Hypertension
Excerpt of previous naturopathy assignments HLT60512. Hypertension
| Hypertension | Hypertension has multifactorial inputs including genetic predisposition, salt intake, adrenal responses, blood pressure, vascular reactivity, circulatory blood volume, viscosity, cardiac output, blood vessel elasticity and neural stimulation (R Alexander, MD, 2018).
Signs of hypertension include • Elevation of systemic arterial blood pressure • Systolic blood pressure equal to or greater than 140mmHg |
Hechtman 2012, gives the following examples:
Blood Pressure monitoring regularly Naturopathic observational deficiency signs Can be ‘silent’ no observable signs. Best practice is case taking and |
| • Diastolic pressure is 90mmHg or greater.
• Results from increased peripheral resistance (vasoconstriction of the arterioles) or an increase in circulating blood volume. Primary hypertension possible causes • Immunological factors: oxidation of lipids such as arachidonic acid, that’s initiates T-cell (R Alexander, MD, 2018). • Defects in renal sodium haemostasis • Increased plasma and extracellular fluid volume • Increased natriuretic hormone • Increased cardiac output • Defect in vascular smooth muscle growth and structure • Vascular wall thickness and increased total peripheral resistance (Craft, et al., 2011, p. 610) Hypertension is a comorbidity factor for disease such as: Coronary heart disease. Stroke & Diabetes mellitus Approximately 20 genes are found to contribute to hypertension Only 30% of hypertension is hereditary Secondary hypertension Is caused by an underlying disease process or medication (Craft, et al., 2011, p. 1159) |
blood pressure monitoring Case history
• Nutritional intake • Exercise • Digestive and metabolic function • Hormonal status • Mental health • Environment and comorbidities (Hechtman, 2012, p. 966) |