What Is Hypertension

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Understanding Hypertension


What Is Hypertension?


Hypertension, commonly known as high blood pressure, is when the force of blood against the artery walls is too high. According to the Merriam-Webster dictionary, it refers specifically to abnormally high arterial blood pressure. When the small arteries, or arterioles, become narrow, blood flow is restricted, causing the heart to pump harder. This increased and sustained pressure leads to high blood pressure.

The Prevalence of High Blood Pressure


Hypertension is a widespread health issue, particularly in the United States, where it is recognized as the most prevalent chronic illness. Nearly 25% of Americans suffer from it, yet many remain unaware due to a lack of early symptoms. This underscores the importance of regular blood pressure monitoring.

The Dangers of Untreated Hypertension


Leaving high blood pressure unmanaged can pose severe health risks, such as stroke, heart attack, heart failure, kidney disease, vision impairment, dementia, and premature death. Alarmingly, untreated hypertension can reduce life expectancy by up to 20 years. Despite these risks, over 15% of Americans with diagnosed hypertension do not take steps to control it.

Managing and Preventing High Blood Pressure


Although there is no definitive cure for high blood pressure, it is highly treatable and preventable. Adopting lifestyle changes and, if necessary, taking medication can help maintain safe blood pressure levels. Advances in knowledge and treatment over recent decades have significantly decreased stroke and heart disease fatalities.

Risk Factors for Hypertension


Several factors increase the likelihood of developing high blood pressure:

- Age: The risk escalates as people age.
- Race: Black Americans have the highest risk (about 33%), followed by white Americans (23%), American Indians (21%), Hispanics (18%), and Asians/Pacific Islanders (16%).
- Family History: Genetics can play a role.
- Gender: Men are more prone before age 55, while women’s risk rises after 55.
- Lifestyle: Obesity, inactivity, smoking, excessive alcohol consumption, and low potassium levels.

Certain medical conditions, such as heart disease, diabetes, high cholesterol, and sleep apnea, also elevate the risk.

Types of Hypertension


Hypertension is categorized into two types:

- Essential Hypertension: This is the most common form and has no identifiable cause.
- Secondary Hypertension: Occurs due to another underlying condition. This affects 5-10% of cases and can be caused by kidney disease, hormonal issues, thyroid disorders, and pregnancy-related conditions like preeclampsia.

Consequences of Uncontrolled High Blood Pressure


If hypertension remains untreated, plaque can build up in major arteries, obstructing blood flow and potentially leading to a heart attack. Narrowing of arteries hinders oxygen-rich blood from reaching the heart efficiently, increasing the risk of cardiac events.

Regular monitoring, awareness, and proactive health measures are essential in managing and preventing hypertension effectively.

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