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High blood pressure

How Avi Medical can help you with high blood pressure

High blood pressure does not cause pain and often no other symptoms for a long time. That is why those affected often do not notice the excessive pressure or only notice it very late. Detecting it late carries serious risks because long-term high blood pressure has a negative effect on the heart and blood vessels.
It is therefore very important that high blood pressure is recognized early by one of our Avi Medical family doctors and treated in the best possible way. This is the only way we can improve and increase your life expectancy and quality of life.

Throughout your entire high blood pressure treatment, our doctors are your constant companion and are always there for you.

What is high blood pressure ?

High blood pressure is a cardiovascular disease. Blood pressure is caused by the activity of the heart. With every heartbeat, blood is pumped from the heart into the blood vessels. Over time, high blood pressure causes damage to the blood vessels, which can lead to secondary diseases such as heart attacks and strokes. It is estimated that more than 50% of the European population is affected.

When does it become high blood pressure?

Blood pressure indicates the pressure value in which the blood is pumped from the heart through the body down to the smallest capillary vessels. This pumping process occurs when the heart contracts (contracts). When the heart contracts maximally, the highest blood pressure value is reached. This (upper) value is called the systolic blood pressure. The heart then relaxes and no longer pumps blood into the arteries. As a result, blood pressure drops back to its lowest value. This (lower) value is called diastolic blood pressure.
The unit of measurement for blood pressure is measured in mmHg (millimeters of mercury). When measuring blood pressure, two values ​​are always given. For example: 120/80 mmHg.

120 mmHg = systolic blood pressure = upper value

80 mmHg = diastolic blood pressure = lower value

The optimal value for a healthy blood pressure is 120/80 mmHg - i.e.: 120 to 80.
Fluctuations throughout the day are natural and help the body adapt to the respective situation. Acute stress or exertion causes blood pressure to rise, while relaxation or sleep lowers it again.

In healthy people, blood pressure levels always return to the normal range. Only when blood pressure remains consistently high when measured continuously is it referred to as high blood pressure. This is the case with values ​​from 140/90 mmHg.

What are the triggers of high blood pressure?

The causes of high blood pressure are subject to several interactions between genes, environment and lifestyle. The more risks come together, the higher the probability of developing high blood pressure.
There are two types of high blood pressure in terms of how they develop: primary and secondary Hypertension

Primary hypertension is the most common form of high blood pressure and is called essential hypertension. Around 90% of high blood pressure patients suffer from this form. Essential hypertension occurs without an underlying disease that can be proven to be the cause. Favoring factors for high blood pressure are: increased age (men from 55+ and women from 65+), lack of exercise , overweight, family history, smoking, high alcohol consumption or menopause.

Secondary hypertension occurs due to another Illness. About 10% of high blood pressure patients are affected by secondary hypertension. Causing diseases can be: metabolic diseases, kidney diseases, thyroid dysfunction, Vascular diseases, hormone imbalance or due to medications.

What are possible symptoms?

The signs of high blood pressure are difficult to clearly assign because the disease often takes a long time and goes undetected. However, the following symptoms occur more frequently: headache, dizziness, severe palpitations, Nervousness, shortness of breath during exertion and sleep disorder. However, you often notice no symptoms.

Diagnosis of high blood pressure at Avi Medical

In order to check whether you have high blood pressure and blood pressure treatment is necessary, it is important to first arrange a consultation at one of our Avi Medical family doctor's practices.

As part of the examination, the first is This step involves a precise recording of your history, current medications and, if applicable, symptoms. After this detailed discussion with your Avi Medical doctor and based on these findings, your blood pressure will be measured in the practice. Sometimes blood pressure fluctuates, so it makes sense to carry out a long-term blood pressure measurement (LZ-RR). This is ideal for determining the actual blood pressure and has the advantage that it also takes nightly blood pressure values ​​into account. You can take the long-term blood pressure device home with you for a few days - your Avi Medical doctor will then receive the values ​​directly from the device and then discuss them with you.
Depending on your history, the next step will be Laboratory tests carried out in one of our Avi Medical practices to record the risks and consequences of high blood pressure. For example, kidney function values, minerals such as sodium, potassium and calcium, cholesterol, blood sugar, thyroid values ​​and, if necessary, adrenal hormones are examined.
If necessary, we can use an ECG and < strong id="">Exercise ECG
determine whether your heart rhythm is abnormally changed at rest or under stress.

Treatment of high blood pressure at Avi Medical

Based on the results of your examinations, our doctors will then discuss your individual therapy with you.
In order to properly treat high blood pressure symptoms, the level of blood pressure and also the individual risk of secondary diseases - heart attacks, strokes - are crucial.
So not only high blood pressure itself must be treated, but above all the risk factors , which cause high blood pressure, e.g. high blood fat levels. It is therefore important that you are ready for self-therapy. This means switching to a healthy diet, sufficient exercise and avoiding smoking and alcohol .
Based on the results of your examinations, drug treatment can be the optimal support for self-therapy and thus reduce blood pressure.
Sometimes it is enough to administer a single medication, However, a combination of several antihypertensive agents is often necessary. The following groups of active ingredients are recommended by the German Hypertension League as first-choice medications:

  • Wuretic medications, such as diuretics , have a draining effect. Water and table salt are excreted via the kidneys, which means that less renin (blood pressure-increasing hormone from the kidneys) is released. Reducing fluids therefore lowers blood pressure. Beta blockers inhibit the effects of stress hormones, such as adrenaline, which increase blood pressure and pulse rate. Beta blockers prevent this by blocking the beta receptors. This relieves the strain on the heart and makes it beat a little more calmly.
  • ACE inhibitors and angiotensin receptor blockers inhibit a hormone that has a vasoconstricting effect. This means they have an indirect vasodilatory effect and relieve the strain on the heart. ACE inhibitors block the protein ACE, which promotes the conversion of angiotensin I to angiotensin II, which in turn causes the vessels to narrow and blood pressure to rise. By blocking ACE, the increased stress in the blood vessels decreases and blood pressure drops. The conversion of angiotensin I to angiotensin II is blocked and with it the breakdown of the peptide hormone bradykinin. As a result, a dry, irritating cough occurs. Angiotensin receptor blockers are an advanced level of ACE inhibitors. They do not block the protein, but rather the receptors to which the protein would dock. The vasoconstricting and therefore blood pressure-increasing effect of angiotensin II is reduced. Bradykinin is broken down unhindered and dry coughs occur significantly less than when taking ACE inhibitors.
  • Calcium antagonists reduce the tension in the vessel walls. An increased calcium content in the muscle cells causes contraction. This causes the vessels to constrict and causes higher blood pressure. Calcium antagonists relax the muscles in the blood vessels, causing blood pressure to drop and the heart to work less hard. They also reduce the heart's need for oxygen.

Your Avi Medical doctor will determine which group of active ingredients best suits your treatment and discuss it with you.

Regular measurement and observationof blood pressure is a preventive measureto detect long-term changes. For this reason, it is important that you come to one of our Avi Medical practices for regular checks. This is the only way we can get your high blood pressure under control together and enable you to live a carefree, healthy life.