Hypertension is sustained elevation of resting systolic BP (≥ 140 mm Hg), diastolic BP (≥ 90 mm Hg), or both. Hypertension with no known cause (primary; formerly, essential hypertension) is most common; hypertension with an identified cause (secondary hypertension) is usually due to a renal disorder. Usually, no symptoms develop unless hypertension is severe or long-standing. Diagnosis is by sphygmomanometry. Tests may be done to determine cause, assess damage, and identify other cardiovascular risk factors. Treatment involves lifestyle changes and drugs, including diuretics, β-blockers, ACE inhibitors, angiotensin II receptor blockers, and Ca channel blockers. (1) Albuminuria. Get your urine micro-albumin test done atleast twice a year. (Target: Below 30). (2) Blood pressure. Get your blood pressure checked every visit. (Target: Below 130/80 mm Hg) (3) Cholesterol Get your LDL (bad cholesterol) levels checked at least once a year. (Target: Below 100 mg/dL). Triglycerides. (Target: Less than 150 mg/dL) Serum Cholesterol (Target: Less than 200 mg/dL) HDL (good cholesterol) (Target: More than 50) Eat a low-cholesterol, low-fat diet. This kind of diet includes Cottage cheese, fat-free milk, fish (not canned in oil), vegetables, poultry, egg whites, and polyunsaturated oils and margarines (corn, safflower, canola, and soybean oils). Avoid foods with excess fat in them such as meat (especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, lard, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried foods. (4) Eat more fruits amp; vegetables. (5) Check your heart every 6 months and consult a cardiologist. (6) Eye exam. Get your eyes examined regularly, get checked at least once a year. (7) Reduce salt intake (sodium) (8) Avoid tobacco smoking. (9) Reduce or avoid social alcohol drinking. (10) Obesity - In obese subjects, losing a kilogram of mass generally reduces blood pressure by 2 mmHg. The abdominal circumference should not exceed 100 cms. (11) Avoid stress. (12) Control Diabetes mellitus (13) Avoid occupational, aircraft and roadway noise exposure. (14) Health life style. Exercise regularly amp; stay healthy. (15) Identify special medical needs. Voice your health concerns to your doctor . Follow your doctor’s advice. Please see the web pages for more dets on Hypertension and Hypertensive heart disease.
Should be 110/70 better go to outpatient, they will just give you another pill and watch you for a few minutes. Good luck
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