Causes of Hypertension (High Blood Pressure)

Aug 24, 2023

Causes of Hypertension (High Blood Pressure)

Part 4: Causes of Hypertension (High Blood Pressure)

Content

0.17 -> >>Ellen: Vessels.

1.569 -> Unfortunately, itís almost a total body insult.

6.03 -> So, the consequences are far-reaching when we have hypertension.

12.72 -> Well, what causes it?

15.7 -> Now, when I um- put this figure on the side, I didnít realize until we loaded it that

21.89 -> it rotates

23.14 -> and that the light bulb blinks off and on so you may not want to just concentrate on

29.24 -> that particular figure.

30.98 -> Um- It may, or may not make you dizzy

33.62 -> [laugh]

35 -> But the reason we chose that particular um- figure isÖ.Iím going to talk a little bit

40.139 -> about what is important about this.

42.429 -> In order to find the cause of hypertension it takes a village sometimes.

49.639 -> It takes not only the individual, but their physician or their medical provider and often

58.139 -> in order to make um- a good diagnosis

62.389 -> it takes multiple specialists working in concert with the primary care physician and the patient.

71.149 -> So, it takes um- a number of individuals often to help come up with the idea thatís necessary.

80.479 -> I added I put aging here.

82.5 -> Um- unfortunately aging is one of the factors that cause hypertension that we cannot control.

91.18 -> We havenít found the fountain of youth yet or a pill to stop the aging process ever but

98.469 -> as we start talking about treatment,

100.82 -> there are some things that as we get older if we do and pay attention to we can actually

107.13 -> decrease the chance of hypertension or help treat it.

112.729 -> But aging causes a stiffening, if you will, or an inflexibility in the body.

120.22 -> Ever try to get up from one of these conferences after an hour or so?

123.59 -> [laughs]

124.59 -> you know how you feel?

126.249 -> Well this is a part of the aging process and it actually happens to the blood vessels and

131.36 -> the arteries just get stiffer as we get older.

135.09 -> You might use the uh- the metaphor of uh- a garden hose, a brand new garden hose from

143.51 -> Loweís, love those things donít you?

146.489 -> Nice and green or black and theyíre just- I mean you can twist them right?

150.15 -> Twist them, turn them and wrap them in knots and they just keep on going.

155.01 -> So you leave it outside and it rains on it and snows on it and frosts on it and then,

160.01 -> after about a year or so you decide to tie it in a knot.

164.11 -> And what happens?

165.239 -> It, right, itís very stiff and sometimes it will just break.

170.269 -> Well, this is kind of like the blood vessels.

174.38 -> So there is this with aging.

177.79 -> Smoking is a significant cause of hypertension and can complicate hypertension and itís

186.06 -> consequences on the body.

188.43 -> Actually the nicotine serves as a compressor if you will of arteries.

195.51 -> It can cause arterial spasm therefore the blood canít get through as well,

201.75 -> therefore the pressure has to increase, remember we talked about that early on?

206.04 -> So it can make a big difference in what happens.

210.939 -> Actually just one cigarette causes a spasm that is- a spasm of the vessels for up to

218.98 -> several days.

220.2 -> So itís very powerful.

223.569 -> Nicotine is a very powerful and potent agent.

227.47 -> Diabetes as I had mentioned before can cause difficulties as well uh- within the blood

234.92 -> vessels themselves

235.92 -> uh- many times it can cause problems with increased deposition of materials within the

243.209 -> arterial walls which causes the narrowing of the vessel.

249.5 -> The more narrow the vessel the higher the head of pressure needed to get the blood through

254.68 -> to the body.

257.29 -> So diabetes has its own cardiovascular disease risk.

262.22 -> All its own.

263.27 -> Thatís why we said we said earlier if someone has diabetes then we have to Ö a lower levelÖ

270.29 -> for problemsÖwith their heart.

274.06 -> Obesity often is its own primary problem.

278.6 -> Many people can solve their problems with hypertension just by losing weight.

283.44 -> Uh- this has uh- varied reasons for this including- unfortunately as we increase our weight often

293.78 -> our lipids increase.

296.83 -> The blood fats, including our cholesterol, the good and the bad, unfortunately more the

303.041 -> bad.

304.39 -> And when that happens we know that there is more deposition of cholesterol materials and

311.33 -> fatty materials within the lining of the arteries.

315.7 -> So what we find is when we start losing weight, even for every five pounds, we get a reduction

324.28 -> in our blood pressure.

325.33 -> If we need to lose weight, we donít have to lose it all to get a plus with our blood

332.22 -> pressure.

334.54 -> Actually every five pounds makes a difference.

340.1 -> Drugs were brought up earlier as a possible reason for our blood pressure to go up and

344.8 -> itís true.

346.36 -> Not only those drugs that we take for colds that have decongestants can certainly drive

351.47 -> our blood pressure up but street drugs

355.65 -> illicit drugs cocaine, heroine, PCP, um- some of the pain relieving medications oxycontin,

370.2 -> codine.

371.95 -> Many of these drugs can actually drive the pressure up.

377.5 -> Sleep apnea.

379.63 -> What happens with sleep apnea as you know is a conditionÖwhere oftenÖsleep apnea means

385.91 -> you fall into a very deep sleep sometimes the neck starts to relax and our tongue falls

392.71 -> back into our throat and we snore.

396.76 -> But what happens is weíre not getting that flow of oxygen that we normally would and

403.27 -> so we have periods where the brain doesnít get the message you need to breathe

408.1 -> and so there will be short times where maybe for just a few seconds the individual does

413.18 -> not breathe at night or whenever they are asleep.

416.81 -> If this continues over time it can put tremendous pressure on the heart and then that can put

423.43 -> pressure on the lungs and then we can certainly get hypertension from that.

430.32 -> The renal and the renovascular abnormalities include any kind of kidney disease if a patient

437.47 -> has a primary kidneyÖdevelop hypertensionÖit can have the arteries leading to the kidneys

445.35 -> begin to narrow.

447.05 -> Then that can cause hypertension as well.

452 -> Because the kidneys are so intimately involved with secreting chemicals that keep our blood

458.86 -> pressure either higher or lower and regulate our blood pressure in general.

467.56 -> Endocrine abnormalities include any of the hormone problems, thyroid disease particularly

474.72 -> hyperthyroidism, when the thyroid is too high, can lead to hypertension.

480.41 -> Can also have problems with our adrenal glands, too much cortisone secreted or cortisol by

488.93 -> our bodies secreted can cause hypertension.

493.75 -> And physical abnormalities have to be considered.

495.47 -> There are certain abnormalities that are congential, that is they have occurred before birth and

502.56 -> actually may not have been recognized.

505.1 -> Maybe mild enough not to be recognized early on but can lead to hypertension.

510.92 -> White coats, very important cause of inaccurately diagnosed hypertension.

518.149 -> When- I donít know how many of your primary care providers wear a white coat anymore.

524.48 -> I never used to do it in the office, but the whole idea is, whether they have a white coat

529.579 -> on or not, you know you are going to the doctor.

532.329 -> You know that theyíre going to weigh you, Ow!,

534.89 -> [laugh]

535.89 -> for me particularly, and then theyíre going to take your blood pressure, maybe another

539.93 -> ìow!î so what happens is we already start to build up our concern about these things

546.67 -> andÖ

Source: https://www.youtube.com/watch?v=JB7VycI6FHM