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High Blood Pressure

Once upon a time there live one simple happy family....:

Once upon a time there live one simple happy family....

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3 Eva Michael Adam

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. For a Successful Career

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What is Hypertension?

Once upon a time there live one simple happy family....:

Once upon a time there live one simple happy family....

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21 Blood Pressure Levels

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22 According to World Health Organization (WHO) NORMAL Blood Pressure: < 120 / 80 mmHg

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22 High Blood Pressure: > 140 / 90 mmHg

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Classification of Adult BP (JNC 7) 22 Sison, J. M.D., Arceo L. M.D., Trinidad E. M.D. et al. Presyon 2

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Prevalence of Hypertension

Global Mortality:

(WHO 2002) 1 2 3 4 5 6 7 8 Global Mortality 0 Per million population HYPN Cig. Chol. Maln. HIV Alc. Sanit.

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Prevalence of Cardiovascular Disease 10 20 30 40 50 60 High BP CAD CHF Stroke Other 50,000,000 12,200,000 4,600,000 4,400,000 2,800,000 Prevalence (millions) BP=blood pressure, CAD=coronary artery disease, CHF=congestive heart failure Estimated Number of Persons With Cardiovascular Disease in the US American Heart Association ® . 2000 Heart and Stroke Statistical Update. 1999. (24%)

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25 The Philippines…

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90,000,000 million people

21% Prevalence in the Phil.:

21% Prevalence in the Phil.

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16% are aware

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65% are treated

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66% compliance

20% are controlled:

20% are controlled

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Complications of Hypertension

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BRAIN - Stroke Hypertension Target Organ Involvement

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Hypertension Target Organ Involvement Heart - CAD Heart Attack

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KIDNEYS - ESRD Kidney Failure Hypertension Target Organ Involvement

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Peripheral artery disease PAD Hypertension Target Organ Involvement

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Causes of High Blood Pressure

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Obesity

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34 You Are What You Eat!

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Walking the Dog : Sedentary Lifestyle:

33 Walking the Dog : Sedentary Lifestyle

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35 ©2005. American College of Physicians. All Rights Reserved.

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41 Stop Smoking

Cigarette Smoking:

Cigarette Smoking If you think YOU are smoking the cigarette, you are mistaken… It’s the other way round !

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Exercise and Heart Disease:

Exercise and Heart Disease Moderate to intense physical activity for 30-45 minutes on most days of the week is recommended

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In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

The Heart :

The Heart Heart : The most hard-working muscle of our body – pumps 4-5 liters of blood every minute during rest Supplies nutrients and oxygen rich blood to all body parts, including itself Coronary arteries surrounding the heart keep it nourished with blood

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

What is Atherosclerosis what is coronary artery disease? :

What is Atherosclerosis what is coronary artery disease?

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Myth : fat deposits at old age! It starts from 2 years of age Foam Cells Fatty Streak Intermediate Lesion Atheroma Fibrous Plaque Complicated Lesion/ Rupture Adapted from Pepine CJ. Am J Cardio. 1998;82(suppl 104). From First Decade From Third Decade From Fourth Decade

Are Other organs Affected?:

Are Other organs Affected? Ischemic Stroke Peripheral Vascular Disease Coronary Heart Disease Angina MI (Heart Attack) Sudden Cardiac Death

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

What Increases Risk?:

What Increases Risk? You can’t help it ! Age: Men > 45; Women > 55 Sex Race Family History You can !! High Cholesterol Smoking High Blood Pressure Diabetes Obesity Alcohol Physical Inactivity

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

Taking Control of Your Blood Pressure:

Taking Control of Your Blood Pressure

What is Blood Pressure?:

What is Blood Pressure? It is the pressure of blood against the walls of the blood vessels. It tells us how hard the heart is working. Too high means the heart is working extra hard and this could be very dangerous!

How is Blood Pressure Taken?:

How is Blood Pressure Taken? It is best taken by a health care professional to get an accurate reading. There are also small electronic machines that can take your blood pressure.

Tips While Taking Blood Pressure:

Tips While Taking Blood Pressure Relax at least 10 minutes before taking a reading. Don’t take the BP if your nervous or upset. Avoid certain activities known to raise blood pressure like eating, exercising & smoking.

Tips While Taking Blood Pressure:

Tips While Taking Blood Pressure Should not over pump as it will close off the artery Best to take reading on the left arm as it is close to the heart. Keep the arm level with the heart. Try not to eat anything right before the blood pressure reading.

Tips While Taking Blood Pressure:

Tips While Taking Blood Pressure Remain still and avoid talking while your Blood pressure is reading. Typically BP is highest in the morning and lowest in the evening.

Normal Blood Pressure:

Normal Blood Pressure high Adult = 120/80 Adolescent = 115/70 Child = 100/60 Anything 140/90 or over is too for an adult.

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

In late 2007, I was leading a happy life:

In late 2007, I was leading a happy life

There must be a problem despite modern Anti- hypertensives:

There must be a problem despite modern Anti- hypertensives

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30 The A, B, C, D approach Anti Hypertensive drug classes

Anti Hypertensive drug classes:

Anti Hypertensive drug classes ACEi – Angiotensin converting enzyme inhibitors - let us call them ‘A’ ARB – Angiotensin Receptor Blockers – Let us call them also as ‘A’ BB – Beta Receptor Blockers – let us call them ‘B’ CCB – Calcium channel blockers – let us call them ‘C’ Diuretics – let us call them ‘ D ’ Lower blood pressure in many different ways

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Stay Healthy “

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The big question is…

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…how can you help?

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