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Hypertension and Congestive Heart Failure Eugene Fong Cintia Aquino Alana Pearson Hypertension • medical condition where the blood pressure is chronically elevated . • persistent hypertension is one of the risk factors for strokes, heart attacks, heart failure, and is a leading cause of chronic renal failure. • A number of environmental factors can contribute to the development of hypertension, including salt intake, obesity, occupation, alcohol intake, family size, excessive noise exposure. What is high blood pressure? • High blood pressure is a blood pressure that is 140/90 mmHg or above each time it is taken. That is, the blood pressure is 'sustained' at 140/90 mmHg or above. High blood pressure can be: – just a high systolic pressure, for example, 170/70 mmHg. – just a high diastolic pressure, for example, 120/104 mmHg. – or both, for example, 170/110 mmHg. • However, it is not quite as simple as this. Depending on various factors, the level at which blood pressure is considered high enough to be treated with medication can vary from person to person. • Hypertension can be classified as either essential or secondary. • Essential hypertension is the term used when no specific medical cause can be found to explain a patient's condition. • Secondary hypertension means that the high blood pressure is a result of (i.e. secondary to) another condition, such as kidney disease or certain tumors. How can you reduce the need for drug treatment? • Salt restriction has been shown to reduce the need for drug therapy in hypertension. • This seems to occur with or without weight reduction. • The problem most patients have is maintaining a low salt diet over time. Diet Limitations for Hypertension Patients • Fiber – A high-fiber diet has been shown to be effective in preventing and treating many forms of cardiovascular disease, including hypertension. • Sugar – Sucrose, common table sugar, elevates blood pressure. Underlying mechanism is not clearly understood. It is possible that sugar increases the production of adrenaline, which in turn, increases blood vessel constriction and sodium retention. • Take a diet that is rich in high potassium foods (vegetables and fruits) and essential fatty acids. • Beneficial Vegetables – Celery, garlic, onions, tomatoes, broccoli, carrots Vegetarian Diets • Vegetarians, in general, have lower blood pressure levels and a lower incidence of hypertension and other cardiovascular diseases. • Experts postulate that a typical vegetarian's diet contains more potassium, complex carbohydrates, polyunsaturated fat, fiber, calcium, magnesium, vitamin C and vitamin A, all of which may have a favorable influence on blood pressure. Congestive Heart Failure • Congestive heart failure (CHF), or heart failure, is a condition in which the heart can't pump enough blood to the body's other organs. • This can result from – narrowed arteries that supply blood to the heart muscle coronary artery disease. – past heart attack, or myocardial infarction, with scar tissue that interferes with the heart muscle's normal work. – high blood pressure.