WHAT IS YOUR BLOOD PRESSURE

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WHAT IS YOUR BLOOD PRESSURE?
Hypertension 2006 An Overview
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Hypertension Overview

• Developed for you by doctors, nurses,
  pharmacists, dietitians and exercise
  physiologists
• Sponsored by Blood Pressure Canada, The Heart and
  Stroke Foundation of Canada, the Canadian
  Hypertension Society and the Canadian
  Hypertension Education Program

Available for downloading at www.hypertension.ca
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Leading Risks For Deathin North America (World
Health Organization 2002)
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HYPERTENSION
Tobacco use
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Cholesterol
Overweight
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Lack of fruit and vegetables
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Inactivity
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HYPERTENSION OR HIGH BLOOD PRESSURE

• What is blood pressure?
• What is HYPERTENSION?
• What causes hypertension?
• Why it is dangerous?
• What puts you at risk?
• How can you reduce your risk?
• How can you check to see if you have it?

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What Is Blood Pressure?

• Blood pressure is the force on the walls of the
  arteries as the blood circulates.

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What Do The Numbers Mean?

• The upper number is when the heart beats
• (Systolic Blood Pressure SBP)
• The lower number is when the heart relaxes
• (Diastolic Blood Pressure DBP)

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Measured in mm Hg (millimeters of mercury)

• e.g. 119/85 mm Hg
• Systolic119 mm Hg
• Diastolic 85 mm Hg

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What is Hypertension ?

• It is also called High Blood Pressure (HBP)
• Hypertension is a blood pressure of 140/90 mm Hg
  or greater in the doctors office

140
90
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Classification of Blood Pressure for Adults
Blood pressure (mmHg)
Systolic
Diastolic
Optimal lt120 and lt80 Normal lt130 and lt85 High
normal 130139 or 8589Hypertension Stage
1 140159 or 9099 Stage 2 160179 or 100109
Stage 3 gt180 or gt110
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What Causes HYPERTENSION ?

• 19 in 20 people not known
• Genetics 40
• Environment 60 (lifestyle)
• 1 in 20 people a disease such as of the kidneys
  

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Your Lifestyle Can Raise Your Blood Pressure

• Sedentary lifestyle
• Unhealthy diet
• Too little fresh fruit, fresh vegetables and low
  fat dairy products
• Too much salt (sodium) and saturated fats
• Being overweight
• Excess alcohol
• Stress

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Hypertension Is More Common in Older People
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One in Four Adult Canadians Have Hypertension

• Of those who have hypertension
• 2 in 5 dont know their blood pressure is high
• 1 in 5 know their blood pressure is high but
  dont take treatment
• 1 in 4 are on treatment that is not controlling
  their blood pressure
• 1 in 6 are receiving treatment that is working
  well

WHAT IS YOUR BLOOD PRESSURE? WHAT IS THE BLOOD
PRESSURE OF YOUR FAMILY MEMBERS?
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Untreated Hypertension Can Cause

• Atherosclerosis
• Strokes
• Dementia
• Heart failure
• Kidney failure
• Poor circulation impotence, leg cramps when
  walking
• Premature death

• Pressure related damage
• Strokes
• Heart failure
• Kidney failure
• Confusion
• Premature death

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Why Do Some Develop Heart Disease or Stroke and
Others Dont?

• There are several risks that cause heart attacks
  and strokes
• The more risks and the higher the risks, the
  greater the chance of developing heart disease or
  stroke
• More than 9 in 10 Canadians with hypertension
  have other risks of developing heart disease and
  stroke

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Risks for Heart Disease and Stroke

• High blood pressure
• Smoking
• High cholesterol
• Diabetes or high blood sugar
• Low physical activity
• Stress
• Obesity
• Diet
• Excess alcohol consumption

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What Are the Benefits of Treating Hypertension?
For a decrease of 10/5 mm Hg (one medication or
a change in lifestyle)

• Heart attack by 15
• Heart failure by 50
• Stroke by 38
• Death by 10

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Who Can Help You Control Treat Your
Hypertension ?

• You
• Your family
• Family doctor
• Nurse, dietitian, pharmacist, psychologist,
  exercise physiologist
• Medical specialist

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How Low Should Your BP Be?

• Most people
• Less than 140/90 mm Hg when measured at the
  doctors office
• Less than 135/85 mm Hg when measured at home
• Diabetes or kidney disease
• Less than 130/80 mm Hg when measured at the
  doctors office

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9 Ways to Help Control Hypertension

• 1. Eat a healthy diet
• 2. Be active for at least 45-60 minutes 4-5 times
  / week
• 3. Control your weight
• 4. Limit daily alcohol to 2 drinks or less

yes
limit
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9 Ways to Help Control Hypertension (Cont)

• 5. Cut back on salt and processed food
• 6. Dont smoke
• 7. Take time to relax
• 8. Take medications as prescribed
• 9. Check your BP at home

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Drugs for Hypertension
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Antihypertensive Drugs(Drugs Used to Treat
Hypertension)

• risk of death and disability
• Usually do not make you feel better
• Usually do not make you feel worse
• Usually need to be combined to normalize blood
  pressure

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Antihypertensive Drugs (Cont.)

• Are taken for life unless your doctor stops the
  medication
• Need to be continued, even though you feel well
• Can interact with alcohol

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Classes of Drugs

• Diuretics
• Beta-Blockers
• ACE inhibitors
• Calcium channel blockers
• Angiotensin receptor blockers (ARBs)
• Alpha blockers
• Miscellaneous

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Antihypertensive Medications

• Compliance
• AdherenceConcordance

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If Medication Is Not Taken As Directed

• BP may not be controlled
• Your doctor may prescribe another drug or
  increase dosage since they might think the first
  one didnt work
• Side effects may be more troublesome
• An adverse reaction or event may result

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Tips To Help You Take Your Medication

• Develop a practical medication schedule
  (timetable) with your doctor or pharmacist
• Keep an up-to-date medication record listing all
  medical conditions and drugs you take
• Keep this record in your wallet
• Show your medication record to your doctor and
  pharmacist at each visit

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Hints For Using Medication Wisely

• Tailor your medication taking to fit your daily
  schedule (e.g. when you brush your teeth)
• Record on a calendar when your prescription is
  due to be filled. If you have pills left over
  you will need to be more careful.
• Monitor your BP to see how well your medications
  are working

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Hints For Using Medication Wisely (Cont.)

• If you are having problems remembering
• your pills
• Count your tablets to see how often you are
  forgetting them
• Use a dosette(medication box)

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Self measurement of BP
AND UA-767
Omron HEM-747
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Summary

• Hypertension is a common risk for disability and
  death
• Hypertension can be prevented and treated by
  changes in lifestyle
• The problems caused by hypertension can be
  largely prevented by drug therapy if treatment
  goals are reached

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For More Information
Available at www.hypertension.ca
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Available Soon
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Available Soon
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Hypertension questions

• Blood pressure measures the amount of pressure in
  your arteries.
• TRUE
• FALSE

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Hypertension questions

• 2. A blood pressure greater than 140 over 90
  (140/90 mmHg) in a doctors office is generally
  considered too high.
• TRUE
• FALSE

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Hypertension questions

• 3. You can usually tell if your blood pressure is
  too high by the way you feel.
• TRUE
• FALSE

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Hypertension questions

• 4. Having one elevated blood pressure reading
  means than you have high blood pressure.
• TRUE
• FALSE

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Hypertension questions

• 5. High blood pressure (sometimes called
  hypertension) is a major risk factor for heart
  disease, kidney disease and stroke.
• TRUE
• FALSE

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Hypertension questions

• 6. The following lifestyle factors can help to
  treat and control high blood pressure
• Weight control or having a healthy weight
• Regular exercise
• Eating a healthy diet
• Restricting alcohol intake
• TRUE
• FALSE

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Hypertension questions

• 7. Smoking can increase high blood pressure.
• TRUE
• FALSE
•  

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Hypertension questions

• 8. Generally, people who do not have high blood
  pressure should have their blood pressure checked
  every 3 to 4 years.
• TRUE
• FALSE

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Hypertension questions

• 9. If you are being treated for high blood
  pressure you will need to stay on treatment the
  rest of your life.
• TRUE
• FALSE