HIGH BLOOD PRESSURE
Causes of high blood pressure
In the vast majority of cases, the cause of hypertension is unknown. But we know that several factors intervene: age, heredity, stress, lack of exercise or obesity.
-Age: In fact, when you get older, the arteries lose their elasticity, which leads to an increase in systolic blood pressure. And the speed with which this systolic blood pressure will rise with age, will depend on our behavior of life, our inheritance.
-Obsence: 30% of obese patients have high blood pressure, but also 30% of hypertensives will become obese. Indeed, there is a strong link between obesity and high blood pressure because weight gain is usually followed by a rise in blood pressure that can lead to high blood pressure.
-Excess alcohol and tobacco: Alcohol is actually the third factor of hypertension behind age and weight, alcohol promotes increased tension and decreases the effectiveness of our treatment. In addition, alcohol is caloric and can make you fat, but obesity also promotes hypertension. As for tobacco, it is itself a vasoconstrictor, which increases the tension.
-Stress: This is one of the most important causes. In situations of stress or intense emotion, blood pressure rises naturally. Work-related stress has been found to be associated with high blood pressure at night during sleep and work.
-The hereditary factor: Among the culprits of hypertension, there are also genetic factors. If your parents are hypertensive themselves. This is one more reason to have your blood pressure checked regularly. Women are more exposed to early contraception, pregnancy and menopause.
Symptoms of high blood pressure
People with hypertension do not usually have symptoms. It is often asymptomatic. That’s why it’s called the “silent killer.” However, in some cases, it can be accompanied by several clinical signs:
-Veryches or tinnitus
Abnormal breathlessness or pain in the chest especially after exercise
-A frequent need to urinate at night
– confusion or drowsiness
When not properly treated, hypertension can have more or less serious consequences on several organs. All organs that are irrigated by the heart can be affected by the consequences of hypertension: The heart, brain, kidneys, blood vessels and eyes are particularly vulnerable. These consequences can be very serious, especially when they are associated with diabetes. It is :
– Stroke: When a vessel is clogged with a blood clot, the part of the brain irrigated by this vessel lacks oxygen.
-Myocardial infarction: The obstruction of the coronary artery causes the partial destruction of the heart muscle. This is an absolute emergency. Without rapid medical intervention, the patient risks death or serious irreversible sequelae.
Renal failure: In cases of hypertension and diabetes, the kidneys are particularly at risk. In cases of kidney damage, the regulation of water balance is compromised and metabolic waste accumulates in the body. It’s kidney failure.
-The visual impairment: Hypertension can cause lesions in the small vessels of the eyes. This leads to a decline in sight that can go as far as final blindness.
-Arteitis of the lower limbs: when the arteries in the legs are narrowed, they can become blocked, causing permanent pain. Lack of blood supply can cause wounds, which do not heal and can become necrotic. A complication whose outcome is usually amputation.
– miscarriages: chronic hypertension (before pregnancy) can indeed increase the risk of miscarriage. We will come back to this point later.
Diagnosis of high blood pressure
Since arterial hypertension is mostly asymptomatic, the diagnosis is generally made either during a routine consultation (or a serious accident such as a stroke or infarction), or during a screening. To diagnose hypertension, do not rely on a single digit. Indeed, the blood pressure changes considerably throughout the day: it can sometimes be quite high during an intellectual or physical effort, during a stress, an event, or during an illness.
A person is considered to have high blood pressure (hypertension) when it exceeds 140/90 mm of mercury (“14-9”). However, people with blood pressure between 12-8 and 14-9 are already at risk for future illness.
Hypertension: what are the consequences during pregnancy?
10 to 15% of pregnant women suffer from hypertension. Hypertension can be known before pregnancy or can be revealed during examinations inherent to pregnancy. However, high blood pressure and pregnancy do not mix! Whether this hypertension has developed before or after conception, if it is not supported, during pregnancy then it can have very dangerous consequences for the mother and the baby. Hypertension can be at the origin of several complications of pregnancy: miscarriage, intrauterine growth retardation, premature delivery, fetal distress.
Why do pregnant women need to worry about their blood pressure?
Hypertension during pregnancy should be monitored and well controlled, this to avoid the following complications:
-Pregnant women with high blood pressure have a much greater risk of future heart disease, so it is important to maintain a healthy lifestyle and do regular screening after delivery.
-When there is hypertension, the placental blood supply decreases, so that the blood supply to the baby decreases, this can lead to abnormal growth of the fetus. It can also lead to risks of premature birth or miscarriage.
– Placental detachment is a complication in which the placenta separates from the uterine wall before delivery, which can be dangerous for the mother and her baby. It is a dangerous complication.
Treatment of hypertension during pregnancy
The pregnancy of a woman with hypertension needs to be monitored more. This is the period par excellence where you must pay attention to taking medication. When you have high blood pressure, the doctor should check that the medications taken to control hypertension are compatible with the pregnancy. Angiotensin converting enzyme inhibitors, for example, can cause kidney malformations … it will prescribe what suits you best: some medications are contraindicated and can affect your health and that of your baby. Be careful not to take any treatment except under strict medical supervision
Is there a link between hypertension and sexual weakness?
Yes, sexual function is one of the most important aspects impacted by high blood pressure. The inability to get or maintain an erection is the most painful complaint in patients with hypertension. High blood pressure damages the arteries over the years. What makes an old hypertension end up damaging the arteries, including those irrigating the penis. Over time, the patient will eventually have erection problems.
It must also be said that the impairment of sexual functions can also be increased the drugs prescribed to fight against hypertension. If you are in this situation, it is necessary to talk to your doctor and change your treatment to find the one that suits you best.