What is hypertension?
Essential hypertension means more than 95% of high blood pressure means that it is hypertensive without a definite cause. Secondary hypertension, on the other hand, is one that causes high blood pressure due to kidney disease, heart disease, endocrine disease and other causative diseases. The criteria for hypertension of the WHO (World Health Organization) so far have been set at systolic blood pressure of 140 mmHg and diastolic pressure of 90 mmHg or more, but according to recent reports it seems that it was changed to 130/85. Using this criterion, 30 to 40% of adults will be judged to be hypertensive, I think this is a bit of a problem.
Causes of essential hypertension
As a cause of essential hypertension, multifactorial theory is thought that in addition to the genetic constitutional predisposition, environmental factors such as salt intake, obesity, cold, and stress are added to develop. Although it is well known that blood pressure rises by stress, historically it is famous for stress emergency reaction by physiologist Cannon. That is, when a cat barks a ferocious dog, he always has his blood pressure rising and his heart rate rising. Such a response is a very prudent physiological response to take an emergency regime such as fighting and flight to protect the life of an animal when an animal encounters a foreign enemy. The emotions arising from such an emergency are anger and fear, and activation of the sympathetic nervous system occurs via mediators such as adrenaline and noradrenaline, so Cannon’s theory is also called emotion – sympathetic theory theory I will. A psychiatrist, a psychiatrist, says, “Hostile emotions that are not exposed become the source of sustained stimulation of the vascular system, as if the restrained living organism is ready for a battle never happening It is as if it is “. In this way, it is a defensive reaction against foreign enemies originally provided in living organisms, but when the emotions such as anger, fear and anxiety are not properly treated and become chronically stressed, it brings about secondary harm caused by high blood pressure is.
What is white coat hypertension?
Although white blood pressure hypertension is normal blood pressure measured at home by herself, it is said that becoming “high blood pressure” when measured by a person wearing a white gown at a hospital. It is well known that blood pressure rises with tension and stress, but when it comes to a hospital after being conditioned it becomes high blood pressure. At the hospital, we often take a deep breath a couple of times to get tense, then we will re-measure the blood pressure, but still there is a possibility that blood pressure will not decrease and hypertension will be diagnosed. If you blindly administer an antihypertensive medication to such a person, blood pressure will drop too much and various symptoms (comfort, dizziness, tiredness, dullness etc) will come out instead. Therefore, it is necessary to grasp the blood pressure fluctuation in everyday life and make judgment as to whether it is high blood pressure or not.
Treatment of hypertension
For prevention of high blood pressure, as well as improving general lifestyle such as limiting salt, decreasing obesity, refraining from tobacco and alcohol, in addition to that, it is also necessary to focus on stress control. There are a variety of stress relief methods, such as exercise and sports, talking with friends, changing the mood, relaxing and so on, but it is important to acquire the method that suits your way from day by day. Just because you are irritated, let’s stop waging alcohol, joking, eating too much, and smoking too much. If hypertension continues even after improving such a lifestyle, again, please visit a medical institution and judge the presence or absence of organic disease and take appropriate treatment such as taking antihypertensive drugs.