The study conclude that hypertension effects the quality of life style of patients and education has major role in improving the health care out comes, this study demonstrates that pharmacist intervention schedule significant reduction in mean systolic blood pressure and diastolic blood pressure and improvement in health related quality of life of hypertension patient, based on these findings. It can be effective in reducing blood pressure and improving qualities of life of hypertensive patients.
Introduction
High blood pressure is a common conditions in Which the force of the blood against our artery walls is high enough that it may eventually cause health problems, such as heart disease, blood pressure is determined by the amount of blood your heart pumps and amount of resistance to blood flow in our arterie
Clinical features of high blood pressure
The documentation of hypertension, which is confinned after an elevated blood pressure on at least 3 seperate occasions (based on the averages of 2or more readings taken, content of and organ damage (heart, brain, kidney. Assessment of patient cardiovascular risk status, exclusion of secondary cause of hypertension, headache, shortness breath, nose bleeds.
Names of natural remedies
Garlic
Fish oil
Omega3fattyacids
Hibiscus(mandara)
Chocolate (cocoa extract)
Vitamin D
Karuparavalli
Drum sticks
Amla
Rawolfia(sarpagandha}
Natural remedies for hypertension
Garlic – garlic may lower blood pressure particularly systolic blood pressure, the active constituents in garlic are thought to be the sulfur containing compounds including allicin, which may act on the body’s nitric oxide system which relaxes the arteries and lower the systolic blood pressure, high blood pressure used 600_2400mg0f garlic powder taken upto 12 weeks. Fish oil-omega3fatty acids are essential fatty acids that are found in fish and some plants foods, it may help in lower blood pressure in people with high blood pressure Hibiscus – Hibiscus tea (from plant Hibiscus sabdana) and supplements have been found to lower blood pressure in human studies, when taking Hibiscus as side effects including diuresis may occurChocolate-human being have found that eating dark chocolate or cocoa products enriched with flavonols may slightly lower blood pressure in people, chocolates may effect the nitric oxide system resulting in vasodilation and lower blood pressure, Chocolates also contain caffeine and sugar among other ingredients, Large amount of caffine can increase the blood pressure. Drum sticks – it obtained from the moringa olerfera plant, drumsticks called Sahjan, it contain high content of protein and value vitamin and minerals, the best way to hardness this benefit is to cook drum sticks with lentils or dal. Amla – it has been lower blood pressure and help to reduce diastolic and systolic blood pressure, Amla extract shows the ability to reduce level of cholesterol in blood and liver. Sarpagandha – traditional medicine practitioner have used Rawolfia in treating insomnia, snake bite, high blood pressure, alkaloid reserpine extracted from this plant, it is available in root powder and tablets Blood pressure and sugar content may effect blood sugar levels. VitaminD – naturally in fish, eggs, milk, codliver oil, produced naturally during exposure to the sun, low level of VitaminD develop high blood pressure. Karuparavalli – coleus for skohlit is grown in many home gardens in South India, it has been found to relax the smooth muscles of arteries and help to lower blood pressure, Karuparavalli tablets, chewable pills.
Natural ways to reduce blood pressure
Diet to lower blood pressure – eating more fruits, vegetables, low fat dairy foods, eating more whole grain products, fish, nuts, eating less redhead and sweets. Physical activity to lower blood pressure – people with mild and moderately, elevated blood pressure, do exercises 30to60 minutes (walking, jogging, cycling) Blood pressure, breathing, and stress management – blood pressure increase when a person is under emotioned stress and tension, activity such as yoga, Qigong, taichi helps in reduction of blood pressure. , Less than 150/90mmhg-if you are a healthy adult age 60 or older Less than 140/90mmhg-if you are a healthy adult younger than age 60
Risk factors for high blood pressure
Age – the risk of high blood pressure increase as for you age early middle age or about age 45, high blood pressure is more common in men, women are more likely to develop high blood pressure after age 65. Race – high blood pressure is particularly common among blacks often developing at an earlier age than it does in whites, serious complications such stroke heart attack and kidney failure, also more common in blacks. To much salt in your diet – too much sodium in your diet can cause your body to retain fluid, which increases blood pressure. To little potassium in your diet – potassium helps balance the amount of sodium in your cells. Tobacco use including chewing tobacco, estimated glomerular filtration rate less than 60 ml/min, microalbuminaria, lack of exercises
Untreated patients with hypertension the following complication
Complications occurring in 500 patient seen in consultation and private practice is presented which undergo cyclic changes, dilatation of heart, hypertrophy of heart, development of murmurs, cardioscleriosis, angina pectoral, disturbance of rhythm, congestive heart failure, coronary occlusion Un controlled high blood pressure can lead to heart attack – increase blood pressure can cause hardening and thickening of arteries. Aneurysm increase cause your blood vessels to weeken and bulge Trouble with memory or understanding – uncontrolled high blood pressure may also effects your ability to think, member and learn.
Test and diagnosis –
A blood pressure reading given in millimeters of mercury has two numbers, the first or upper number measures the pressure in your arteries, when your heart beat (systolic pressure), the second or lower number measures the pressure in your arteries b /w diastolic pressure. pressure. arteries.
Life style changes to treat high blood pressure
Eating a healthy diet with less salt, exercises regularly, quitting smoking, maintain the healthy weight.. Practice relaxation or slow deep breathing Alternative medicines -. Although diet and exercise are the most appropriate factors to lower your blood pressure, they include. Fish such as blond psyllium and wheat bran, minerals, such as magnesium, calcium and potassium, folic acid
Conclusions
It is essential for all physicians treating hypertension to obtain a history of any herbal, dietary, or supplement use from all patients. Because of the potency of the effect of grapefruit juice on several drugs used in hypertensive patients, specific questioning is needed about this. The number and complexities of such substances and their possible interactions with cardiovascular drugs make it imperative that a written or electronic reference source be immediately available for consultation. Serious consider-ation should be given to having all patients attending a hypertension clinic discuss use of any such products with their physician before intake. Case reports and case series of hypertensive emergencies and serious cardiovascular complications illustrate the serious adverse effects thatmay occur. More vigilance is needed in monitoring the use of herbals, supplements, and other nontraditional medica-tions in the hypertensive population.