Programa de Pacientes Disfruto mi Salud
|   Language:   Spanish  |         Admission for patients -
The information provided on this site is not a substitute, nor does it constitute medical or professional advice of any kind.
Hypertension
Hypertension and the family

IS IT HEREDITARY?

From one generation to the next, genetic predisposition is inherited, even though this is not the desired behavior, this is the case of hypertension, heart disease and other related conditions. Despite the possible genetic load that is dragged from generation to generation, many times environments or risk factors are shared such as sedentary lifestyle habits, smoking, poor diet, these increase the chances of suffering from hypertension sooner than expected.18

You and your family can make changes in lifestyle together. Discuss the changes in the diet you are doing, including the DASH diet, this involves the consumption of fruits, vegetables, low-fat and fat-free dairy products, fish, poultry and nuts.12

Also, encourage them to join a new diet where everyone can eat healthier and with less salt and even join their exercise routine and this could help them reduce the possibility of suffering from hypertension at a young age.

 

HOW DOES HYPERTENSION AFFECT AFTER 65?

After 65 years, hypertension is a diagnosis that has become very frequent in recent years, since it is an age-related disorder, so that the older you are, the more likely you are to develop hypertension. it adds a sedentary lifestyle, with poor diet or the habit of smoking.19

This disease prevails in older adults since the arterial walls harden with aging, so they are less elastic and offer more resistance to blood flow and the heart has the need to pump blood more strongly to keep the blood in the blood. circulation.20

The way in which hypertension is diagnosed in the older adult follows the same characteristics as in the young adult, that is, at least three blood pressure measurements on different visits and taking the pressure in both arms to consider the highest .21

One important care that patients should have is to get up from one position to another (get up very quickly after sitting or lying down) as they may suffer from orthostatic hypotension due to sudden changes in pressure, they may feel dizzy and even fall and fracture.21          

 

 

HYPERTENSION IN PREGNANCY

 

 

During pregnancy your body goes through a series of general changes because a new life is developing. One of those changes can be high blood pressure and if this happens while you are pregnant it is vital that you go to your doctor to be diagnosed and treated.

Different types of blood pressure are considered in pregnancy, know them          

 

CHRONIC HYPERTENSION

When a pregnant patient is diagnosed hypertension before 20 weeks of pregnancy, that is, in the first trimester is considered to have chronic hypertension. The values of blood pressure in pregnancy are the same, pay attention.22               

 

 

GESTATIONAL HYPERTENSION

When a rise in blood pressure occurs for the first time during the second trimester of pregnancy, it is called gestational hypertension. In most women there is only a slight increase, but in others this situation can aggravate and eventually develop severe arterial hypertension and may present complications because their pregnancy is classified as high risk. Generally this hypertension disappears after delivery.22

 

PREECLAMPSIA

This is a serious disorder where the pressure values are so high (140/90 mmHg) that they can affect all the organs of the woman. It usually occurs after 20 weeks of pregnancy and may even occur after delivery.22 The main characteristics that occur are swelling and the presence of protein in the urine.23 It is unknown why some women may suffer from this condition, we list the risk factors .22

 

 

RISK FACTORS

 

 

  • First pregnancy
  • Preeclampsia in previous pregnancies
  • History of chronic hypertension
  • 40 years or more
  • Multiple pregnancy
  • Diabetes, lupus or thrombophilia.

 

Preeclampsia is considered one of the main causes of death of the mother and baby during pregnancy, it can reach the severity of seizures by high blood pressure, this is called eclampsia.22

It is always important to monitor your blood pressure during pregnancy and pay special attention if you get any of the following signs and symptoms24

 

 

SYMPTOMS

 

 

  • Headache without relief
  • Alterations of sight
  • Pain in the upper part of the abdomen
  • Nausea and vomiting after the first trimester
  • Difficulty breathing
  • Swelling of hands or face

 

 

References

1. American Heart Association. (2017). High Blood Preasure. Obtenido de AHA: https://www.heart.org/-/media/data-import/downloadables/whatishighbloodpressure_span-ucm_316246.pdf

12. American Academy of Family Physicians . (2017). La dieta DASH: Comida Saludable para Controlar la Hipertensión Arterial. Obtenido de familydoctor.org: https://es.familydoctor.org/la-dieta-dash-alimentacion-saludable-para-controlar-su-presion-arterial/

18. Centers for Disease Control and Prevention. (2014). High Blood Preassure. Obtenido de DCD: https://www.cdc.gov/bloodpressure/family_history.htm

19.Osorio-Bedoya, E. J., & Amariles, P. (2018). Hipertensión arterial en pacientes de edad avanzada: una revisión estructurada. Revista Colombiana de Cardiología, 25(3), 209-221.

20. American Heart Association. (2016). What is High Blood Pressure? Obtenido de AHA: https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/what-is-high-blood-pressure

21. Salazar Cáceres, P. M., Rotta Rotta, A., & Otiniano Costa, F. (2016). Hipertensión en el adulto mayor. Revista Médica Herediana, 60-66.

22. The American College of Obstetricians and Gynecologists. (2018). La preeclampsia y la presión arterial alta durante el embarazo. Obtenido de ACOG: https://www.acog.org/Patients/Search-Patient-Education-Pamphlets-Spanish/Files/La-preeclampsia-y-la-presion-arterial-alta-durante-el-embarazo?IsMobileSet=false

24. Mayo Clinic. (2018). Preeclampsia. Obtenido de Mayo Clinic: https://www.mayoclinic.org/es-es/diseases-conditions/preeclampsia/symptoms-causes/syc-20355745