{"id":346,"date":"2018-04-02T09:00:02","date_gmt":"2018-04-02T14:00:02","guid":{"rendered":"http:\/\/dtheals.wpengine.com\/?p=346"},"modified":"2018-09-12T09:18:05","modified_gmt":"2018-09-12T14:18:05","slug":"hypertension","status":"publish","type":"post","link":"https:\/\/dtheals.com\/hypertension\/","title":{"rendered":"Hypertension"},"content":{"rendered":"<p><strong>Hypertension<\/strong> (HTN) afflicts 29-31 percent of adults in the U.s. and is increasing in incidence as our population ages beyond 65. Approximately 46-51 percent of patients with HTN have blood pressure (BP) under control, i.e. less than 140\/90. BP includes two numbers\u2014the top number called Systolic Blood Pressure (SBP) and bottom number Diastolic Blood Pressure (DBP).\u00a0 A simple definition of high BP is when SBP is greater than 140 or\u00a0DBP is greater than 90.\u00a0 SBP is a greater predictor of risk for patients older than 50 than DBP, whereas the latter is a better predictor of mortality for age less than 50.<\/p>\n<p>Risk factors for developing primary HTN include HTN in both parents; excess sodium intake; excess alcohol intake; obesity and weight gain; physical inactivity; dyslipidemia independent of obesity; certain personality traits such as hostile attitude, impatience and depression; and vitamin D deficiency. HTN can be caused by kidney disease; oral contraceptives; drugs such as non-steroidal anti-inflammatory and antidepressants; renovascular disease and obstructive sleep apnea.<\/p>\n<p>Complications of HTN include the development of premature cardiovascular disease, heart failure, arrhythmia, and sudden cardiac death, ischemic stroke, intracerebral hemorrhage, and chronic kidney disease.<\/p>\n<p>Treatment: non-pharmacological lifestyle modifications include weight loss in obese patients; DASH diet; low sodium and low alcohol intake and increased activity.\u00a0 When lifestyle modifications fail to lower BP, then anti-hypertension medications should begin if SBP is over 140 in patients younger than 60 and over 150 mmHg in patients older than 60 and\/or DBP over 90 mmHg.<\/p>\n<p>Please contact our\u00a0office for any questions about your blood pressure.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hypertension (HTN) afflicts 29-31 percent of adults in the U.s. and is increasing in incidence as our population ages beyond 65. Approximately 46-51 percent of patients with HTN have blood pressure (BP) under control, i.e. less than 140\/90. BP includes two numbers\u2014the top number called Systolic Blood Pressure (SBP) and bottom number Diastolic Blood Pressure<\/p>\n","protected":false},"author":4,"featured_media":380,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"_links":{"self":[{"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/posts\/346"}],"collection":[{"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/comments?post=346"}],"version-history":[{"count":0,"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/posts\/346\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/media\/380"}],"wp:attachment":[{"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/media?parent=346"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/categories?post=346"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dtheals.com\/wp-json\/wp\/v2\/tags?post=346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}