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hypertension
(redirected from Hypertensive disorders)

   Also found in: Medical, Wikipedia, Hutchinson 0.31 sec.
hypertension or high blood pressure, elevated blood pressure blood pressure, force exerted by the blood upon the walls of the arteries. The pressure in the arteries originates in the pumping action of the heart, and pressure waves can be felt at the wrist and at other points where arteries lie near the surface of the body (see
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 resulting from an increase in the amount of blood pumped by the heart or from increased resistance to the flow of blood through the small arterial blood vessels (arterioles). Hypertension is generally defined as a blood pressure reading greater than 140 over 90; presssures of 120–139 over 80–89 are now considered prehypertension. When the cause is unknown, the hypertension is called primary, or essential, hypertension. When a cause can be identified (e.g., a disorder of the adrenal glands, kidneys, or arteries), the condition is known as secondary hypertension. Factors such as heredity, obesity, smoking smoking, inhalation and exhalation of the fumes of burning tobacco in cigars and cigarettes and pipes. Some persons draw the smoke into their lungs; others do not. Smoking was probably first practiced by the indigenous peoples of the Western Hemisphere.
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, and emotional stress are thought to play a role; the usual immediate cause is an imbalance in the body's vasoconstriction/fluid retention systems, often involving a decrease in the kidney's secretion of the regulatory hormone, renin.

Known as the "silent killer," hypertension often produces few overt symptoms; it may, however, result in damage to the heart, eyes, kidneys, or brain and ultimately lead to congestive heart failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time.
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, heart attack (see infarction myocardial infarction or heart attack is usually caused by a blockage in one of the coronary arteries that supply blood to the heart muscle. The blockage typically occurs when a blood clot (see thrombosis ) lodges in an area already narrowed by arteriosclerosis ; other
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), kidney failure, or stroke stroke, destruction of brain tissue as a result of intracerebral hemorrhage or infarction caused by thrombosis (clotting) or embolus (obstruction in a blood vessel caused by clotted blood or other foreign matter circulating in the bloodstream); formerly called
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. African Americans and women are the most affected. Treatment of hypertension includes diets to reduce weight and salt and alcohol intake, increased exercise, quitting smoking, and various drugs, such as diuretics diuretic (dī'yərĕt`ĭk), drug used to increase urine formation and output.
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, ACE inhibitors Angiotensin-receptor blockers (ARBs), such as losartan (Cozaar) and valsartan (Diovan), reduce hypertension by displacing angiotensin 2 from receptors on the surface of cells. ARBs are used as alternatives to the less expensive ACE inhibitors because they have fewer side effects.
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, beta-blockers beta-blocker or beta-adrenergic blocking agent (bā`tə ăd'rənûr`jĭk)
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, calcium-channel blockers calcium-channel blocker, any of a class of drugs used in treating hypertension , angina pectoris , and certain arrhythmias . They prevent the calcium ions needed for muscle contraction from entering the cells of smooth and cardiac muscle.
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 or angiotensin-receptor blockers, as well as biofeedback biofeedback, method for learning to increase one's ability to control biological responses, such as blood pressure, muscle tension, and heart rate. Sophisticated instruments are often used to measure physiological responses and make them apparent to the patient, who
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. Many patients require a combination of drugs to control their blood pressure. Treatment for persons with prehypertension includes dietary and other lifestyle changes. Recent research has questioned the importance of dietary salt as a major contributor to hypertension; some studies point to low calcium intake as a cause.

See also eclampsia eclampsia (ĭklămp`sēə), term applied to toxic complications that can occur late in pregnancy.
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hypertension

 or high blood pressure

Condition in which blood pressure is abnormally high. Over time, it damages the kidneys, brain, eyes, and heart. Hypertension accelerates atherosclerosis, increasing the risk of heart attack, stroke, and kidney failure. More common in the elderly and blacks, it usually has no symptoms but can be detected by a routine blood-pressure test. Secondary hypertension, caused by another disorder (most often kidney disease or hormone imbalance), accounts for 10% of cases. The other 90% have no specific cause (essential hypertension). A low-salt diet, weight loss, smoking cessation, limited alcohol intake, and exercise can prevent or treat hypertension or reduce medication if drug therapy proves necessary. Malignant hypertension, a severe, rapidly progressing form, requires emergency treatment with drugs to dilate the blood vessels.


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For white women, the greatest increases in risk are from hemorrhage, cardiomyopathy (heart disease of unknown cause), embolism and other medical conditions aggravated by pregnancy; for black women, the most elevated risks of death are from hypertensive disorders of pregnancy, strokes, infections and other medical conditions.
hypertensive disorders, ambulation dysfunctions, balance disorders, etc.
Pre-eclampsia and other hypertensive disorders of pregnancy are a leading global cause of maternal and infant illness and death," said Coggins.
 
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