INTRO: NAME, WHERE FROM, PROGRAM PURPOSE – TALK TO YOU ABOUT BLOOD PRESSURE AND WHY THIS IS SO IMPORTANT TO UNDERSTAND REGARDING YOUR HEALTH. AND ALSO…TO SHARE WITH YOU A NEW GUIDELINE FOR HYPERTENSION, PREVENTION AND MANGMENT THAT HAS BEEN PUBLISHED BY, JOINT NATIONAL COMMITTEE ON PREV., DETECT, EVAL, TRMT OF HIGH BP (JNC) ACCUMULATION OF RESEARCH – FROM 1997 (7 YEARS) NEW KNOWLEDGE HAS COME TO LIGHT FROM MANY NEW OBSERVATIONAL STUDIES AND CLINICAL TRIALS
On the rise – 8 % increase in last decade…30% increase in number of adults in US SIGNALS THE NEED FOR INCREASED EDUCATION TO REDUCE BP LEVELS WHICH IN TURN WILL REDUCE RISK OF CVD. Dangerous – usually has no symptoms – subtle AS POPULATION AGES, PREVELANCE OF HIGH BP WILL INCREASE FURTHER UNLESS EFFECTIVE PREVENTATIVE MEASURES ARE IMPLEMENTED. EDUCATION IS ONE OF THEM!
Doctors classify blood pressures under 140/90 as either "normal," or "prehypertension." "Normal" blood pressures are lower than 120/80.
EXPLAIN - THIS IS PART OF THE NEW BODY OF RESEARCH – WHAT WE THOUGHT WAS NORMAL IS NOW CONSIDERED PREHYPERTENSIVE – YOU ARE AT RISK AND CAN DEVELOP HIGH BP UNLESS YOU TAKE ACTION TO PREVENT IT. " Prehypertension" is blood pressure between 120 and 139 for the top number, or between 80 and 89 for the bottom number. For example, blood pressure readings of 138/82, 128/89, or 130/86 are all in the "prehypertension" range. If your blood pressure is in the prehypertension range, it is more likely that you will end up with high blood pressure unless you take action to prevent it.
WE’LL TALK ABOUT SOME OF THOSE ACTIONS HERE IN A FEW MINUTES.
TENSE, SUDDEN EXERTION – CAN ELEVATE YOUR BP TEMPORARILY, EX: “WHITECOAT HYPERTENSION” HIGH BP IS WHEN IT IS ELEVATED OVER A LONG PERIOD OF TIME CHECK REGULARLY - RECORD WHAT YOUR BP IS. SHOW BP CARDS
LIKE MANY DISEASES…THERE ARE STAGES, OR LEVELS. HIGH BP ALSO HAS STAGES. STAGE 1 – NEED TO GET REGULAR MEDICAL CARE FROM DOCTOR STAGE 2 – URGENCY HERE – SHOULD GET IN TO SEE YOUR DOCTOR THIS WEEK. GREATER RISK FOR STROKE, HEART ATTACK HERE. * For adults 18 and older who: Are not on medicine for high blood pressure Are not having a short-term serious illness Do not have other conditions such as diabetes and kidney disease Note: When systolic and diastolic blood pressures fall into different categories, the higher category should be used to classify blood pressure level. For example, 160/80 would be stage 2 high blood pressure. There is an exception to the above definition of high blood pressure. A blood pressure of 130/80 or higher is considered high blood pressure in persons with diabetes and chronic kidney disease.
If undetected or left untreated it can cause: Heart failure Heart attack Kidney disease Blindness
Heart Attack - High blood pressure is a major risk factor for heart attack. The arteries bring oxygen-carrying blood to the heart muscle. If the heart cannot get enough oxygen, chest pain, can occur. If the flow of blood is blocked, a heart attack results. Heart Failure -
Drinking too much alcohol can raise blood pressure. It also can harm the liver, brain, and heart. Alcoholic drinks also contain calories, which matter if you are trying to lose weight. If you drink alcoholic beverages, have only a moderate amount — one drink a day for women; two drinks a day for men. What counts as a drink? 12 ounces of beer (regular or light, 150 calories), or 5 ounces of wine (100 calories), or 1 ounces of 80-proof whiskey (100 calories). SALT A key to healthy eating is choosing foods lower in salt and sodium. Most Americans consume more salt than they need. The current recommendation is to consume less than 2.4 grams (2,400 milligrams[mg] ) of sodium a day. That equals 6 grams (about 1 teaspoon) of table salt a day. The 6 grams include ALL salt and sodium consumed, including that used in cooking and at the table. For someone with high blood pressure, the doctor may advise eating less salt and sodium, as recent research has shown that people consuming diets of 1,500 mg of sodium had even better blood pressure lowering benefits. These lower-sodium diets also can keep blood pressure from rising and help blood pressure medicines work better. Losing even 10 pounds can lower blood pressure
MAIN MESSAGE – 1,2,3, PREVENTION, PREVENTION, PREVENTION!! YOU ARE IN CONTROL MOST HEART DISEASE RISK FACTORS NOT IN CONTROL OF: AGE FAMILY HX
1. UNDERSTANDING YOUR BLOOD PRESSURE Created by Mary Ann Gallo 2004 Calvert County Health Department Cardiovascular Health and Nutrition 410-535-5400/301-855-1353 Fax: 410-535-1955 Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
2. So…high blood pressure is a condition that most people65 million adults have high blood pressurelives. will have at some point in their in this country. 1 in 3 American adults have high blood pressure “Silent Killer” NEW RESEARCH STATES… that at age 55 or older, those who do not have high blood pressure have a 90% chance of developing it during their lifetimes. Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
3. What Is Blood Pressure? Blood is carried to all parts of your body in vessels called arteries. Blood pressure is the force of blood pushing against the arteries.
4. What Is Blood Pressure? Each time the heart beats Your blood pressure is at (about 60-70 times a its highest when the heart minute at rest), it pumps beats, pumping the blood. out blood into the arteries. When the heart is r be at rest, between m nu beats, your blood p To pressure falls. This is called SYSTOLIC pressure. 120/ 80 Bottom number This is called DIASTOLIC pressure. Your blood pressure is always given as these two numbers with one above or before the other.http://www.hsfpe.org/ Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
5. What Is Normal Blood Pressure? Systolic Diastolic Category (Top Number) (Bottom Number) Normal Less than 120 Less than 80 “Normal” blood pressure is when both numbers are lower than 120/80. Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
6. EW !!! “Prehypertension”N Top Number Bottom NumberPrehypertension 120-139 80-89 Which of the following blood pressure readings are 138/82 118/78 128/89 considered “prehypertensive”? This category was created to alert people to their risk of developing high blood pressure so they could make lifestyle changes that may help to avoid developing this condition. Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
7. “Prehypertension”If your blood pressure is in the prehypertensive range: Prehypertension 120-139 80-89It means that you don’t have high blood pressure now, but you are likely to develop it in the future. Unless you take ACTION to prevent it! Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
8. What Is High Blood Pressure? When blood pressure stays elevated over a long period of time it is called high blood pressure or “hypertension”. http://diseases-explained.com/ High blood pressure is dangerous because it makes the heart work too hard and contributes to hardening of the arteries (atherosclerosis). Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
9. What Is High Blood Pressure? “Hypertension” A blood pressure of 140/90 is considered high blood pressure. High Blood Pressure Systolic Diastolic Stage 1 140-159 90-99 Stage 2 160 or higher 100 or higher Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
10. High Blood Pressure Warning Signs: 1. e r” 2. nt Kill 3.“ Sile 4. Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
11. Why Is High Blood Pressure Important?Increases your risk for : Heart disease & Stroke – the 1st and 3rd leading causes of death for Americans. If left uncontrolled, high blood pressure can also cause: Heart failure Heart Attack Kidney disease Blindness Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
12. What can high blood pressure do to your body? Stroke Heart Attack High blood pressure is the most important risk factor for stroke. Very high pressure can cause a break in a High blood pressure is a weakened blood vessel, which then bleeds in the brain. This can cause a major risk factor for stroke. If a blood clot blocks one of heart attack. The the narrowed arteries, it can also arteries bring oxygen- cause a stroke. carrying blood to the heart muscle. If the heart cannot get enough oxygen, chest pain, can Blindness High blood pressure can occur. If the flow of eventually cause blood blood is blocked, a heart vessels in the eye to burst or attack results. bleed. Vision may become blurred or otherwise impaired and can result in blindness. Heart failure The heart is unable to Kidney disease pump enough blood Kidneys act as filters to to supply the bodys As people get older, rid the body of waste. needs. arteries throughout the High blood pressure can body "harden," narrow and thicken the especially those in the blood vessels of the heart, brain, and kidneys. High blood kidneys. The kidneys Arteries pressure is associated filter less fluid and waste with these "stiffer" builds up in the blood. arteries. This, in turn, The kidneys may fail causes the heart and altogether. kidneys to work harder. Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
13. The Good News is…You can take action to prevent getting high blood pressure or take steps to control it! See your doctor for regular blood pressure check ups If you drink alcoholic beverages, drink Maintaining a healthy weight in moderation Eat a healthy diet rich in vegetables and fruits, and low Choose and prepare active with less salt Get dairy foods foods fat physically If you smoke, think about quitting Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
14. Understanding Your Blood Pressure1. GET YOUR BLOOD PRESSURE CHECKED. 2. EAT HEALTHY FOODS. 3. GET PLENTY OF EXERCISE. Our heart health depends on it! Source: Your Guide To Lowering Blood Pressure, www.nhlbi.nih.govc
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