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Scientific Text: hypertension — diagnosis and therapy
Introduction
Hypertension medical arterial hypertension referred to, is a global health problem. According to estimates by the world health organization (WHO) suffer about 1.3 billion adults worldwide have this disease. High blood pressure is considered to be one of the main risk factors for cardiovascular disease, including heart attack, stroke, and kidney disease.
Definition and diagnosis
Arterial hypertension is diagnosed if the systolic blood pressure (the upper value) is regularly more than 140 mmHg and/or diastolic blood pressure (the lower value) is over 90 mmHg. The diagnosis requires repeated measurements, ideally in the context of a 24‑hour blood pressure monitor (Ambulatory blood pressure measurement, ABPM).
The blood pressure values are grouped into the following categories:
Normal value: <120/80 mmHg
High normal: 120-139/80-89 mmHg
Grade I (mild): 140-159/90-99 mmHg
Grade II (medium): 160-179/100-109 mmHg
Grade III (severe): ≥180/≥110 mmHg
Risk factors
Among the modifiable risk factors:
Overweight and obesity
Unbalanced diet (high salt, low potassium levels)
Lack of physical activity
Excessive Alcohol Consumption
Tobacco use
Chronic Stress
Non-modifiable factors include:
Genetic Disposition
Age (risk increases from 55 years ago)
Gender (men earlier to Occur)
Therapeutic Approaches
The treatment of high blood pressure consists of two pillars:
Lifestyle changes:
Reduction of salt intake on <5 g per day
Increased consumption of fruit, vegetables and dietary fiber (DASH diet)
Regular physical activity (at least 150 minutes of moderate activity per week)
Weight reduction in Overweight
Waiver of tobacco and reduction of alcohol consumption
Drug Therapy:
The first choice of drugs includes:
ACE inhibitors (eg, Lisinopril)
AT1‑receptor blockers (e.g., Losartan)
Calcium channel blockers (e.g. amlodipine)
Thiazide diuretics (e.g. hydrochlorothiazide)
The choice of the substance or combination depends on comorbidities (Diabetes, renal disease), and individual patient characteristics.
Conclusion
High blood pressure is a common but well-treatable disease. Through early diagnosis, targeted lifestyle changes and possibly drug therapy, the risk for cardiovascular complications can be significantly reduced. Regular blood pressure checks and close cooperation between the Patient and the doctor are crucial for the success of the therapy.

Ang pagkontrol sa presyon ay isang napakahalagang gawain, dahil ang pag-inom ng mga tableta na nakakatulong sa pagpapanatili ng normal na mga indikador ay maaaring magbigay ng araw-araw na komportableng buhay, upang maiwasan ang panganib ng hypertensive crisis, atake sa puso, at stroke. Ang mga gamot para sa kontrol ng presyon ay medyo malawakang makukuha sa mga botika, pero tanging ang doktor lang ang makakapili ng tamang gamot na angkop sa therapy. Lahat ng grupo ng gamot para pababain ang presyon ay may iba't ibang mekanismo ng epekto, side effects, at may kaunting posibilidad ng pagkadepende. Ang tamang pagpili ng gamot ay nagbibigay ng mabilis at tuloy-tuloy na resulta, at ang eksperimento sa sarili sa pag-inom ng gamot ay may mataas na posibilidad ng biglaang karamdaman, sakit sa puso at daluyan ng dugo, at sa matinding kaso, maaaring magdulot ng kamatayan.
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