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how is hypertinsion rated before or after treatment with medication

by Caterina Kuhlman Published 2 years ago Updated 2 years ago
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If the readings for hypertension are controlled by those medications, the rating will be based on the blood pressure readings while on medication. If your blood pressure is controlled while on medication, you most likely would not be entitled to a higher rating of hypertension.

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How do medications affect the rating of hypertension?

Jul 15, 2021 · Medication is a cornerstone of treatment for high blood pressure, or hypertension.Your doctor has many classes of antihypertensive drugs to choose from, and each class has a long list of possible ...

Can I get a higher rating for hypertension if my blood pressure?

Jul 10, 2019 · Hypertension is rated under 38 C.F.R. § 4.104, under diagnostic code 7101. The Court has stated that diagnostic code 7101 DOES contemplate the effects of medication. What this means is that the rating chart for hypertension, listed as Diagnostic Code 7101, specifically looks to see if hypertension is regulated by medication.

Are medications alone sufficient for the treatment of high blood pressure?

antihypertensive medications 10 3.4 Drug classes to be used as first-line agents 11 3.5 Combination therapy 13 3.6 Target blood pressure 16 3.7 Frequency of re-assessment 17 3.8 Administration of treatment by nonphysician professionals 19 4 Special settings 21 4.1 Hypertension in disaster, humanitarian and emergency settings 21

When is a 6060 VA rating for hypertension warranted?

10 rows · Nov 07, 2014 · Keep in mind that medications alone are insufficient for the treatment of high blood pressure. Lifestyle modifications are the cornerstone of treatment for hypertension . In some patients, lifestyle modifications and medications may …

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How does medication affect hypertension?

Some prescription and over-the-counter medications, as well as supplements and other substances, can raise your blood pressure. Certain ones can also interfere with medications intended to lower your blood pressure. Here are some medications, supplements and other substances that can increase your blood pressure.

Do I have hypertension if I take medication?

120 to 129/less than 80 (Elevated): You probably don't need medication. 130/80 to 139/89 (stage 1 hypertension): You might need medication. 140/90 or higher (stage 2 hypertension): You probably need medication.May 7, 2021

Is it best to take blood pressure before or after medication?

The first measurement should be in the morning before eating or taking any medications, and the second in the evening. Each time you measure, take two or three readings to make sure your results are accurate. Your doctor might recommend taking your blood pressure at the same times each day.

When do you need medication for hypertension?

Your doctor may advise you to take medicine for high blood pressure if:Your blood pressure is more than a little high.You have organ damage or other health problems such as heart failure, coronary artery disease, diabetes, or kidney disease.You have one or more risk factors for heart attack or stroke.

What is hypertension stage1?

Stage 1 hypertension is a systolic pressure ranging from 130 to 139 mm Hg or a diastolic pressure ranging from 80 to 89 mm Hg. Stage 2 hypertension. More-severe hypertension, stage 2 hypertension is a systolic pressure of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher.Jul 1, 2021

Which drug is given during hypertension?

Equanil is an important tranquillizer used in depression and hypertension. Was this answer helpful?

What is the proper way to take blood pressure?

During the measurement, sit in a chair with your feet on the floor and your arm supported so your elbow is at about heart level. The inflatable part of the cuff should completely cover at least 80% of your upper arm, and the cuff should be placed on bare skin, not over a shirt. Don't talk during the measurement.

Why is blood pressure high in afternoon and evening?

Blood pressure naturally drops at night, increases through the day, peaks at midday, and stays high through the afternoon before decreasing in the evening. This is affected by the circadian rhythm among other factors, like exercise, food and drink, and stress. Shift workers might see a reversed pattern.

Why is amlodipine given at night?

New research suggests that taking your blood pressure medication at bedtime may more effectively reduce your risk of illness or death due to heart and blood vessel disease. Timing of medication is important because blood pressure follows a daily rhythm. It rises higher during the day and falls at night when we sleep.Nov 6, 2019

What are the hypertension stages?

Hypertension stagesNormal: systolic less than 120 mm Hg and diastolic less than 80 mm Hg.Elevated: systolic between 120-129 mm Hg and diastolic less than 80 mm Hg.Stage 1: systolic between 130-139 mm Hg or diastolic between 80-89 mm Hg.Stage 2: systolic at least 140 mm Hg or diastolic at least 90 mm Hg.Dec 20, 2019

What causes hypertension?

What causes high blood pressure? High blood pressure usually develops over time. It can happen because of unhealthy lifestyle choices, such as not getting enough regular physical activity. Certain health conditions, such as diabetes and having obesity, can also increase the risk for developing high blood pressure.

Can hypertension be cured?

There is no cure for high blood pressure. But treatment can lower blood pressure that is too high. If it is mild, high blood pressure may sometimes be brought under control by making changes to a healthier lifestyle.

What is resistant hypertension?

Resistant hypertension refers to blood pressure that remains high after trying at least three different types of blood pressure medication. Someone whose high blood pressure is controlled by taking four different kinds of medication is considered to have resistant hypertension.

How to make the most of your treatment?

To make the most of your treatment, it’s vital to get regular medical checkups and blood pressure tests. Regular checkups allow your doctor to monitor how well your treatment is going and make any necessary adjustments to your treatment plan.

What is a normal blood pressure reading?

A normal blood pressure reading is less than 120/80 mm Hg. When you have high blood pressure, also known as hypertension, your reading is consistently in a higher range. High blood pressure treatment typically involves a combination of medication and lifestyle changes to help you manage the condition and prevent or delay related health problems.

What is the systolic pressure of a person with hypertension?

Hypertension (or high blood pressure) is present once the systolic pressure is 130 or higher, or the diastolic pressure is 80 or higher.

What is considered high blood pressure?

The goal is to get your blood pressure below the high range. If normal is less than 120/80 mm Hg, what’s high? When the systolic blood pressure — the top number — is between 120 and 129, and the diastolic blood pressure — the bottom number — is less than 80, this is considered elevated blood pressure.

How does ACE inhibitor work?

ACE inhibitors help the body produce less of a hormone called angiotensin II, which causes blood vessels to narrow. These medications decrease blood pressure by helping blood vessels expand and let more blood through.

What is the best way to reduce blood pressure?

Diuretics . Diuretics , sometimes called water pills, help the kidneys get rid of excess water and salt (sodium). This reduces the volume of blood that needs to pass through the blood vessels. As a result, blood pressure goes down. There are three major types of diuretics defined by how they work.

What is the best medication for hypertension?

Diuretics. There are three classes of diuretic drugs that are used to treat hypertension. Most commonly used are thiazide diuretics such as hydrochlorothiazide or chlorthalidone. There is not usually an increased urine flow after the first one or two days of taking these medications. Nevertheless, it is best to take them in ...

Why are ACEIs used for hypertension?

ACEIs are widely used to treat hypertension because they are effective, have relatively few side effects and in reduce the complications of hypertension such as heart attacks and strokes. They have a special use in patients with diabetes mellitus who have protein the urine (“diabetic nephropathy”) and in patients with chronic kidney disease (CKD) in whom they appeared to have beneficial actions in slowing the loss of kidney function above that achieved by other agents.

Is salt intake a risk factor for hypertension?

Amongst those factors that are under our control which influence the probability of developing hypertension, an excessive dietary salt intake is probably the most important . Research in animal models at Georgetown at the Center for Hypertension, Kidney, and Vascular Research has linked dietary salt intake with oxidative stress that may underlie the hypertension and adverse consequences that follow from a persistently increased salt intake in the diet.

Why are diuretics important?

Diuretics increase the effectiveness of all other categories of antihypertensives. That is why they are an essential part of almost any multidrug regimen for hypertension. Special Points: Diuretics are the original antihypertensives. Therefore, their efficacy and adverse effects are very well understood.

How does oxidative stress affect the body?

These can inactivate the normal signaling pathways between cells, damage cell membranes and proteins, and alter the DNA that forms the basis of our genes. Therefore, oxidative stress has widespread effects in the body. Increasing evidence suggests that oxidative stress develops progressively as we age. Indeed, almost all the common conditions that afflict us in the second half of life have an origin in oxidative stress. Studies in animal models, and human subjects show that oxidative stress is increased in patients with hypertension, coronary artery disease, heart or kidney failure, dementia and Alzheimer’s disease, Parkinson’s disease, diabetes mellitus, high blood cholesterol, smokers, obesity, and in post menopausal women. Therefore, we have selected it as the key target for therapy. Unfortunately, clinical trials with “antioxidant vitamins” such as vitamin E and C have been disappointing and usually negative. This is explained because these vitamins are very weak antioxidants and have not been given in sufficient dose to affect oxidative stress in the body.

Is thiazide a first line drug?

For this reason, the Joint National Commission on Hypertension Detection Evaluation and Treatment (JNCVII) recommended thiazide diuretics as first line therapy for patients with hypertension, unless there were special reasons to select another type of drug.

What is edecrin used for?

Ethacrinic acid (Edecrin) is used in the rare patients who are allergic to diuretics. Loop diuretics are not as effective as thiazides in lowering blood pressure in patients with hypertension. They are used especially to treat edema (swelling of the ankles) or heart failure.

What is the top number of hypertension?

Hypertension is described as high arterial blood pressure. It is present if the diastolic blood pressure (the bottom number) is 90 or more and systolic pressure (top number) is 140 or more , or if both are present.

How to contact VA about VA benefits?

If you need an advocate to review your previous ratings to determine if it was under evaluated, call us at 251-343-1111 or 1-800-332-1529. Dealing with the VA can be frustrating, but it is your benefits. Making that one little call and having a representative can make a huge difference. We would love to help you today.

What are the side effects of calcium channel blockers?

Pregnant or nursing women, and elderly with kidney or liver problems, asthma, diabetes or overactive thyroid should talk to their doctor before use. Chest pain, Problems breathing, Slow or irregular heartbeat, Swelling in the hands, feet, or legs. Calcium Channel Blockers.

What is the action of beta blockers?

Beta Blockers. Action: Decrease the heart rate and force of blood pumped from the heart to lower blood pressure. Also used with therapy for cardiac arrhythmias and in treating chest pain. • Acebutolol (Sectral) • Atenolol (Tenormin)

What is lifestyle modification?

Lifestyle modifications are the cornerstone of treatment for hypertension. In some patients, lifestyle modifications and medications may not adequately treat everyone with hypertension. For these patients, the healthcare team may explore treating secondary causes of hypertension or offering renal denervation.

Can you take a diuretic with a diuretic?

Do not use with a diuretic. Pregnant or nursing women and people who have kidney or liver problems, diabetes, or heart problems should talk to their doctor before use. Action: Decrease the heart rate and force of blood pumped from the heart to lower blood pressure.

Can you take more than one medication for high blood pressure?

Medications for Treating High Blood Pressure (Hypertension) Fortunately, there are many medications available to help control blood pressure. Different types of medications work on different parts of the body to lower blood pressure. As a result, controlling your blood pressure may require taking more than one type of medication—usually two ...

How to tell if blood pressure is high?

If your blood pressure is extremely high, there may be certain symptoms to look out for, including: 1 Severe headaches 2 Nosebleed 3 Fatigue or confusion 4 Vision problems 5 Chest pain 6 Difficulty breathing 7 Irregular heartbeat 8 Blood in the urine 9 Pounding in your chest, neck, or ears

How is blood pressure determined?

Generally, blood pressure is determined in two ways: (1) The amount of blood your heart pumps and (2) The amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure. gif (1×1)

What is the cause of high blood pressure?

According to medical research, Obstructive Sleep Apnea (OSA) is a recognized cause of hypertension (high blood pressure). Apneic episodes (when you stop breathing) from Sleep Apnea produce surges in systolic and diastolic pressure that keep mean blood pressure levels elevated at night.

Can high blood pressure cause heart disease?

According to the Mayo Clinic, hypertension is a common condition in veterans whereby the long-term force of the high blood pressure against your artery walls can cause a variety of health problems, such as heart disease or stroke.

Is hypertension considered a disability?

Yes, hypertension is a VA disability and can be rated at 10%, 20%, 40%, or 60% depending upon the frequency, severity, and duration of your symptoms. Hypertension or “High Blood Pressure” is rated under CFR 38, Part 4, VA Schedule of Ratings, Diseases of the Arteries and Veins, Diagnostic Code 7101.

Is hypertension a silent killer?

Hypertension is no joke, and is often referred to as a “ silent killer ” because it is the most common risk factor among veterans with stroke. High Blood Pressure is a Silent Killer. According to VA medical research, hypertension is one of the most common chronic condition in veterans, affecting more than 37% of the veteran population.

How to control high blood pressure?

Try these lifestyle changes to help lower and control your blood pressure. Eat a healthy diet with plenty of fruits and vegetables and reduce the amount of sodium in your diet. ...

What is the best medicine for high blood pressure?

Alpha-beta blockers. Alpha-beta blockers work similarly to beta blockers. They might be prescribed if you have high blood pressure and are at risk of heart failure. Alpha-beta blockers include carvedilol (Coreg) and labetalol. Central-acting agents.

How to keep blood pressure under control?

But you might need medication too. Taking your medications as prescribed, monitoring your blood pressure and making lifestyle changes can help you reach and maintain a healthy blood pressure.

What are the different types of diuretics?

There are three types of diuretics: thiazide, loop and potassium-sparing. Examples of diuretics include chlorothiazide (Diuril), bumetanide (Bumex) and amiloride (Midamor). If diuretics aren't enough to lower your blood pressure, your doctor might recommend adding other blood pressure medications to your treatment.

Can you take a diuretic with high blood pressure?

If you have diabetes and high blood pressure, taking a diuretic plus an ACE inhibitor can decrease your risk of a heart attack and stroke. If you have diabetes, high blood pressure and kidney disease, you may need an ACE inhibitor or an angiotensin II receptor blocker.

What are some examples of ACE inhibitors?

There are several ACE inhibitors available. Examples include enalapril (Vasotec, Epaned), lisinopril (Prinivil, Zestril, Qbrelis) and ramipril (Altace). Angiotensin II receptor blockers (ARBs). These drugs block the action of angiotensin, a chemical in your body that narrows your arteries and veins.

Can medication help with blood pressure?

In most cases, a combination of lifestyle changes and medication can help you successfully control your blood pressure. However, it's not unusual to try several medications or doses before finding what works best for you.

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  • This group of drugs was introduced next after diuretics, to be used for hypertension. They act on a part of the nervous system that controls blood pressure, known as the sympathetic nervous system. Blockade of the sympathetic nervous system reduces blood pressure by relaxing blood vessels, and decreasing the rate and force of contraction of the hea...
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