN) • Blood pressure in excess of normal range for age and gender. • > 140/90 mm Hg. • Primary or essential hypertension(95%): • Is the result of a complex or poorly understood process. • Secondary hypertension: • Is a result of a known disease process. endocrine diseases, kidney diseases, and tumors
Dangers of High Blood Pressure Renal failure Left ventricular failure Myocardial infraction
Dangers of High Blood Pressure Retinal hemorrhage Stroke
Dangers of High Blood Pressure Increase in size of heart Cerebral hemorrhage
Treatment of Hypertension • Medications: • Diuretics: • Increase urine volume. • Beta-blockers: • Decrease HR. • Calcium antagonists: • Block Ca2+ channels. • ACE inhibitors: • Inhibit conversion to angiotensin II. • Angiotension II-receptor antagonists: • Block receptors.
Treatment of Hypertension • Modification of lifestyle: • Cessation of smoking. • Moderation in alcohol intake. • Weight reduction. • Programmed exercise. • Reduction in Na+ intake. • Diet high in K+.
Hypotension • Blood pressure is LESS than normal. • Systolic <90 mm Hg or • Diastolic <60 mm Hg. • 90/60mm Hg
Clinical features • Frequent fatigue, weakness • Dizziness or light-headedness • Does not get heart or renal problems
Management • The key to managing this condition is individually tailored therapy. • The goal of treatment is to improve the patient's functional capacity and quality of life, preventing injury, rather than to achieve a target BP.
The patient (and carers) should be educated - eg, foods, habits, positions and drugs. • Avoid triggers - eg, high temperature environments. • Review any medication being taken. • Advise the elderly on standing slowly • Dorsiflexing the feet first and even crossing the legs whilst upright. • Raising the head of the bed • A morning dose of caffeine as coffee or tablet form can be effective.
Myth about Blood Pressure • CF> AL5L DFZF 5%5FG[ K,[ NFNF G[ K[ / CT]\ TF[ DG[ YFI V[DF\ GJF> GCLP • C]\ HDJFDF\ p5ZYL DL9]\ ,[TF[ GYL , DFZ]\ a,05™[XZ S\8=F[,DF\ K[P
DG[ SXLH TS,LO GYL DFZ[ AL5LGL ÃR\TF SZJFGL H~Z GYLP • DG[ KFTLDF\ N]BFJF[, 5Z;[JF[, YFS ,FU[, V[J]\ SX]\ H YT]\ GYL T[YL DG[ a,05™[XZGL TS,LO GF CF[I HP • NF~ ìNI DF8[ ;FZF[ , ZF[H 5LJF[ HF[>V[P • DFZF SFSFG[ AL5L CT]\ , VFBL HL\NUL DF\ SX]\ G YI]\ TF[ DG[ X]\ YX[ ?
DF\;FCFZYL TFSFT VFJ[, V[ SZJF[ H HF[>V[P • AL5L CF> S[ ,F[ CX[ TF[ DZL H>X]\ V[DF\ X]\? • AL5LGL NJF HL\NULEZ SF[6 ,[ ? S\8F/F[ VFJ[ K[P
Last but not least H[ YFI V[ YFI, DFZF EUJFG ARFJX[P