ROJoson PEP Talk: High Blood Pressure (Hypertension) Management

1. April 13, 2024
1400H - 1500H
Via Zoom
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.

2. April 13, 2024
1400H - 1500H
Via Zoom
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
There will be group pictures
at start and end of PEP TALK –
show your face in video.

3. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

4. Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.

5. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

6. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!

7. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.

8. I started the PEP Talk
on May 15, 2021
during the COVID19
Pandemic. There are
3 courses in the PEP
Talk. I completed the
Core Course on
October 9, 2021.

9. From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses.
This may take 3 years or
longer depending on our
enthusiasm, discipline
and perseverance.
We are now on our 3rd
year!

10. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
My PEP TALK today is
entitled:
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

11. Contents
- What is high blood pressure or hypertension?
- How do I know if I have high blood pressure?
- What is considered high blood pressure?
- What are the signs and symptoms of high blood
pressure?
- What are the types of high blood pressure?
- What causes hypertension?
- What are the complications of uncontrolled
hypertension?
- How to control high blood pressure?
- How to prevent high blood pressure?
- What is the challenge being faced in the Philippines
as regards to HYPERTENSION?
Disclaimer:
ROJoson PEP Talk
contains ROJoson’s
Thoughts,
Perceptions,
Opinions and
Recommendations
(TPORs) culled from
experiences of
ROJoson and other
professionals.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

12. What is high blood pressure or hypertension?
High blood pressure is when the force of blood
pushing against the artery walls is consistently
too high.
This damages the arteries over time and can lead
to serious complications like heart
attack and stroke.
Hypertension” is another word for this common
condition.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/
diseases/4314-hypertension-high-
blood-pressure

13. What is high blood pressure or hypertension?
High blood pressure is a “silent killer” because
you usually don’t have any symptoms. So, you
may not be aware that anything is wrong, but the
damage is still occurring within your body.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/
diseases/4314-hypertension-high-
blood-pressure

14. What is high blood pressure or hypertension?
Blood pressure (BP) is the measurement of the
pressure or force of blood pushing against blood
vessel walls. Your BP reading has two numbers:
• The top number is the systolic blood pressure,
which measures the pressure on your artery
walls when your heart beats or contracts.
• The bottom number is the diastolic blood
pressure. This measures the pressure on your
artery walls between beats when your heart is
relaxing.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/
diseases/4314-hypertension-high-
blood-pressure

15. How do I know if I have high blood pressure?
Getting your blood pressure checked
is the only way to know if it’s too
high.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/
diseases/4314-hypertension-high-
blood-pressure

16. F
What is considered high blood pressure?
Definitions of high blood pressure vary slightly
depending on where you live.
In the U.S., high blood pressure (hypertension):
•A top number (systolic blood pressure) of at
least 130 mmHg, and/or
•A bottom number (diastolic blood pressure) of at
least 80 mmHg.
In Europe, hypertension:
•A top number of at least 140 mmHg, and/or
•A bottom number of at least 90 mmHg.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/
diseases/4314-hypertension-high-
blood-pressure
Philippines
HYPERTENSION
a blood pressure of
at least 140 mmHg
(systolic) and of at
least 90 mmHg
(diastolic)

17. F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

18. F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

19. F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

20. F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

21. What are the signs and symptoms of high blood
pressure?
Usually, high blood pressure causes no signs or
symptoms. That’s why it is called a “silent killer.”
You could have high blood pressure for years and
not know it.
When your blood pressure is 180/120 mmHg or
higher, you may experience symptoms like
headaches, heart palpitations or nosebleeds.
Blood pressure this high is a hypertensive
crisis that requires immediate medical care.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/
diseases/4314-hypertension-high-
blood-pressure

22. What are the types of high blood pressure?
• Primary hypertension. Causes of this more
common type of high blood pressure include
aging and lifestyle factors like not getting
enough exercise.
• Secondary hypertension. Causes of this type of
high blood pressure include different medical
conditions or a medication you’re taking.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/
diseases/4314-hypertension-high-
blood-pressure

23. What are the types of high blood pressure?
You might also hear about high blood pressure
that comes or goes in certain situations. These
hypertension types are:
• White coat hypertension: BP is normal at home
but elevated in a healthcare setting.
• Masked hypertension: BP is normal in a
healthcare setting but elevated at home.
• Sustained hypertension: BP is elevated in
healthcare settings and at home.
• Nocturnal hypertension: BP goes up when you
sleep.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.or
g/health/iseasdes/4314-
hypertension-high-blood-
pressure

24. What causes hypertension?
Primary hypertension doesn’t have a single, clear
cause. Usually, many factors come together to
cause it. Common modifiable causes include:
• Unhealthy eating patterns (including a diet
high in sodium)
• Lack of physical activity
• High consumption of beverages containing
alcohol
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/h
ealth/iseasdes/4314-
hypertension-high-blood-
pressure
Non-modifiable risk
factors:
• Genetic
predisposition
• Age

25. What causes hypertension?
Secondary hypertension has at least one distinct
cause that healthcare providers can identify. Common
causes of secondary hypertension include:
• Certain medications including immunosuppressants, NSAIDs
and oral contraceptives (the pills)
• Kidney disease
• Obstructive sleep apnea
• Primary aldosteronism (Conn’s syndrome)
• Recreational drug use (including amphetamines and cocaine)
• Renal vascular diseases, which are conditions that affect blood
flow in your kidneys’ arteries and veins. Renal artery stenosis is
a common example.
• Tobacco use (including smoking, vaping and using smokeless
tobacco)
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/h
ealth/iseasdes/4314-
hypertension-high-blood-
pressure

26. What are the complications of uncontrolled
hypertension?
May lead to serious health problems including:
• Coronary artery disease (CAD)
• Stroke
• Heart attack
• Kidney disease and kidney failure
• Peripheral artery disease
• Complications during pregnancy
• Eye damage
• Vascular dementia
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://my.clevelandclinic.org/health/iseasdes/4314-
hypertension-high-blood-pressure
Thus, high blood
pressure or
hypertension must
be controlled.

27. How to control high blood pressure?
For secondary hypertension with distinct cause,
eliminate the cause so as to control the blood
pressure.
Examples,
• If the cause is medications, stop the
medications.
• If the cause is pills, stop the pills.
• If the cause is tobacco use, stop the tobacco
use.
• If the cause is kidney disease, treat the kidney
disease to control the hypertension
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

28. How to control high blood pressure?
For primary hypertension without a distinct cause
or with a non-modifiable factor like age and gene,
control the blood pressure with change in
lifestyle and medications (anti-hypertension).
Start with change in lifestyle that will control the
hypertension. If not successful, then may add
medications.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Change in lifestyle
Shift to healthy
lifestyle
• Keep a healthy
weight
• Eat a healthy
diet.
• Exercise.
• Limit alcohol.
• Cut down on salt.
• Get enough
potassium.
• Control stress.

29. How to control high blood pressure?
Medications to lower your blood pressure
Four classes of blood pressure medications are
“first-line” (most effective and commonly
prescribed) when starting treatment:
• Angiotensin-converting enzyme (ACE)
inhibitors
• Angiotensin II receptor blockers (ARBs)
• Calcium channel blockers
• Diuretics (water or fluid pills)
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Single or combined
medications / single
pill combination
Titration
Monitor BP and
adjust medications
and dosage
accordingly
Monitor side effects
and adjust
accordingly

30. F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

31. How to prevent high blood pressure?
Best efforts as there are modifiable and non-
modifiable risk factors.
Focus on healthy lifestyles to prevent HPN
Monitor regularly BP (may have to procure a BP
digital apparatus for home monitoring)
Take anti-hypertensive medications as needed; as
prescribed; regularly; with monitoring of BP to
adjust medications
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Change in lifestyle
Shift to healthy
lifestyle
• Keep a healthy
weight
• Eat a healthy
diet.
• Exercise.
• Limit alcohol.
• Cut down on salt.
• Get enough
potassium.
• Control stress.

32. How to do BP monitoring
Most practical is a digital BP monitoring device
(make sure it is accurate with good batteries)
At the beginning, measure your blood pressure at
least twice daily. Take it first in the morning
before eating or taking any medications. Take it
again in the evening. Each time you measure,
take two or three readings to make sure your
results are the same. Take your blood pressure at
the same times each day.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://www.mayoclinic.org
/diseases-conditions/high-
blood-pressure/in-
depth/high-blood-
pressure/art-
20047889#:~:text=At%20the
%20beginning%2C%20meas
ure%20your,your%20results
%20are%20the%20same.

33. How to do BP monitoring
Don't measure your blood pressure right after
you wake up.
Avoid food, caffeine, tobacco and alcohol for 30
minutes before taking a reading. Also, empty
your bladder first. A full bladder can increase
blood pressure slightly.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://www.mayoclinic.org
/diseases-conditions/high-
blood-pressure/in-
depth/high-blood-
pressure/art-
20047889#:~:text=At%20the
%20beginning%2C%20meas
ure%20your,your%20results
%20are%20the%20same.

34. How to do BP monitoring
When you're ready to take your blood pressure,
sit quietly before and during monitoring.
Sit for five minutes in a comfortable position with
your legs and ankles uncrossed. Your back should
be supported against a chair. Try to be calm and
not think about stressful things. Don't talk while
taking your blood pressure.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://www.mayoclinic.org
/diseases-conditions/high-
blood-pressure/in-
depth/high-blood-
pressure/art-
20047889#:~:text=At%20the
%20beginning%2C%20meas
ure%20your,your%20results
%20are%20the%20same.

35. How to do BP monitoring
Make sure your arm is positioned properly.
Always use the same arm when taking your blood
pressure. Rest your arm, raised to the level of
your heart, on a table, desk or chair arm. You
might need to place a pillow or cushion under
your arm to raise it high enough.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://www.mayoclinic.org
/diseases-conditions/high-
blood-pressure/in-
depth/high-blood-
pressure/art-
20047889#:~:text=At%20the
%20beginning%2C%20meas
ure%20your,your%20results
%20are%20the%20same.

36. How to do BP monitoring
Place the cuff on bare skin, not over clothing. A
rolled-up sleeve that's tight around your arm can
affect the reading. You may need to slip your arm
out of the sleeve.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://www.mayoclinic.org
/diseases-conditions/high-
blood-pressure/in-
depth/high-blood-
pressure/art-
20047889#:~:text=At%20the
%20beginning%2C%20meas
ure%20your,your%20results
%20are%20the%20same.

37. How to do BP monitoring
Take a repeat reading. Wait 1 to 3 minutes after
the first reading, and then take another.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://www.mayoclinic.org
/diseases-conditions/high-
blood-pressure/in-
depth/high-blood-
pressure/art-
20047889#:~:text=At%20the
%20beginning%2C%20meas
ure%20your,your%20results
%20are%20the%20same.

38. How to do BP monitoring
Take note of the following:
Blood pressure varies throughout the day.
Readings are often a little higher in the morning.
Also, your blood pressure might be slightly lower
at home than in a medical office.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://www.mayoclinic.org
/diseases-conditions/high-
blood-pressure/in-
depth/high-blood-
pressure/art-
20047889#:~:text=At%20the
%20beginning%2C%20meas
ure%20your,your%20results
%20are%20the%20same.

39. What is the challenge being faced in the
Philippines as regards to HYPERTENSION?
Prevalence of Hypertension in the Philippines in
the Year 2050: Confronting a Major Challenge
Background: The prevalence of hypertension in
the Philippines has continuously increased in the
past 22 years or more than two decades (from
1993 to 2015), with increased related deaths due
to ischemic heart disease, stroke and chronic
kidney disease.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://athenaeumpub.com
/wp-
content/uploads/Prevalenc
e-of-Hypertension-in-the-
Philippines-in-the-Year-
2050-Confronting-a-Major-
Challenge.pdf

40. What is the challenge being faced in the
Philippines as regards to HYPERTENSION?
Prevalence of Hypertension in the Philippines in
the Year 2050: Confronting a Major Challenge
Findings: Hypertension prevalence will remain
high at 23%, with a 28% increase in the number
of cases (24.28 million to 33.82 million) by 2050,
given the population projection (101.60 million in
2015 to 142.10 million in 2050) and seriously
affecting extremes of ages (the early 20s and
80s).
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://athenaeumpub.com
/wp-
content/uploads/Prevalenc
e-of-Hypertension-in-the-
Philippines-in-the-Year-
2050-Confronting-a-Major-
Challenge.pdf

41. What is the challenge being faced in the
Philippines as regards to HYPERTENSION?
Prevalence of Hypertension in the Philippines in
the Year 2050: Confronting a Major Challenge
Findings:
In addition, actual number of deaths related to
hypertension will increase more than double
from 90,000 in 2015 to 210,000 due to ischemic
heart disease, stroke and chronic kidney disease.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://athenaeumpub.com
/wp-
content/uploads/Prevalenc
e-of-Hypertension-in-the-
Philippines-in-the-Year-
2050-Confronting-a-Major-
Challenge.pdf

42. What is the challenge being faced in the
Philippines as regards to HYPERTENSION?
Prevalence of Hypertension in the Philippines in
the Year 2050: Confronting a Major Challenge
Interpretation: These findings demonstrate a
significant increase in disease burden due to
hypertension in the Philippines in the next three
decades and possibly pose a significant public health
challenge. Aggressive preventive and health-
promoting efforts must be carried out to stem the tide
of hypertensive cardiovascular disease in the country.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
https://athenaeumpub.com
/wp-
content/uploads/Prevalenc
e-of-Hypertension-in-the-
Philippines-in-the-Year-
2050-Confronting-a-Major-
Challenge.pdf

43. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Summary
Take Away
Contents
- What is high blood pressure or hypertension?
- How do I know if I have high blood pressure?
- What is considered high blood pressure?
- What are the signs and symptoms of high blood
pressure?
- What are the types of high blood pressure?
- What causes hypertension?
- What are the complications of uncontrolled
hypertension?
- How to control high blood pressure?
- How to prevent high blood pressure?
- What is the challenge being faced in the Philippines
as regards to HYPERTENSION?

44. Take Away in
relation to
Patient
Empowerment
Be always in touch with reliable medical
information on HIGH BLOOD PRESSURE
(HYPERTENSION) MANAGEMENT.
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan to gain greater control over
decisions / make better decisions on HIGH
BLOOD PRESSURE (HYPERTENSION)
MANAGEMENT as part of your health
management.
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

45. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
This ends my PEP
TALK today on:
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT

46. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

47. Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.

48. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

49. HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
Empowerment
objective - for laypeople
to have an essential
understanding on HIGH
BLOOD PRESSURE
(HYPERTENSION)
MANAGEMENT as part
of their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START Q&A AND
INTERACTIONS!
Pls. turn on your
video!
Show your face!