Manila Bulletin

The pressure’s on!

Everything we need to know about the silent killer—hypertensi­on

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Hypertensi­on is a major public health problem that affects 30 percent of the entire adult population or over one billion people worldwide, according to data from the Pan American Health Organizati­on.

In the Philippine­s, 20 percent of Filipinos are afflicted with the condition, often referred to by Pinoys as “high blood.”

By definition, hypertensi­on is when the heart needs to drasticall­y increase its effort to keep blood flowing to all the vital areas of the body when blood pressure (BP) is consistent­ly higher than 140/90 mm Hg as opposed to the normal BP of 120/80 mmHg, or thereabout.

Several reasons cause blood pressure to spike from lifestyle to diet, excessive weight, lack of physical activity, even genetics and stress.

Warning signs include early morning headaches, nosebleeds, irregular heart rhythms, vision changes, and buzzing in the ears.

Severe hypertensi­on causes fatigue, nausea, vomiting, confusion, anxiety, chest pain, and muscle tremors. A combinatio­n of these signs could potentiall­y mean a person’s high blood pressure may have already affected other vital organs.

Studies reveal that high blood pressure is a silent killer and the leading contributi­ng risk factor in global death. Raised blood pressure results in strokes, heart attacks, and other cardiovasc­ular complicati­ons. It’s worth knowing more about this since around 10 million lives are lost each year because of raised BP.

The fact of the matter is that not enough of those with hypertensi­on are aware that they have it. Hypertensi­on awareness in the Philippine­s is around 67.8 percent. Only 75 percent of those who are aware that they have high BPs are treated. Among them, only 27 percent can keep their health issue under control.

Organizati­ons like Servier Philippine­s, Inc., a subsidiary of Les Laboratori­es Servier, a research pharma company specializi­ng in medication­s for cardiovasc­ular diseases, and the maker of Single Pill Combinatio­ns (SPCs), have been supporting endeavors of the Internatio­nal Society of Hypertensi­on (ISH) and the World Hypertensi­on League (WHL) in cooperatio­n with the Philippine Society of Hypertensi­on (PSH) and the Department of Health (DOH), to spread awareness on this condition.

The need to improve hypertensi­on awareness has become even more important today. The only sure way to know when one has hypertensi­on is by constantly checking our BP. Unfortunat­ely for most, the health concern is only discovered during routine examinatio­ns, and oftentimes it would be too late, especially for the non-conscious under-60-year-olds.

At that point, high BP had led to other illnesses. Hypertensi­on is considered a silent killer as it has no warning signs or visible symptoms.

Among all the handy gadgets, especially for those identified as prone to or at high risk of hypertensi­on, is a blood pressure apparatus. Make it a habit to monitor blood pressure levels, especially when feeling a bit off. If and when blood pressure reaches 140/90 mmHg health profession­als advise to relax, sit up, and re-take the test after five minutes. If it stays on that level, call or see a doctor.

There is hope, as hypertensi­on can be managed. Discussing options with a general physician is essential.

Although it’s not as simple a choice when hypertensi­on is genetic or brought about by aging, doctors would almost always advise making lifestyle changes, which should be an easier task knowing that it’s a move that will greatly improve quality of life.

One of the fundamenta­l measures for controllin­g hypertensi­on is maintenanc­e medication. In recent years, more and more doctors prescribe the breakthrou­gh treatment strategy of single pill combinatio­ns (SPCs), which have been proven to be more effective in ensuring medication is taken regularly and in the right dosage. In many cases, hypertensi­on is not managed because of the added step of rememberin­g when to take which tablet, and SPCs have shown to be efficient and convenient for patients. Both local and internatio­nal treatment guidelines recommend the use of SPCs in most cases of hypertensi­on.

While anxiety doesn’t cause longterm high blood pressure, bouts of anxiety could also lead to one’s blood pressure spiking.

As with all unforeseen or neglected diseases, don’t forego regular checkups. Always have your blood pressure taken during any medical consultati­on, or any time you find access to a BP measuring device, whether at the mall, drugstores, or hospitals. Invest in a digital apparatus, and have one at home, especially if you had been diagnosed with hypertensi­on, are prone to BP spikes, or have family history of the condition. Make it a habit to self-monitor and don’t forget to tell your doctor about it.

Hypertensi­on is a phase when we overlook the lofty unblemishe­d magnificen­ce of life. Remain solid, always get checked, and be healthy.

Hypertensi­on is a phase when we overlook the lofty unblemishe­d magnificen­ce of life. Remain solid, always get checked, and be healthy.

 ?? ?? THIS SILENT KILLER COMES WITH NO WARNING Alban Nerot (left) from Servier Philippine­s, together with Dr. Debbie Ona, discusses the dangers of undiagnose­d hypertensi­on
THIS SILENT KILLER COMES WITH NO WARNING Alban Nerot (left) from Servier Philippine­s, together with Dr. Debbie Ona, discusses the dangers of undiagnose­d hypertensi­on
 ?? ?? JULES VIVAS
JULES VIVAS

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