Treatment of Hypertension/Cardiovascular Disease-1

Treatment of Hypertension/Cardiovascular Disease-1 Details

Treatment of Hypertension. Mobile Phone 01797522136, 01987073965. An increase in Blood Pressure more than normal is called Hypertension. There are 4 types of Hypertension. There are some medical courses for diagnosis and management of Hypertension. The Courses are the Paramedical Course, DMA Course, DMS Course, DPM Course, DMDS Course, and PDT Cardiology Course. All these courses are available at HRTD Medical Institute.

Types of Hypertension are Mild Hypertension, Moderate Hypertension, Severe Hypertension, and Hypertension Emergency. Normal Blood Pressure varies from man to man as their faces vary.

Normal Average Blood Pressure is 120/80 mm of Hg. So, Blood Pressure of more than 120/80 mm of Hg is called Hypertension. But it is not actually true for all the human beings. Treatment of Hypertension is easy if it is clearly understood.

Chart for the 4 Types of Hypertension

Systolic BP Diastolic BP Type/Class of Hypertension

140-159 90- 99 Mild Hypertension

160 to 179 100 to 109 Moderate Hypertension

180 + 110 + Severe Hypertension

Extremely High Extremely High Hypertension Emergency

Mild Hypertension

A Systolic BP of 140 to 159 and a Diastolic BP of 90 to 99 or Both Systolic BP and Diastolic BP between the above range is called Mild Hypertension.

Moderate Hypertension

A Systolic BP of 160 to 179 and a Diastolic BP of 100 to 109 or Both Systolic BP and Diastolic BP between the above range is called Moderate Hypertension.

Severe Hypertension

A Systolic BP of 180+ and a Diastolic BP of 110+ or Both Systolic BP and Diastolic BP more than the above-mentioned blood pressure is called Severe Hypertension.

Hypertension Emergency

When Systolic or Diastolic, or Systolic and Diastolic BP are extremely high, this is called a hypertension emergency.

Mechanisms of Hypertension

There are 3 ultimate mechanisms of Hypertension. The mechanisms are 1. An Increase in Heart Heart, An Increase in blood volume, and 3. An increase in the rigidity of blood vessels. The 3 are the ultimate final mechanisms of hypertension.

Mechanisms for Reducing Blood Pressure (3R)

Mechanisms for reducing blood pressure. Mobile Phone 01797522136, 01987073965. There are 3 mechanisms for reducing the blood pressure. The mechanisms are 1. Reducing heart rate, 2. Reducing blood volume, and 3. Reducing rigidity of the blood vessel.

রক্তচাপ কমানোর জন্য 3টি প্রক্রিয়া রয়েছে। প্রক্রিয়াগুলি হল 1. হৃদস্পন্দন হ্রাস করা, 2. রক্তের পরিমাণ হ্রাস করা এবং 3. রক্তনালীর অনমনীয়তা হ্রাস করা।

Antihypertensive Drugs

Antihypertensive drugs have many types, but they are classified into 3 groups according to the mechanisms of reducing blood pressure.

Drugs that reduce Heart Rate

Beta Blocker Drugs: Atenolol, Bisoprolol, Metoprolol.

Drugs that reduce blood Volume

Diuretic Drugs

Drugs that reduce the rigidity of the Blood Vessel (Vasodilator Drugs)

Calcium Channel Blocker

ACE Inhibitor Drugs

Alfa Blocker Drugs: Doxazosin, Prazosin

Treatment of Mild Hypertension

Try to find out the actual cause of hypertension

A single drug or meditation should be applied

The drug is according to the cause of hypertension.

1st Step: Alprazolam

If 1st Step fails then go to the 2nd Step

2nd Step: Alprazolam + Atenolol /Amlodipine ( Heart Rate কম থাকলে Heart Rate কমানোর ড্রাগ Atenolol, Bisoprolol, Metoprolol ইত্যাদি দেয়া যাবে না ।)

During the treatment of Moderate hypertension, blood pressure and Heart Rate should be monitored regularly, because BP and Heart Rate can fall and hypotension and Bradycardia can arise.

[ Cardiologist/ Medicine Specialist দ্বারা Treatment দিতে সহায়তা করুন ]

Treatment of Moderate Hypertension

1st Step:

Amlodipine + Atenolol ( Heart Rate কম থাকলে Heart Rate কমানোর ড্রাগ Atenolol, Bisoprolol, Metoprolol ইত্যাদি দেয়া যাবে না ।)

Or, Tab Losartan Potassium

During the treatment of Moderate hypertension, blood pressure and Heart Rate should be monitored regularly, because BP and Heart Rate can fall and hypotension and Bradycardia can arise.

[ Cardiologist/ Medicine Specialist দ্বারা Treatment দিতে সহায়তা করুন ]

Treatment of Severe Hypertension

1st Step:

Tab. Amlodipine + Atenolol ( Heart Rate কম থাকলে Heart Rate কমানোর ড্রাগ Atenolol, Bisoprolol, Metoprolol ইত্যাদি দেয়া যাবে না ।)

Tab. Losartan Potassium

If 1st step fails then go to the 2nd step

2nd Step: BP যদি নরমালে না আসে তাহলে Diuretic Drug দিয়ে BP কমাতে হবে এবং উপরে উল্লেখিত ড্রাগ চলতে থাকবে ।

During the treatment of Severe hypertension, blood pressure and Heart Rate should be monitored regularly, because BP and Heart Rate can fall and hypotension and Bradycardia can arise.

[ Cardiologist দ্বারা Treatment দিতে সহায়তা করুন ]

Treatment of Hypertension Emergency

An emergency is an Emergency. Don’t delay the treatment of Hypertension Emergency. Please try to save the patient.

Lan Set দিয়ে ফুটা করে কিছু রক্ত বের করে দিন ।

Diuretic Drug দিয়ে BP কমাতে হবে ।

তারপর Severe Hypertension এর Treatment দিতে হবে ।

During the treatment of Hypertension Emergency and Severe hypertension, blood pressure and Heart Rate should be monitored regularly, because BP and Heart Rate can fall and hypotension and Bradycardia can arise.

[ Cardiologist দ্বারা Treatment দিতে সহায়তা করুন ]

Antihypertensive Drug Classes for the Treatment of Hypertension

Antihypertensive Drugs Classes for the Treatment of Hypertension:

• Centrally acting anti-hypertensive drugs
• Beta Blocker Drugs/Beta adrenoceptor-blocking drugs
• Alpha Blocker Drugs/Alpha adrenoceptor-blocking drugs
• Vasodilator anti hypertensive
• ACE Inhibitors
• Angiotensin -2 receptor antagonists
• Diuretic drugs
• Adrenergic neuron-blocking drugs
• Ganglion blocking
• Misc preparation

Most Common Centrally Acting Antihypertensive Drugs

Most Common Centrally Acting Antihypertensive Drugs for the treatment of hypertension:

Methyldopa

• Fidopa -250
• Dopamet-25

Beta Blocker Drugs for the Treatment of Hypertension

• Propranolol
• Atenolol
• Carvedilol
• Metoprolol
• Bisoprolol

Alpha Blocker Drugs for the Treatment of Hypertension

• Prazosin
  • Alphapress tablet
• Terazosin
  • Hytrin tablet

ACE Inhibitor Drugs for the Treatment of Hypertension

• Captopril
• Cilazapril
• Enalapril
• Fosinopril
• Lisinopril
• Perindopril

These drugs inhibit the Adenosin adenosine-converting enzyme that converts Adinosin I to Adinosin II. Adinosin II can constrict blood vessels. So, Adinosin II is a vasoconstrictor biochemical.

Angiotensin II Receptor Blocker Drugs

• Losartan Potassium
  • Angilock Tab. 25 mg
  • Osartil Tab. 25 mg
  • Vasotan Tab. 25 mg
• Valsartan
  • Diovan Cap.80 mg

Angiotensin II is a vasoconstrictor biochemical. Losartan and Valsartan can block the Angiotensin II Receptors. As a result, blood vessels can not be constricted. So, blood vessels become dilated and blood pressure decreases.

Diuretic Drug Classes for the Treatment of Hypertension

• Thiazides & related diuretics
• Loop diuretics
• Potassium sparing diuretics
• Osmotic diuretics
• Carbonic anhydrase Inhibitors
• diuretics with potassium
• Mercurial diuretics

Diuretic drugs are that decrease blood volume by urine production. These drugs are useful for the management of Hypertension emergencies. Diuretic drugs are 3 types according to their working activities. they are Quick Acting Diuretics, Medium Acting Diuretics, and Slow Acting Diuretics. Quick Diuretics are most useful for the management of Hypertension Emergencies. Slow-acting Diuretics are useful for the Maintenance Treatment of Moderate Hypertension and Severe Hypertension.

Loop Diuretic

• Frusemide ( Fusid 40mg & Lasix 40mg )
• Bumetanide ( Urinide 1mg )

Loop Diuretics works at Loop of Henle, an important part of the nephron where water absorption is high.

Potassium Sparing Diuretics

• Pilactone
• Version

Indications of Potassium Sparing Diuretics

Potassium-sparing diuretics are used in many treatments including hypertension. The indications are given below:

• Congestive Heart failure
• Hypertension
• Hepatic cirrhosis
• Idiopathic syndrome
• Conn’s syndrome
• Potentiation of thiazide
• potentiation of loop diuretics

Osmotic Diuretic for the Treatment of Hypertension

Mannitol:

• Menitol 20% injection
• Osmosol 20% injection

Osmotic Diuretics are used for the treatment of

• Cerebral edema
• Forced diuretic

So, for the management of Hypertension Emergencies, Osmotic Diuretics play an important role.

Combined Diuretics for the treatment of Hypertension

• Frusemide + Spironolactone
  • Fusid Plus Tab
• Thiazide + Amiloride
  • Amizide Tablet
  • Kaltide Tablet
• Thiazide + Tria
  • Decide Tablet