Treatments & Therapies

Hypertensiology – Treatment, Effects & Risks


Hypertension is the treatment of high blood pressure . High blood pressure has become a widespread disease, but not everyone is aware of their condition. How does high blood pressure develop and what methods of treatment are used for hypertension?

Hypertension is a vascular disease that now affects 50% of European citizens. Often the knowledge about a disease is not available and it has a negative effect on the human organism and brings with it long-term damage. Especially in old age, the number of sick people increases significantly.

There are two types of high blood pressure, hypertension and secondary hypertension. With hypertensiology, doctors have found a way to treat high blood pressure and curb permanent damage caused by a disease.

What is hypertensiology?

Blood pressure is the pressure in the vessels that exerts pressure on the vessel wall from the inside. Blood is pumped from the heart into the blood vessels . The normal blood pressure is 120/80 mmHg (millimetres of mercury). A value of 140 mmHg or higher is considered mild high blood pressure, i.e. first degree hypertension . A value above 180 mmHg is severe high blood pressure.

If the person is in unusual situations, such as stress or excitement, the blood pressure can rise, but it drops back to normal during the rest phase. Only when there is permanent high pressure does the doctor speak of hypertension. There are two basic forms of hypertension: Primary hypertension is the most common form of high blood pressure and is also known as essential hypertension. More than 90% of patients suffer from this form. This disease occurs without detectable underlying diseases.

Secondary hypertension is the side effect of an existing disease. For example, kidney disease or a metabolic disorder can trigger nonessential hypertension. However, taking certain medications can also promote the disease.

Isolated clinical hypertension, also known as white coat hypertension, is another common variant of hypertension. The patient’s blood pressure at the doctor’s is significantly higher than the value that the patient measured at home. The reason lies in the fear of visiting the doctor, which causes the blood pressure value to rise.

Treatments & Therapies

Hypertension can be caused by many different factors that play a role in its development. A hereditary cause may be involved in the development of high blood pressure. If one parent suffers from high blood pressure, the probability that the child will develop it is twice as high as if there is no existing disease. A genetic defect in combination with external factors can also trigger high blood pressure.

Other risk factors that can lead to primary high blood pressure are obesity , a high proportion of table salt, alcohol consumption , smoking , chronic stress and lack of exercise . In the case of secondary hypertension, a risk factor cannot be clearly defined. The patient suffers from a disease that results in the development of high blood pressure. High blood pressure can develop if you suffer from arteriosclerosis (hardening of the blood vessels) or if the renal artery narrows . The sick people are mostly over 55 years old and smokers.

In rare cases, secondary hypertension can also occur when taking medication. The triggering medications include hormone preparations. Contraceptives , in this case the estrogen pill, and drugs taken for rheumatic diseases cause high blood pressure. If high blood pressure occurs, those affected often live for years without recognizing any clear symptoms. Therefore, the risk of permanent damage to the body is very high. Possible symptoms of hypertension are dizziness , headaches , ringing in the ears and heavy nosebleeds .

Undetected hypertension can cause long-term damage to the heart , brain , eyes , kidneys and blood vessels. If the organs are damaged as a result, symptoms such as shortness of breath , shortness of breath , chest pain and difficulty standing occur. The risk of suffering a heart attack or stroke is very high.

To diagnose hypertension, blood pressure is first measured. In conjunction with other findings , an assessment is made as to which treatment is the right one for the person concerned. The patient is often very excited when visiting the doctor, so it is advisable to let the patient calm down before the measurement. A long-term measurement by wearing a 24-hour blood pressure device can determine the high blood pressure. Stress measurements ( ergometry ) and self-measurements also provide the doctor with a clear picture of the blood pressure.

During an examination, the living conditions of the patient are also taken into account. In addition to blood pressure measurement, a blood test and an examination of the urine are ordered. To detect secondary hypertension, doctors do an EKG (electrocardiogram), an ultrasound , and a chest X – ray .

Diagnosis & examination methods

In order to avoid the development of a secondary disease, hypertensiology is started immediately after the diagnosis. Which therapy is used depends on the patient. In general, the patient should change his lifestyle and reduce stress. In many cases, antihypertensive medication must be taken. In the case of secondary hypertension, the treatment of the triggering disease is adapted to the affected group of people.

Combination therapies are necessary if very high blood pressure or a concomitant disease or organ damage is present. Two antihypertensive drugs are taken at the same time. If the effect is insufficient, the dose can be increased. An effect can be seen after two to six weeks. To prevent hypertension, you should pay attention to a balanced diet and a lot of exercise.

Lisa Newlon
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Hello! I am Lisa Newlon, and I am a medical writer and researcher with over 10 years of experience in the healthcare industry. I have a Master’s degree in Medicine, and my deep understanding of medical terminology, practices, and procedures has made me a trusted source of information in the medical world.