Understand Essential Hypertension

Interview With Dr.Thamburaj

Dr.A.Vincent Thamburaj gives us a clear picture of what Essential hypertension and other terms related to high blood pressure, mean.

Dr.Vincent Thamburaj is an accomplished Neurosurgeon and has specially been interviewed for www.healthy-blood-pressure-tips.com

Here are his responses to some frequently asked questions.

Thank you Doctor for your enthusiasm with your work and for agreeing to come on board to answer some questions.

Dr.A.Vincent Thamburaj, D.N.B; F.R.C.S. Neurosurgeon, Apollo Neuro Hospital, Chennai 600035, India. Tel : 91 44 2433 1740 Fax: 91 44 2436 3646

What do you mean by low diastolic blood pressure ?

Diastolic pressure is the blood pressure in a relaxed state between the heart beats unlike the systolic pressure which is the pressure that your heart generates when pumping blood. A low diastolic pressure (below 60) compromises of coronary blood flow and increases the cardiovascular risk.

What is essential hypertension ?

It is consistently high bood pressure with no detectable cause.

Essential hypertension is also called primary hypertension or idiopathic hypertension and is the form of hypertension that by definition has no identifiable cause. It affects over 90% of all hypertensive patients.

How can high blood pressure be avoided?

Essential hypertension is usually controllable with proper treatment and lifelong monitoring. Healthy diet, healthy weight, avoiding salt, alcohol, caffeine and tobacco and exercise to improve cardiac fitness prevent essential hypertension to those individuals at risk.

What are the dangers of high blood pressure ?

High blood pressure can cause damage to blood vessels and thereby heart, brain and kidneys leading to heart attacks, strokes and kidney failure respectively.

How is stress related to High blood pressure?

Stress causes short term high blood pressure and not long term hypertension; but associated, smoking, drinking alcohol and poor sleep habits may be the culprit and damage blood vessels, heart and kidneys in a way similar to long-term high blood pressure.

How is high blood pressure related to stroke ?

Hypertension leads to hardening of the large arteries which in turn, leads to blockage and weakening of the walls of small blood vessels in the brain, causing them to balloon and burst. The risk of stroke is directly related to how high the blood pressure is.

What is the trend for high blood pressure in India ?

There is an age related increase in high blood pressure in both males and females, and it is higher in females at all age groups; diastolic BP increases up to age 60 years and then declines, similar to that reported from many developed countries.

What are the main causes of high blood pressure in India?

As in any part of the world, the main cause in India is essential hypertension with its genetic and lifestyle causes.

What are the mechanisms connected with brain haemorrhage?

High blood pressure is the most common cause; other causes include congenital vascular malformations, bleeding diseases and trauma.

Are there any supplements which you would recommend for high blood pressure ?

I recommend high intake of potassium ( fruits, vegetables) and low fat dairy products and reduced in saturated and total fat in addition to above mentioned. Avoid frozen dinners, pizza, packaged mixes, canned soups or broths, and salad dressingsOther factors such as family history and age are beyond your control. Spices, garlic, and onions, you can make your food spicy without salt.

Which are the best blood pressure monitors that can be used at home?

You can use either an aneroid monitor (can easily be damaged and become less accurate; may not be appropriate for hearing impaired people, because of the need to listen to heart sounds through the stethoscope) or a digital upper arm monitor (body movements or an irregular heart rate may disturb the reading); finger/wrist devices do not measure blood pressure very accurately. Digital ones are recommended as they are easy to use. It is better a doctor checks the BP in the young and children as they may not cooperate.

Why are digital blood pressure monitors recommended ?

They are easy to use and recommended; however, talk to your doctor before you decide.

Can patients maintain their own blood pressure charts?

Yes, that will help your doctor and you keep check. if it takes an unusual dip or peak, inform your doctor.

Please tell us about your work ?

I am a Neurosurgeon who deals with brain and spinal tumors, brain hemorrhages, infections etc

We thank Dr.Vincent Thamburaj for his informative responses to our queries. Contact details of Dr.Thamburaj is mentioned above. For more details you may visit his website at http://www.thamburaj.com

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