Gregory Dilg: Prevention HYPERTENIONThe degree to which hypertension can be prevented depends on a number of features including current blood pressure level, sodium/potassium balance, detection and omission of environmental toxins, changes in end/target organs (retina, kidney, heart, among others), risk factors for cardiovascular diseases and the age at diagnosis of prehypertension or at risk for hypertension. A prolonged assessment that involves repeated blood pressure measurements provides the most accurate blood pressure level assessment. Following this, lifestyle changes are recommended to lower blood pressure, before the initiation of prescription drug therapy. The process of managing prehypertension according the guidelines of the British Hypertension Society suggest the following lifestyle changes:Weight reduction and regular aerobic exercise (e.g., walking): Regular exercise improves blood flow and helps to reduce the resting heart rate and blood pressure.[47]Redu! ce dietary sugarReduce sodium (salt) in the body by disuse of condiment sodium and the adoption of a high potassium diet which rids the renal system of excess sodium. Many people use potassium chloride[48]salt substitute to reduce their salt intake.[49]Additional dietary changes beneficial to reducing blood pressure include the DASH diet (dietary approaches to stop hypertension) which is rich in fruits and vegetables and low-fat or fat-free dairy products. Research sponsored by the National Heart, Lung, and Blood Institute.[50] showed this diet to be effective. In addition, an increase in dietary potassium, which offsets the effect of sodium has been shown highly effective in reducing blood pressure.[51]Discontinuing tobacco use and alcohol consumption has been shown to lower blood pressure. The exact mechanisms are not fully understood, but blood pressure (especially systolic) always transiently increases following alcohol or nicotine consumption. Abstaining from cigarette! smoking reduces the risks of stroke and heart attack associat! ed with hypertension.[52]Vasodialators such as niacin.Limiting alcohol intake to less than 2 standard drinks per day can reduce systolic blood pressure by between 2-4mmHg.[53]Reducing stress, for example with relaxation therapy, such as meditation and other mindbody relaxation techniques,[54] by reducing environmental stress such as high sound levels and over-illumination can also lower blood pressure. Jacobson's Progressive Muscle Relaxation and biofeedback are also beneficial,[55] such as device-guided paced breathing,[56][57] although meta-analysis suggests it is not effective unless combined with other relaxation techniques.[58]Increasing omega 3 fatty acids can help lower hypertension. Fish oil is shown to lower blood pressure in hypertensive individuals. The fish oil may increase sodium and water excretion.[59]treatment see the linkhttp://en.wikipedia.org/wiki/Hypertension#Preventi......Show more
Alden Soldano: More than a half-million teenagers have a detectabl! e life threatening heart condition in the US. But due to cultural reasons and the price of testing many will not know it until much later in their lives or until they collapse for the first and possibly last time. The first sentence is easy. Hypertrophic cardiomyopathy is usually visible by late teenage years and it happens in 1 in 500 people. There are almost 300 million people in the US. It accounts for 30 to 40 percent of sudden deaths in teenagers. If you talk to people with it, every one of them have family that is at high risk of carrying the genetics, but don't want to be tested. And professionals are always at discussion of how to establish an inexpensive screening program for young adults, but so far very little headway has been accomplished....Show more
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