Hypertension Diagnosis and Classification

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Questions and Answers

What is the medical term for high blood pressure with a persistent elevation of the systolic and/or diastolic BP?

  • Hypotension
  • Normotension
  • Hypertension (correct)
  • Benign Pressure

At what systolic and diastolic pressure is hypertension medically diagnosed?

  • 140mmHg or higher and 90mmHg or higher (correct)
  • 160mmHg or higher and 110mmHg or higher
  • 130mmHg or higher and 80mmHg or higher
  • 150mmHg or higher and 100mmHg or higher

What is the blood pressure range considered normal for seniors?

  • 120-140/80 or less
  • 160-180/100 or less
  • 180-200/110 or less
  • 140-160/90 or less (correct)

At what age does a child's blood pressure typically reach adult values?

<p>In a teenager (D)</p> Signup and view all the answers

What is the category of hypertension classified as PRIMARY also referred to as?

<p>Essential, Idiopathic, or Benign (C)</p> Signup and view all the answers

What is the normal blood pressure range for a 6-9 year old child?

<p>122/78 (C)</p> Signup and view all the answers

Hypertension is medically diagnosed if the systolic pressure is ______ mmHg or higher and the diastolic pressure is 90 mmHg or higher.

<p>140</p> Signup and view all the answers

As kids grow, their blood pressure continues to increase from a systolic pressure of about ______ in an infant.

<p>90</p> Signup and view all the answers

A diagnosis of Hypertension will be classified as ______, SECONDARY, or Malignant.

<p>PRIMARY</p> Signup and view all the answers

A child is at risk for hypertension at much lower blood pressures, such as ______ for 3 to 5 years.

<p>116/76</p> Signup and view all the answers

The normal blood pressure range for a 10-12 year old child is ______.

<p>126/82</p> Signup and view all the answers

Seniors have blood pressure readings that are higher than adult readings because blood vessels become less ______ combined with other age-related changes.

<p>compliant</p> Signup and view all the answers

Hypertension is classified as PRIMARY, SECONDARY, or Benign.

<p>False (B)</p> Signup and view all the answers

A diagnosis of hypertension will be classified as PRIMARY, SECONDARY, or Stage 3 (Class 3, Severe).

<p>False (B)</p> Signup and view all the answers

The normal blood pressure range for children remains the same from infancy to adolescence.

<p>False (B)</p> Signup and view all the answers

Blood vessels become more compliant with age, resulting in higher blood pressure readings in seniors.

<p>False (B)</p> Signup and view all the answers

A systolic pressure of 160 mmHg or higher is considered hypertension in seniors.

<p>True (A)</p> Signup and view all the answers

A diagnosis of hypertension requires a single blood pressure reading of 140/90 mmHg or higher.

<p>False (B)</p> Signup and view all the answers

What is the effect of arteriosclerosis and arteriolosclerosis on blood vessels?

<p>Thickening and hardening of blood vessels (B)</p> Signup and view all the answers

What is the consequence of damage to nephrons in the kidneys?

<p>Systemic fluid retention (A)</p> Signup and view all the answers

What is the effect of hypertension on the Central Nervous System?

<p>Transient Ischemic Attacks and Stroke (C)</p> Signup and view all the answers

What is the result of atherosclerotic plaques on renal arteries?

<p>Decreased blood flow to the kidneys (B)</p> Signup and view all the answers

What is the consequence of excessive release of renin in the kidneys?

<p>Increased blood pressure and vasoconstriction (C)</p> Signup and view all the answers

What is the effect of hypertension on the heart?

<p>Angina Pectoris and Acute Myocardial Infarction (B)</p> Signup and view all the answers

Hypertension is often called the "Silent ______" because it often has few recognizable signs.

<p>Killer</p> Signup and view all the answers

_______ and arteriolosclerosis result from high pressures to blood vessel walls or irritants which result in damage or lesions.

<p>Arteriosclerosis</p> Signup and view all the answers

Over time, thickening, hardening, as well as reduced space, (_______), for blood to pass through results in tissue ischemia downstream from obstruction.

<p>lumen</p> Signup and view all the answers

Atherosclerotic plaques on renal arteries cause decreased blood flow to kidneys, tissue damage, and decreased ______.

<p>function</p> Signup and view all the answers

Excessive release of renin results in vasoconstriction, water and salt retention, edema, increased blood volume, and increased ______ pressure.

<p>blood</p> Signup and view all the answers

Transient ischemic attacks are also known as mini ______.

<p>strokes</p> Signup and view all the answers

Hypertension can cause damage to the kidneys due to atherosclerotic plaques on renal veins.

<p>False (B)</p> Signup and view all the answers

Transient ischemic attacks are also known as mini heart attacks.

<p>False (B)</p> Signup and view all the answers

Hypertension can cause increased risk of congestive heart failure in the heart.

<p>True (A)</p> Signup and view all the answers

Damage to nephrons in the kidneys results in increased blood pressure due to the release of a hormone that regulates blood sugar balance.

<p>False (B)</p> Signup and view all the answers

Arteriosclerosis and arteriolosclerosis result from low pressures to blood vessel walls or irritants.

<p>False (B)</p> Signup and view all the answers

Hypertension is often called the 'Silent Healer' because it often has few recognizable signs.

<p>False (B)</p> Signup and view all the answers

What percentage of all cases of hypertension is accounted for by Primary Hypertension?

<p>90-95% (C)</p> Signup and view all the answers

What is a major risk factor for Primary Hypertension?

<p>Family History (A)</p> Signup and view all the answers

What is a common symptom of Primary Hypertension?

<p>All of the above (D)</p> Signup and view all the answers

What is a long-term complication of Primary Hypertension?

<p>All of the above (D)</p> Signup and view all the answers

What is a lifestyle modification that can help control Primary Hypertension?

<p>Reducing Sodium Intake (D)</p> Signup and view all the answers

What is the percentage of deaths caused by Chronic Congestive Heart Failure in people with Primary Hypertension?

<p>60% (A)</p> Signup and view all the answers

Primary Hypertension Accounts for ______ % of all cases of hypertension.

<p>90-95</p> Signup and view all the answers

Combining ______ increases the risk of Primary Hypertension.

<p>risk factors</p> Signup and view all the answers

People may not know they have Primary Hypertension until a complication arises ______ to the hypertension.

<p>secondary</p> Signup and view all the answers

Chronic, slow, progressive damage to blood vessels and then ______ organs is a long-term complication of Primary Hypertension.

<p>vital</p> Signup and view all the answers

Lifestyle modification may include ______ reduction to control Primary Hypertension.

<p>weight</p> Signup and view all the answers

Death in 20-40 years due to Primary Hypertension is typically caused by ______ Congestive Heart Failure or Cerebral Hemorrhage.

<p>Chronic</p> Signup and view all the answers

Idiopathic primary hypertension accounts for 95-100% of all cases of hypertension.

<p>False (B)</p> Signup and view all the answers

Cigarette smoking is a sign of primary hypertension.

<p>False (B)</p> Signup and view all the answers

The complication of primary hypertension that leads to 10% of deaths is kidney/liver/lung failure.

<p>True (A)</p> Signup and view all the answers

Lifestyle modification can be used solely to control stage 2 hypertension or higher.

<p>False (B)</p> Signup and view all the answers

Primary hypertension can cause damage to the kidneys due to atherosclerotic plaques on renal veins.

<p>False (B)</p> Signup and view all the answers

Primary hypertension is often called the 'Silent Killer' because it often has few recognizable signs.

<p>True (A)</p> Signup and view all the answers

What percentage of cases of hypertension is accounted for by secondary hypertension?

<p>5-10% (A)</p> Signup and view all the answers

What is the effect of calcium channel blockers on cardiac and smooth muscle?

<p>Inhibit movement of calcium into (B)</p> Signup and view all the answers

What is a common symptom of malignant hypertension?

<p>All of the above (D)</p> Signup and view all the answers

What is the consequence of untreated malignant hypertension?

<p>Death in a few days to a few years (C)</p> Signup and view all the answers

What is the effect of ACE inhibitors on blood vessels?

<p>Reduce vasoconstriction (C)</p> Signup and view all the answers

What is the cause of death in patients with untreated hypertension?

<p>All of the above (D)</p> Signup and view all the answers

_______ is when blood pressure rises quickly and can be potentially fatal.

<p>Malignant hypertension</p> Signup and view all the answers

Medications such as ______ inhibitors reduce vasoconstriction.

<p>ACE</p> Signup and view all the answers

Secondary hypertension accounts for ______ % of cases.

<p>5-10</p> Signup and view all the answers

Death is usually due to ______ Failure or Cerebral Hemorrhage or acute congestive heart failure.

<p>Kidney</p> Signup and view all the answers

Calcium Channel blockers inhibit movement of ______ into cardiac and smooth muscle.

<p>calcium</p> Signup and view all the answers

Vasodilators reduce ______ vascular resistance.

<p>peripheral</p> Signup and view all the answers

Diabetes is a complication of Secondary Hypertension.

<p>False (B)</p> Signup and view all the answers

ACE inhibitors increase vasoconstriction.

<p>False (B)</p> Signup and view all the answers

Transient ischemic attacks are a symptom of Primary Hypertension.

<p>False (B)</p> Signup and view all the answers

Calcium Channel blockers increase the movement of calcium into cardiac and smooth muscle.

<p>False (B)</p> Signup and view all the answers

Malignant hypertension is a complication of Primary Hypertension.

<p>False (B)</p> Signup and view all the answers

Vasodilators increase peripheral vascular resistance.

<p>False (B)</p> Signup and view all the answers

What is the purpose of taking a client's blood pressure before and after each massage treatment?

<p>To monitor the client's response to the massage (B)</p> Signup and view all the answers

What is a common cause of false high blood pressure readings?

<p>Recording BP immediately after a meal (B)</p> Signup and view all the answers

What should a therapist do if a client's blood pressure reading is high?

<p>All of the above (D)</p> Signup and view all the answers

What is a lifestyle modification that may be recommended to clients with hypertension?

<p>All of the above (D)</p> Signup and view all the answers

What is the term for the fear of taking blood pressure, which can cause false high readings?

<p>White Coat syndrome (C)</p> Signup and view all the answers

Why should a therapist ask a client about recent activities and caffeine intake before taking their blood pressure?

<p>To ensure accurate blood pressure readings (B)</p> Signup and view all the answers

The client should be referred to a ______ if there is a change in their BP reading from previous readings.

<p>physician</p> Signup and view all the answers

The BP reading is taken again, and if it remains high, ______ modifications are made and the client is referred to their physician.

<p>treatment</p> Signup and view all the answers

In clinic, let your ______ know if you get a high reading.

<p>supervisor</p> Signup and view all the answers

“White Coat” syndrome is the fear of taking ______.

<p>BP</p> Signup and view all the answers

The therapist asks the client about recent ______, caffeine intake, cigarette smoking.

<p>activities</p> Signup and view all the answers

Recording BP while person’s ______ is full may cause a false high reading.

<p>bladder</p> Signup and view all the answers

The client should be referred to a nurse if there is a change in their BP reading from previous readings

<p>False (B)</p> Signup and view all the answers

A systolic pressure of 140 mmHg or higher is considered hypertension in seniors

<p>False (B)</p> Signup and view all the answers

The BP reading should be taken immediately after a meal, cigarette, stressful event, or physical activity

<p>False (B)</p> Signup and view all the answers

Deflating the cuff quickly can cause false high readings

<p>False (B)</p> Signup and view all the answers

The therapist asks the client about recent activities, caffeine intake, and sleeping position before taking their blood pressure

<p>False (B)</p> Signup and view all the answers

Blood vessels become less compliant with age, resulting in higher blood pressure readings in seniors

<p>False (B)</p> Signup and view all the answers

What is a sign of cardiac distress during a massage treatment?

<p>Rapid pulse (B)</p> Signup and view all the answers

What should the therapist do if a client shows signs of cardiac distress during treatment?

<p>Position the client in a semi-seated or seated position and discontinue treatment (C)</p> Signup and view all the answers

What type of hypertension is completely contraindicated for massage treatment?

<p>Severe (Stage 3) hypertension (C)</p> Signup and view all the answers

What should the therapist monitor before and after a massage treatment for a client with mild hypertension?

<p>The client's blood pressure (A)</p> Signup and view all the answers

What type of hypertension requires positioning, hydrotherapy, and technique modifications for massage treatment?

<p>Moderate (Stage 2) hypertension (D)</p> Signup and view all the answers

What should the therapist do if the client's symptoms do not subside after discontinuing the massage treatment?

<p>Call 911 immediately (D)</p> Signup and view all the answers

Clients who have a ______ condition or hypertension should be monitored during the massage.

<p>heart</p> Signup and view all the answers

If a client shows signs of ______ distress during treatment, position in semi-seated or seated and discontinue treatment.

<p>cardiac</p> Signup and view all the answers

Moderate (Stage 2) hypertension that is uncontrolled/unstable is completely ______ for treatment.

<p>CI'd</p> Signup and view all the answers

Severe (Stage 3) or Very Severe (Stage 4) hypertension is always ______ for treatment.

<p>CI'd</p> Signup and view all the answers

Mild hypertension that is controlled and stable with medication usually requires no ______ modifications.

<p>treatment</p> Signup and view all the answers

Call 911 if symptoms of cardiac distress do not ______ during treatment.

<p>subside</p> Signup and view all the answers

Clients with Mild hypertension that is controlled and stable with medication usually require technique modifications.

<p>False (B)</p> Signup and view all the answers

If a client shows signs of cardiac distress during treatment, the therapist should continue with the massage even if the client states they feel alright.

<p>False (B)</p> Signup and view all the answers

Severe (Stage 3) hypertension is always contraindicated for treatment, but can be modified by the patient's doctor and the blood pressure reading taken by the therapist prior to treatment.

<p>False (B)</p> Signup and view all the answers

Moderate (Stage 2) hypertension that is controlled and stable with medication is completely contraindicated for treatment.

<p>False (B)</p> Signup and view all the answers

Tissue bogginess and edema post-massage are signs of cardiac distress during treatment.

<p>True (A)</p> Signup and view all the answers

If the client's symptoms of cardiac distress do not subside, the therapist should call the client's doctor instead of 911.

<p>False (B)</p> Signup and view all the answers

What is the purpose of taking blood pressure before and after each treatment?

<p>To assess the effectiveness of the treatment (C)</p> Signup and view all the answers

Why should the therapist avoid elevating the client's limbs above the heart for prolonged periods?

<p>To prevent dramatic increases in venous return (C)</p> Signup and view all the answers

What is the purpose of working distal to proximal and using segmental massage techniques?

<p>To avoid dramatic increases in venous return (D)</p> Signup and view all the answers

Why should the therapist avoid abdominal pillowing?

<p>To compress the abdominal aorta (A)</p> Signup and view all the answers

What should the therapist do if they notice signs of cardiac distress during treatment?

<p>Position the client in a semi-seated or seated position and discontinue treatment (A)</p> Signup and view all the answers

What is the purpose of dividing the back into boxes when working on the back?

<p>To avoid long strokes and work segmentally (C)</p> Signup and view all the answers

The aims of treatment include taking blood pressure before and after each _______________

<p>treatment</p> Signup and view all the answers

The therapist should avoid abdominal _______________ as it compresses the abdominal aorta

<p>pillowing</p> Signup and view all the answers

To decrease peripheral vascular resistance, the therapist should start with a hand and/or foot _______________

<p>massage</p> Signup and view all the answers

When working on the back, the therapist works segmentally, avoiding long _______________

<p>strokes</p> Signup and view all the answers

The therapist should remain vigilant for any signs of cardiac _______________ throughout the treatment

<p>distress</p> Signup and view all the answers

Any potentially painful techniques are limited and interspersed with _______________ techniques

<p>soothing</p> Signup and view all the answers

What is the approximate normal blood pressure reading?

<p>90/60 (C)</p> Signup and view all the answers

What is the term for a sudden fainting due to hypotension induced by a nervous system response?

<p>Vasovagal Syncope (B)</p> Signup and view all the answers

What is the drop in systolic blood pressure that indicates Orthostatic Hypotension?

<p>20mmHg (A)</p> Signup and view all the answers

What is the underlying cause of Orthostatic Hypotension?

<p>Abnormal blood pressure regulation due to various causes (C)</p> Signup and view all the answers

What is the warning sign of Vasovagal Syncope?

<p>Nausea, blurred vision, lightheadedness, and sweating (C)</p> Signup and view all the answers

What happens to blood when a person assumes an upright posture from a supine position?

<p>It shifts to the lower part of the body (D)</p> Signup and view all the answers

Which of the following groups is more susceptible to experiencing hypotension when assuming a sudden upright position?

<p>Elderly patients with severe varicose veins (A)</p> Signup and view all the answers

What is a recommended precaution to prevent injury when getting a client off the massage table?

<p>Offer to assist the client off the table (D)</p> Signup and view all the answers

What can be done to help normalize blood flow when getting a client off the massage table?

<p>Have the client sit at the edge of the table and move their legs (C)</p> Signup and view all the answers

Why should a massage therapist inform a client about possible dizziness when getting up from the massage table?

<p>To prepare the client for possible symptoms of hypotension (B)</p> Signup and view all the answers

What is a recommended way to facilitate a client's transition from a supine to an upright position?

<p>Gradually assist the client to a standing position (D)</p> Signup and view all the answers

After assuming an upright posture from supine, approx. 500-700ml of blood momentarily shifts to the lower part of the ______.

<p>body</p> Signup and view all the answers

Some clients may experience symptoms of hypotension when getting off the ______ table after laying down for the duration of treatment.

<p>massage</p> Signup and view all the answers

Be prepared and offer to assist the client off the ______ to prevent injury.

<p>table</p> Signup and view all the answers

Have the client sit at the edge of the ______ and move legs to assist in skeletal muscle contraction to normalize blood flow.

<p>table</p> Signup and view all the answers

Encourage gradual movement to a ______ position and inform the client of possible dizziness from getting up too quickly.

<p>standing</p> Signup and view all the answers

Clients with ______ varicose veins may experience symptoms of hypotension when getting up too quickly.

<p>severe</p> Signup and view all the answers

A decrease in the Systolic/Diastolic BP below normal (approx. ______/60) is known as Hypotension.

<p>90</p> Signup and view all the answers

One of the severe cases of hypotension includes ______ Infarction.

<p>Acute Myocardial</p> Signup and view all the answers

Vasovagal Syncope is a type of fainting due to hypotension induced by a nervous system response to ______ stress, pain or trauma.

<p>abrupt emotional</p> Signup and view all the answers

Orthostatic Hypotension is characterized by an excessive fall in BP on assuming a sudden ______ position.

<p>upright</p> Signup and view all the answers

In Orthostatic Hypotension, a drop of ______mmHg in Systolic pressure is considered significant.

<p>20</p> Signup and view all the answers

Vasovagal Syncope is accompanied by a rapid heart rate

<p>False (B)</p> Signup and view all the answers

Hemorrhage is a mild case of hypotension

<p>False (B)</p> Signup and view all the answers

Orthostatic Hypotension is a disease

<p>False (B)</p> Signup and view all the answers

A drop of 15mmHg in Systolic pressure is a diagnostic criterion for Orthostatic Hypotension

<p>False (B)</p> Signup and view all the answers

Acute Myocardial Infarction is a mild case of hypotension

<p>False (B)</p> Signup and view all the answers

After assuming an upright posture from supine, approx. 1000-1200ml of blood momentarily shifts to the lower part of the body

<p>False (B)</p> Signup and view all the answers

Clients with severe diabetes may experience symptoms of hypotension when getting up too quickly

<p>True (A)</p> Signup and view all the answers

Assisting the client off the table can help prevent injury due to hypotension

<p>True (A)</p> Signup and view all the answers

Symptoms of hypotension include headaches and nausea

<p>False (B)</p> Signup and view all the answers

Gradual movement to a standing position can help prevent hypotension

<p>True (A)</p> Signup and view all the answers

Hypotension is commonly seen in clients with severe hypertension

<p>False (B)</p> Signup and view all the answers

Flashcards

Hypertension Diagnosis

Systolic ≥140 mmHg and Diastolic ≥90 mmHg after 2-3 visits.

Normotension

Systolic <120 mmHg and Diastolic <80 mmHg.

High Normal Blood Pressure

Systolic 120-139 mmHg and Diastolic 80-89 mmHg.

Stage 1 Hypertension

Systolic 140-159 mmHg and Diastolic 90-109 mmHg.

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Stage 2 Hypertension

Systolic 160-179 mmHg and Diastolic 110-119 mmHg.

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Stage 3 Hypertension

Systolic 180-209 mmHg and Diastolic 120-129 mmHg.

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Stage 4 Hypertension

Systolic ≥210 mmHg and Diastolic ≥130 mmHg.

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Blood Vessel Damage from Hypertension

Arteriosclerosis and Arteriolosclerosis.

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Primary Hypertension

Unknown cause, accounting for 90-95% of hypertension cases.

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Secondary Hypertension

A secondary complication to conditions like kidney disease.

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Lifestyle Modifications

Weight reduction, reduced sodium, regular physical activity, etc.

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Hypertension Medications

Diuretics, Beta Blockers, Calcium Channel blockers

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Cardiac Distress Warning Signs

Increased heart rate, dizziness, labored breathing.

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Severe Hypertension

Completely contraindicated for massage treatment.

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Mild Hypertension

Okay if controlled/stable with medication but monitor BP.

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Massage Modifications

Positioning, hydrotherapy, and technique modifications.

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Hypotension Definition

Decrease in systolic/diastolic blood pressure below normal (90/60)

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Vasovagal Syncope

Sudden fainting due to abrupt emotional stress, pain, or trauma

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Orthostatic Hypotension

Excessive fall in BP on assuming a sudden upright position

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Massage Adjustments - Hypotension

Assist clients off the table and encourage gradual movement

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Study Notes

Hypertension Classification

  • Classified by severity: Stage 1 (Mild), Stage 2 (Moderate), Stage 3 (Severe), and Stage 4 (Very Severe)
  • Diagnosis: Systolic pressure ≥140 mmHg and Diastolic pressure ≥90 mmHg after 2-3 consecutive visits
  • Classification also includes Primary (Essential, Idiopathic, or Benign), Secondary, and Malignant hypertension

Blood Pressure Ranges

  • Normotension: Systolic <120 mmHg and Diastolic <80 mmHg
  • High Normal: Systolic 120-139 mmHg and Diastolic 80-89 mmHg
  • Stage 1 Hypertension: Systolic 140-159 mmHg and Diastolic 90-109 mmHg
  • Stage 2 Hypertension: Systolic 160-179 mmHg and Diastolic 110-119 mmHg
  • Stage 3 Hypertension: Systolic 180-209 mmHg and Diastolic 120-129 mmHg
  • Stage 4 Hypertension: Systolic ≥210 mmHg and Diastolic ≥130 mmHg

Hypertension in Children and Seniors

  • Children: Blood pressure increases with age, and hypertension is diagnosed at lower pressures
    • 3-5 years: 116/76 mmHg
    • 6-9 years: 122/78 mmHg
    • 10-12 years: 126/82 mmHg
    • 13-15 years: 136/86 mmHg
  • Seniors: Blood pressure is higher than adults, and hypertension is diagnosed at ≥140/90 mmHg

Complications of Hypertension

  • Damage to blood vessels: Arteriosclerosis and Arteriolosclerosis
  • Heart: Angina Pectoris, Acute Myocardial Infarction, Acute Pulmonary Edema, and Congestive Heart Failure
  • Kidneys: Atherosclerotic Plaques on Renal Arteries, Decreased Blood Flow, Tissue Damage, and Decreased Function
  • Central Nervous System: Transient Ischemic Attacks, Stroke, and Cognitive Decline

Primary Hypertension

  • Accounts for 90-95% of cases
  • Cause: Idiopathic (unknown)
  • Risk Factors: Biological sex, Race, Age, Family History, Emotional/Physical Stress, Obesity, Cigarette Smoking, and others

Secondary Hypertension

  • Accounts for 5-10% of cases
  • Causes: Secondary complication to an underlying condition, such as Diabetes, Atherosclerosis, Kidney Disease, and others
  • Malignant Hypertension: Rapidly progressing and potentially fatal

Medical Treatment

  • Lifestyle Modification: Weight reduction, Reduced sodium intake, Reduced alcohol intake, Cessation of smoking, Regular physical activity, and Stress management
  • Medications: Diuretics, Beta Blockers, Calcium Channel blockers, Vasodilators, and ACE inhibitors

Case History Questions

  • General health

  • Age

  • Date diagnosed

  • Last physical and B/P reading

  • Medications and compliance

  • Restrictions and lifestyle modifications

  • History of massage and response to it

  • Other associated symptoms### Cardiac Distress Warning Signs

  • Increased heart rate

  • Dizziness

  • Rapid pulse

  • Labored shallow breathing

  • Sweating or clamminess of the skin

  • Cyanosis (lips and face turn blue)

  • Tissue bogginess and edema post-massage

Contraindications and Precautions

  • Moderate (Stage 2) hypertension that is uncontrolled/unstable is completely contraindicated for treatment
  • Severe (Stage 3) or Very Severe (Stage 4) hypertension is always contraindicated for treatment
  • Mild hypertension that is controlled and stable with medication usually requires no treatment modifications, but blood pressure should be monitored before and after treatment
  • Moderate hypertension requires positioning, hydrotherapy, and technique modifications

Modified Massage for Clients with Hypertension

  • Positioning, hydrotherapy, and technique modifications are required for moderate hypertension
  • Limited time in prone position (10 minutes) may be used for mild controlled hypertension that is stable
  • Avoid elevating limbs above the heart for prolonged periods
  • Avoid abdominal pillowing as it compresses the abdominal aorta
  • Avoid prolonged neck stretches or deep anterolateral neck techniques
  • Aims of treatment include taking blood pressure before and after each treatment, decreasing sympathetic nervous system firing, and decreasing peripheral vascular resistance

Hypotension

  • A decrease in systolic/diastolic blood pressure below normal (approximately 90/60)
  • Causes include Acute Myocardial Infarction, Hemorrhage, and Allergic response
  • Vasovagal Syncope: sudden fainting due to hypotension induced by nervous system response to abrupt emotional stress, pain, or trauma
  • Orthostatic (postural) Hypotension: an excessive fall in BP on assuming a sudden upright position

Precautions and Treatment Modifications for Hypotension

  • Be prepared to assist clients off the table to prevent injury
  • Encourage gradual movement to a standing position and inform clients of possible dizziness from getting up too quickly
  • Have clients sit at the edge of the table and move their legs to assist in skeletal muscle contraction to normalize blood flow

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