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<p> </p> <p style="line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;" dir="ltr"><span id="docs-internal-guid-44936c10-7fff-6011-b95f-e644941f9785"><span style="font-size: 11pt; font-family: Arial, sans-serif; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; white-space-collapse: preserve;"><span style="border: none; display: inline-block; overflow: hidden; width: 743px; height: 418px;"><img style="margin-left: 0px; margin-top: 0px;" src="https://lh7-rt.googleusercontent.com/docsz/AD_4nXc7m1Zyhr2VkOqlmRiPMgZGuS8H6u_heA4rTe1Xu8xmS7FLXzw5kScVAQUJ_T2gAnV9CrE0eXgZ8Ysy8VnKdnzmEGixAwMKDV55KIsPwPFbCHhVvUGxREUyRzPs-UUQEHwH_vYMfw?key=xhk_2DvY79UHlJyTi4ZdVw" alt="" width="743" height="418" /></span></span></span></p> <h1 style="line-height: 1.38; margin-top: 20pt; margin-bottom: 6pt;" dir="ltr"><span style="background-color: transparent; color: #ff0000; font-family: ">What is High Blood Pressure</span></h1> <p style="text-align: justify;"><span style="font-family: ">High blood pressure, also termed as hypertension, is a medical condition in which the pressure in blood vessels remains consistently high for an extended period. In hypertension, the blood pressure is 140/90 mmHg or higher. High blood pressure could lead to stroke, heart failure, and other complications.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">People with high blood pressure usually do not experience any symptoms. </span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span id="docs-internal-guid-f3a1530c-7fff-add2-9091-8b9718ec2e08"><strong><br /></strong></span></p> <p style="line-height:1.38;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:#ffffff;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Systolic and diastolic blood pressure</span><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:#ffffff;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">1</span></span><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:#ffffff;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> </span></p> <p style="line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-family: ">When we check blood pressure, it is always expressed as a fraction with two numbers.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">For example: </span></p> <p style="line-height:1.38;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Normal blood pressure = </span><span style="text-decoration: underline;">120</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">mmHg</span></p> <p style="line-height:1.38;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> 90</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Here, the number 120 indicates systolic blood pressure, which is the maximum pressure in the arteries when the heart beats.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The number 90 indicates diastolic blood pressure, which is the minimum pressure in the arteries between heartbeats.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Risk factors for hypertension </span><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">1</span></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The exact cause of hypertension in most cases is unknown and is mostly due to genetics. In others, it can be linked to a pre-existing disease like diabetes or kidney disease.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Though the cause of hypertension is unknown, the presence of risk factors can lead to hypertension. While a few of them, like lifestyle factors, can be managed, others, like genetics and age, cannot be controlled. </span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Based on their management, risk factors can be grouped as follows.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /><br /></strong></span></p> <div style="margin-left:0pt;" dir="ltr"> <table style="border: none; border-collapse: collapse; table-layout: fixed; width: 468pt;" border="0"> <colgroup><col></col><col></col></colgroup> <tbody> <tr style="height: 243.87890625pt;"> <td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="text-decoration: underline;">Modifiable risk factors </span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Unhealthy food habits</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-High salt intake, </span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-High intake of saturated and unsaturated fat foods,</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-Consuming fewer fruits and vegetables</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-Absence of Physical activity</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-Consuming tobacco and alcohol</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-overweight or obesity</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Environmental factors </span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-Air pollution </span></p> <br /></td> <td style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="text-decoration: underline;">Non-modifiable risk factors </span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-Genetics and family history</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-Old age >65 years </span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#3c4245;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">-Co-existing diseases-Diabetes or kidney disease.</span></p> </td> </tr> </tbody> </table> </div> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Lifestyle approach and hypertension</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#1b1b1b;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">A healthy lifestyle approach means a set of good habits and health practices that promote good health and overall well-being </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#1b1b1b;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">2</span></span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#1b1b1b;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">. These include physical exercises, proper weight management, good nutrition, avoiding smoking, and drinking.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size: 12pt; font-family: ">Can a lifestyle alone approach reduce blood pressure? </span><span style="font-size: 12pt; font-family: "><span style="font-size: 0.6em; vertical-align: super;"> </span></span></p> <p><span id="docs-internal-guid-2dc4408d-7fff-0345-2319-d160e6466641"> </span></p> <div style="text-align: justify;"><span style="background-color: transparent; font-size: 12pt; font-family: ">No. Lifestyle modifications alone might be helpful for pre-hypertensives and grade 1 hypertensives without risk factors. In other grades of hypertension, lifestyle measures must be combined with medicines</span><span style="background-color: transparent; font-size: 12pt; font-family: "><span style="font-size:0.6em;vertical-align:super;">3</span></span><span style="background-color: transparent; font-size: 11pt; font-family: ">.</span></div> <p> </p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="background-color: transparent; color: #ff0000; font-family: ">Grades of hypertension</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <div style="margin-left:0pt;" dir="ltr"> <table style="border:none;border-collapse:collapse;" border="0"> <colgroup><col width="208"></col><col width="130"></col><col width="121"></col><col width="181"></col></colgroup><thead> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Category</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Systolic BP</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Diastolic BP</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Recommendation</span></p> </th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Optimal</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><120</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><80</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"><br /></th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Normal</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">120 – 129</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">80 –84</span></p> <br /></th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"><br /></th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">High Normal</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">130 – 139</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">85 –89</span></p> <br /></th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Only lifestyle changes</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">(in case of absence of risk factors)</span></p> </th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Grade 1 Hypertension</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">140-159</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">90-99</span></p> <br /></th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Lifestyle changes + drug therapy(in case of the presence of risk factors)</span></p> </th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Grade 2 Hypertension</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">160-179</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">100-109 </span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Lifestyle changes + drug therapy</span></p> </th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Grade 3 Hypertension </span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">180 or above</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">110 or above</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Lifestyle changes + immediate drug therapy</span></p> </th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Isolated systolic hypertension</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> > 140 </span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><90</span></p> <br /></th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Lifestyle changes + drug therapy</span></p> </th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Hypertensive urgency</span></p> <br /></th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">>180</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">>110</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Immediate medical attention</span></p> </th> </tr> <tr style="height: 0pt;"> <th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Hypertensive</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">emergency</span></p> <br /></th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">>180</span></p> </th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">>110-120</span></p> <br /></th><th style="border-left:solid #000000 1pt;border-right:solid #000000 1pt;border-bottom:solid #000000 1pt;border-top:solid #000000 1pt;vertical-align:top;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;" scope="col"> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:11pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Immediate medical attention</span></p> </th> </tr> </thead> </table> </div> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /><br /></strong></span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Life approaches for managing hypertension</span><span style="font-size:13.999999999999998pt;font-family:'Times New Roman',serif;color:#ff0000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">3</span></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">1. Physical activity</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">: Physical activities improve heart health and contribute to weight loss.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">They include daily activities like walking, cycling, and household activities. </span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Advice</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">: Moderate physical activities like brisk walking, stair climbing, and light swimming for 30 minutes per day or 2.5 hours per week are advised for all individuals. People with high blood pressure must avoid weight-lifting exercises, as they increase blood pressure.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Benefits:</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Exercising daily, particularly aerobic exercises, can lower systolic and diastolic blood pressure. </span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Caution: </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Anyone experiencing shortness of breath, chest discomfort, palpitations, jaw pain, or fainting should seek medical advice before continuing exercise.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Those with a record of heart failure or acute coronary events must altogether avoid exercise.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">2. Weight reduction: </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Obesity leads to increased</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">sodium and insulin levels, which are responsible for high blood pressure </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">4</span></span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">. Over weight also results in cardiovascular risks. Weight reduction is highly recommended for patients who are obese and for those with high belly fat. </span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Advice</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">: A routine of a low-calorie diet along with regular physical activity and a consistent mindset.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Benefits</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">: Losing a minimum of 4.5 kg would result in a noticeable fall in blood pressure.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">3. Alcohol: </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Alcohol increases blood pressure in both alcoholics without hypertension and in alcoholics with hypertension </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">5</span></span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">. Normal people should cut down on alcohol to prevent hypertension. Those with high blood pressure must stop consuming alcohol as it results in heart complications. Also, alcohol damages the liver and kidneys, which impairs the blood pressure-regulating mechanism in the body.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Advice:</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Heavy drinkers should gradually decrease alcohol consumption. And this should be paired with regular exercise. Pregnant women and those planning to get pregnant must avoid alcohol altogether. People who have suffered a stroke or have renal or heart disease must stop consuming alcohol</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Benefits:</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Avoiding alcohol can lower blood pressure in alcoholics with hypertension and alcoholics without hypertension.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">4. Salt: </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Excess salt consumption causes blood vessel stiffness and increases blood pressure. </span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Over 50% of the patients are sensitive to salt and therefore develop hypertension, which serves as a caution on salt usage</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">6</span></span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">. People who consume more salt and have high blood pressure must decrease their salt intake </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"><span style="font-size:0.6em;vertical-align:super;">7</span></span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Advice:</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Patients with high blood pressure must limit their intake to 5 g/day. Limits on salt intake vary from person to person based on occupational conditions and the amount of salt loss from the body. For example:- People who do intense physical work in hot environments lose more sodium and water through sweating. </span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Avoid salt usage, processed foods, salt-containing foods like pickles, chips, and foods prepared using baking powder.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">5.Smoking: </span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The chances of developing hypertension and cardiovascular complications are higher in smokers. Smoking naturally invites many other diseases and causes heart issues.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Smokers have 2-6 times higher chances of a heart attack and are at 3 times greater risk of stroke.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Advice</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">: Quit smoking to reduce overall heart risk. </span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">6.Managing stress:</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Meditation and yoga reduce stress. It is particularly useful to those who have anxiety or stress-based hypertension.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">7.Diet:</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Follow the DASH (</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#111111;background-color:#ffffff;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Dietary approaches to Stop Hypertension</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">) eating plan. Consume more vegetables, fruits, and foods rich in fibre, potassium, and low in sodium.</span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> Stop eating meat, reduce consumption of saturated fats, and shift to low-calorie food.</span></p> <p style="line-height:1.7999999999999998;margin-top:0pt;margin-bottom:0pt;" dir="ltr"><span><strong><br /></strong></span></p> <p style="line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt; text-align: justify;" dir="ltr"><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Conclusion</span><span style="font-size:12pt;font-family:'Times New Roman',serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">: Hypertension is a long-term medical condition that needs to be managed and monitored regularly. Long-term management means long-term usage of medicine and exposure to its side effects. Adopting lifestyle measures decreases the dose of these medicines and hence their side effects. Healthy management of hypertension must incorporate lifestyle measures for their role in lowering blood pressure and disease progression.</span></p>
Tags :
high blood pressure, systolic and diastolic blood pressure, Risk factors, Grades of hypertension, Lifestyle approaches
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