Hypertension—A Global Neurological Problem (2024)

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    April2017

    Jerome H.Chin,MD, PhD, MPH1; Jaydeep M.Bhatt,MD1; Alexandra J.Lloyd-Smith,MD, MSc1

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    • 1NYU Langone Medical Center, New York

    JAMA Neurol. 2017;74(4):381-382. doi:10.1001/jamaneurol.2016.4718

    Hypertension Guidelines Website

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    Stroke is a leading contributor to the global burden of disease, as measured in disability-adjusted life-years (DALYs).1 Age-standardized DALYs (per 100 000) for stroke are greater in countries with lower levels of Gross National Income (GNI) per capita (Figure). For example, the rate in Ethiopia (GNI/capita, $590) is more than 4-fold higher than the rate in the United States (GNI/capita, $54 960).1 In the United States and other high-income countries (ie, developed countries), there is considerable enthusiasm for expanding acute stroke services, such as telemedicine, to support emergency department physicians for thrombolysis and endovascular treatments using stent retrievers. In low- and middle-income countries (LMICs; ie, developing countries), these services are largely nonexistent or only available to the minority of individuals able to pay for treatment at private hospitals. In some LMICs, public (government-supported) hospitals offer thrombolysis but require a copayment for the medication that many patients are unable to afford. The substantial costs for acute stroke treatment, both diagnostic and therapeutic, combined with the lack of basic health insurance for most citizens in LMICs argue strongly for a more “upstream” approach focusing on primary prevention to combat the rising global burden of stroke.

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    Hypertension Cerebrovascular Disease Neurology Stroke Cerebrovascular Infarction

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    Chin JH, Bhatt JM, Lloyd-Smith AJ. Hypertension—A Global Neurological Problem. JAMA Neurol. 2017;74(4):381–382. doi:10.1001/jamaneurol.2016.4718

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        Hypertension—A Global Neurological Problem (2024)

        FAQs

        Is hypertension a neurological condition? ›

        WHAT CAUSES HIGH BLOOD PRESSURE? It is not only a problem of the heart, kidneys, or blood vessels but also of the central nervous system. Overall, in 90% of cases, the cause is not known.

        Is hypertension a global issue? ›

        It affects an estimated 1.3 billion worldwide, killing approximately 10 million people every year.

        What are the neurological symptoms of hypertensive crisis? ›

        Hypertensive encephalopathy is characterized by a reversible alteration in neurological function during a severe or abrupt BP elevation. Manifestations include headache, altered mental status, visual impairment, nausea, and seizures. Focal neurological signs can occur.

        What problem is associated with hypertension? ›

        Very high blood pressures can cause headaches, blurred vision, chest pain and other symptoms. Checking your blood pressure is the best way to know if you have high blood pressure. If hypertension isn't treated, it can cause other health conditions like kidney disease, heart disease and stroke.

        What is considered a neurological condition? ›

        Neurological disorders are diseases of the central and peripheral nervous system. In other words, the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscles.

        What type of condition is hypertension? ›

        Hypertension, also known as high or raised blood pressure, is a condition in which the blood vessels have persistently raised pressure. Blood is carried from the heart to all parts of the body in the vessels. Each time the heart beats, it pumps blood into the vessels.

        Who is the silent killer of hypertension? ›

        Known as “the silent killer,” hypertension can lead to heart attack, stroke and kidney disease. According to the Centers for Disease Control and Prevention (CDC), nearly half of American adults have hypertension and for nearly 37 million of them, the condition is uncontrolled.

        What is the number one food that causes high blood pressure? ›

        Foods high in salt or added sugars — such as soda and caffeinated drinks, baked goods, and many packaged foods — can contribute to high blood pressure. Limiting or replacing these foods in the diet can help people manage or lower their blood pressure.

        Can hypertension be cured? ›

        While there is no cure for high blood pressure, it is important for patients to take steps that matter, such as making effective lifestyle changes and taking BP-lowering medications as prescribed by their physicians.

        What is the fastest thing to lower blood pressure? ›

        The fastest ways to safely lower blood pressure include:
        • Doing regular exercise.
        • Limiting alcohol.
        • Stopping smoking.
        • Taking your medication as directed.
        • Cutting back on salt.
        • Drinking more water.
        • Eating a banana a day.
        • Reducing stress.
        Aug 22, 2022

        What BP level is stroke level? ›

        The acute hypertensive response of stroke, defined by the International Society of Hypertension (ISH) and World Health Organisation (WHO) as a systolic BP level of >140 mmHg and diastolic BP >90 mmHg, or levels above established premorbid baseline levels [Bath et al.

        Should I lie down if my blood pressure is high? ›

        The European Society of Cardiology²¹ recommends that people lay down and take naps during midday to help lower their pressure levels. Additionally, the American College of Cardiology claims that the average systolic blood pressure drops by about 3 mm Hg²² for each hour one lays down for a nap.

        What organ is most affected by hypertension? ›

        The heart, kidney, brain, and arterial blood vessels are prime targets of hypertensive damage. Uncontrolled hypertension accelerates the damage to these organs and results in eventual organ failure and cardiovascular death and disability.

        What other diseases can be caused by hypertension? ›

        Uncontrolled high blood pressure can lead to complications including:
        • Heart attack or stroke. ...
        • Aneurysm. ...
        • Heart failure. ...
        • Kidney problems. ...
        • Eye problems. ...
        • Metabolic syndrome. ...
        • Changes with memory or understanding. ...
        • Dementia.

        How long can you have high blood pressure before it causes damage? ›

        In other words, once blood pressure rises above normal, subtle but harmful brain changes can occur rather quickly—perhaps within a year or two. And those changes may be hard to reverse, even if blood pressure is nudged back into the normal range with treatment.

        Is hypertension part of the nervous system? ›

        The sympathetic nervous system regulates arterial blood pressure (ABP) by functionally influencing the vasculature, kidney, and heart. Indeed, altered sympathetic function is firmly established in the development, maintenance, and pathophysiology of numerous cardiovascular diseases including hypertension.

        What type of disability is hypertension? ›

        One disability listing that covers cardiovascular problems due to high blood pressure is Listing 3.09, for Cor Pulmonale Secondary to Chronic Pulmonary Vascular Hypertension. This is the medical term for failure in the right side of your heart due to high blood pressure in the arteries leading to the lungs.

        What is neurogenic hypertension? ›

        Elevated blood pressure, initiated and maintained by the brain, is defined as neurogenic hypertension (NH), which accounts for nearly half of all hypertension cases. A significant increase in angiotensin II-mediated sympathetic nervous system activity within the brain is known to be the key driving force behind NH.

        Is hypertension a physical disorder? ›

        High blood pressure is a common condition that affects the body's arteries. It's also called hypertension. If you have high blood pressure, the force of the blood pushing against the artery walls is consistently too high. The heart has to work harder to pump blood.

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