Hypertensive urgency is defined as those situations associated with severe elevations in BP without progressive target organ dysfunction (Chobanian, Lenfant, Jones, & Roccella, 2004). It refers to patients with upper levels of stage II hypertension associated with severe headache, shortness of breath, epistaxis, or severe anxiety. The cut-off range that is recommended to initiate treatment if SBP > or = 180 and DBP > or = 110mm Hg (Chobanian, Lenfant, Jones, & Roccella, 2004) (Cherney & Straus, 2002). Based on current statistics, twenty-five percent of patient visits to busy urban ambulatory care emergency rooms are hypertensive urgency cases.
A report on the the prevalence of hypertension, awareness, treatment, profile and control rate noted that hypertension in the Philippines is seen to be increasing. In 2003, data showed that 16 percent or approximately 7 million Filipino adults 20 years and above has hypertension. The incidence increased to 10 million or 21% or roughly 1 out of 4 Filipino adults 20 years and above in 2008. Based on the study, there is no sex predilection and prevalence is higher among urban dwellers. There can be so many reasons why its prevalence is higher among urban dwellers such as majority of these patients present as noncompliant or inadequately treated hypertensive individuals (Sison, et al., 2007). They may benefit from adjustment in their antihypertensive therapy, particularly the use of combination drugs, or reinstitution of medications if noncompliance is not a problem. And most importantly, the physician should provide rapid follow-up for on-going monitoring and dose adjustment (Chobanian, Lenfant, Jones, & Roccella, 2004).
The vital aspect in the management of chronic illnesses such as hypertensi...
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...ily reminder prompts using Short Messaging Service (SMS) among adult patients consulting at the UP-PGH E.R. Ambulatory Section who are diagnosed to have Hypertensive Urgency in a random clinical trial for 3 to 5 days to encourage self-monitoring. This research study will determine the use of Short Messaging Service to fill in the communication gap between hypertensive urgency patients and the attending physician at home. In other countries, the piloted system is referred to as the Patient Relationship Manager. The Patient Relationship Manager (PRM) ideally monitors the patient from his home using technology such as computer networking and/ or wireless communication devices. It transmits updated information to the attending physician with regards to the patient’s recent status. The attending physician in return can provide decisions based on transmitted information.
For example: if hypertension goes untreated then it could potentially lead to stroke, heart attacks, and untimely death. Early detection and improve patient outcomes by educating the patient on lifestyles changes and effective drug treatment. It is important for the patient to alter their eating habits, as well as their sedentary lifestyles and monitor their blood pressure levels. Feasible and affordable screening approved by the patient is also important: for example, electronic monitoring can make it easier for the patient to obtain their levels without causing harm and cost effective. (page 125)
High blood pressure is called the “silent killer” because it often has no warning signs or symptoms, and many people don’t know they have it. For most patients, high blood pressure is found when they visit their health care provider or have it checked elsewhere. Because there are no symptoms, people can develop heart disease and kidney problems without knowing they have high blood pressure. Some people may experience: bad headache, mild dizziness, and blurry vision. Traditionally, diagnosis of high blood pressure (BP) has relied on consecutive checks of clinic BP over a 2 to 3 month period, with hypertension confirmed if BP remains persistently raised over 140/90 mmHg. This method of diagnosis has significant limitations because the BP measured for an individual patient in a clinic setting may not reflect their BP in day-to-day life. The main concern is that as a result of the “white coat syndrome”, hypertension may be over-diagnosed when checked in the clinic setting; resulting ...
Hypertension is deadly and it is a silent killer, if not detected on time, it can cause severe complications to major organs in the body.
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
Hypertension is diagnosed by measuring the blood pressure by a device known as the sphygmomanometer. Blood pressure is taken and presented by the systolic blood pressure and diastolic blood pressure. The systolic and diastolic numbers will be recorded and compared to a chart of values. At the same time, doctor would also ask for patient’s family history of hypertension and the associated risk factors such as high cholesterol food intake.
As many as 73 million Americans have high blood pressure. Of the 1 in every 4 adults wi...
" Journal of Clinical Hypertension 13.5 (2011): 351-56. EBSOHost.com - a. Web. The Web.
Hypertension affects approximately 25% of adults worldwide and 16% of US adults and it is estimated to increase in prevalence by 60% over the next 10 to 15 years (1). Hypertension, or increased systemic blood pressure, is directly correlated with many morbidities, such as coronary heart disease (CHD), cardiovascular disease (CVD), congestive heart failure, and chronic renal dysfunction (reference). Essential hypertension, also known as primary hypertension, accounts for 95% of all known cases of hypertension. It is speculated that primary hypertension has a variety of attributing factors including genotype and other hereditary factors (1). High blood pressure or hypertension is currently the highest preventable risk factor for developing CVD, accounting for nearly 54% of deaths from stroke and 47% of deaths from coronary heart disease worldwide (2). Additionally investing in preventative measures for reducing high blood pressure could reduce direct and indirect medical costs by $156 billion in the US alone (2). Even though the exact interaction between sodium and blood pressure is not completely known, current evidence suggests that sodium plays a direct role in hypertension.
Hypertension affects approximately 73 million Americans. It is a chronic medical condition in which the blood pressure is elevated. Hypertension, also called high blood pressure is often seen concurrent with diabetes mellitus. Many refer to hypertension as the “silent killer” because often time’s individuals are Asymptomatic. Ideally, blood pressure is expected to be less than 120mmHg systolic and 80mmHg diastolic. Hypertension is defined as sustained blood pressure of the arteries greater than or equal to 140/90mmHg. . Twenty nine percent of Mexican American men and thirty one percent of Mexican American women are living with hypertension. Mexican American hypertension levels are compatible to non-Hispanic whites; however, they are less likely to have their blood pressure treated or controlled compared to whites and African Americans. Hypertension increases the work load of the heart leading to other chronic disease processes, most commonly myocardial infarction often referred to as a heart attack. La...
Hypertension is a developing problem worldwide，associated with an increased risk of cardiovascular morbidity and mortality. In 2020, the world population will be approximately 7.8 billion people, and there will be 1 billon people who may be affected by hypertension (Tomson & Lip, 2005). One in three adults in the United States has high blood pressure. According to the report “Health, United States, 2010 with Special Feature on Death and Dying,” the prevalence of hypertension among adults 20 years old or older increased from 24% to 32% during 1988-1994 and 2005-2008. The African-American population has a higher prevalence of this health condition than white Americans do. In 2005 to 2008, the prevalence of hypertension among black males (41.4%) was more than 10%, compared to white males at 31.5% of the population. The hypertension rate of black females was more than twice that of white females. The death rate from hypertension among black males was 51.8 per 100,000, and among black females was 40.4 per 100,000; however, the morta...
Vicki is a 42-year-old African American woman who was diagnosed with Hypertension a month ago. She has been married to her high school sweetheart for the past 20 years. She is self-employed and runs a successful insurance agency. Her work requires frequent travel and Vicki often has to eat at fast food restaurants for most of her meals. A poor diet that is high in salt and fat and low in nutrients for the body and stress from her job are contributing factors of Vicki’s diagnosis of hypertension. This paper will discuss the diagnostic testing, Complementary and Alternative Medicine treatments, the prognosis for hypertension, appropriate treatment for Vicki, patient education, and potential barriers to therapy that Vicki may experience.
Cardiovascular Disease (CVD) is a major health concern for India and her people. India has experienced a steady rise in the burden of CVD, with a six- to eight-fold increase in the prevalence of CVD over the past four decades. Currently, CVD is the leading cause of death in India, with around 28% of deaths attributed to vascular disease. CVD affects both rural and urban populations alike. Among adults, the estimated prevalence of Coronary Heart Disease (CHD), one subset of CVD, is 8-10 % in urban zones and 3-4 % in rural areas. While the current burden of the problem is great, with over 30 million people affected, it is only projected to get worse, with a total of around 64 million cases likely in 2015 and deaths due to CVD expected to double between 1990-2020. This will make India host to over 50% of heart disease cases in the world within the next 10 years.
WILLIAMS, P and POULTER NR et al (2004) Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society. British Hypertension Society, pp. 139-85
Mandl, Kenneth, MD., Kohane, Isaac, MD., Brandt, Allan, MD. (1998). “Electronic Patient – Physician Communication: Problems and Promise”. Annals of Internal Medicine, 129, 495 – 500.
Schnall, P., Landsbergis, P., Belkic, K., Warren, K., Schwartz, J., & Pickering, T. (1998). Findings In The Cornell University Ambulatory Blood Pressure Worksite Study: A Review. Psychosomatic Medicine, 60, 697.