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The Cause and Diagnosis of Pseudo Hypertension

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The Cause and Diagnosis of Pseudo Hypertension

What is Hypertension?
While the blood flow provides oxygen to various body cells and removes carbon dioxide, the difference in its pressure can cause complications in the body. Hypertension is termed as a condition when the blood pressure levels are 140/90 mmHg and above. Ideally, blood pressure has to be maintained at around 120/80 mm Hg. It is a cause of concern if the blood pressure goes above these levels, and is the emergency if it is above 180/110. Although hypertension is a commonly observed lifestyle disease, it is difficult to be diagnosed as it may not show any immediate symptoms. No wonder it is called a ‘Silent Killer’, it may lead to severe conditions like stroke and heart attack if left untreated. The following measures and BP medication can treat high BP or hypertension:

  • Regular check-upRegular check-up
  • Low sodium and high fiber dietLow sodium and high fiber diet
  • Maintaining a healthy weight and BMIMaintaining a healthy weight and BMI
  • Regular exerciseRegular exercise
  • Avoiding smoking and alcoholAvoiding smoking and alcohol
  • Medications such as diuretics, ACE inhibitors, ARBs, calcium channel blockers, beta-blockers, etc.Medications such as diuretics, ACE inhibitors, ARBs, calcium channel blockers, beta-blockers, etc.

What is Pseudo Hypertension?
What is Pseudo HypertensionAs the name suggests, Pseudo Hypertension is a condition when cuff blood pressure, measured by a sphygmomanometer, shows an inaccurate and much higher reading than the arterial blood pressure. If not verified, patients with such readings are often diagnosed incorrectly as having hypertension. A patient who doesn’t have high blood pressure, and is given medication to reduce blood pressure, is actually at the risk of suffering from low blood pressure. It is, therefore, important for the doctor to carefully diagnose the condition of Pseudo Hypertension before beginning the treatment.

Causes
CausesThe most common cause of Pseudo Hypertension is the thickening of arterial walls with age. The condition is actually pretty common amongst the elderly. The thickening makes the compression of arteries difficult. It causes stiffness in the arteries, and the cuff meter detects the blood pressure higher than the actual pressure.

Diagnosis
DiagnosisThe variation in the actual blood pressure and the readings through cuff meter or finger blood meter is how Pseudo Hypertension is diagnosed. The Pseudo Hypertension diagnosis is all about finding the target pressure, which is considered for the treatment. If there is a difference in cuff pressure and intra-arterial pressure of the patient, a medical expert will arrive at the diagnosis of Pseudo Hypertension, especially in the following cases:

  • If the cuff pressure readings are high, but there is no sign of organ damage.
  • When the patient exhibits symptoms of low blood pressure (like dizziness and confusion) after starting treatment for high BP.

Conclusion
ConclusionWhile Pseudo Hypertension is a condition of high blood pressure just like hypertension, its most common cause is the stiffness and blockage in arteries. The treatment is similar to the treatment of high blood pressure, such as changes in lifestyle, eating habits, and blood pressure medication. However, the diagnosis of Pseudo Hypertension needs the expertise and experience of the medical practitioner. It’s therefore advised to visit your doctor or an expert cardiologist regularly to monitor the blood pressure. This especially holds true for senior citizens, and caretakers should keep this in mind.

Note of Caution: This article is for information purpose only. Always consult your doctor in case of any blood pressure or other health-related problems.

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Comments (8)

Shradha

What causes hypertension? What kind of problems can it lead to?

BPincontrol Team

High blood pressure usually develops over time. It can happen because of unhealthy lifestyle choices, such as not getting enough regular physical activity. Certain health conditions, such as diabetes and having obesity, can also increase the risk of developing high blood pressure. High blood pressure can also happen during pregnancy. Serious problems that can happen; 1. Brain problems 2. Kidney damage 3. Heart strokes/attacks 4. Chest pains 5. Decreased blood flow to the heart 6. Eye damage

Chetan

How can a medical expert correctly diagnose Pseudohypertension?

BPincontrol Team

Pseudohypertension can be very tricky to diagnose, especially for older patients, as it can be easily misdiagnosed as hypertension due to thickening of the arterial walls. To correctly diagnose Pseudohypertension, the variations in the actual blood pressure readings from the cuff meter need to be correctly registered. The main aim is to find the target pressure, which is the considered standard for the treatment of Pseudo Hypertension. If there is a difference in cuff pressure and intra-arterial pressure of the patient, a medical expert will arrive at the diagnosis of Pseudo Hypertension. If the cuff pressure readings are high but there is no sign of organ damage When the patient feels dizziness and confusion The decrease in the urine output of the patient Treatment of low blood pressure suddenly escalate high BP symptoms

Rashmi

What can lead to an incorrect diagnosis of hypertension?

BPincontrol Team

Hypertension is diagnosed when the blood pressure levels go above 140/90 mm Hg. Ideally, blood pressure has to be maintained at 120/80 mm Hg. Sometimes, when cuff blood pressure, measured by a sphygmomanometer, shows an inaccurate and much higher pressure than the arterial blood pressure, the patient is diagnosed with Pseudo Hypertension. Patients with such readings can be accidentally diagnosed as hypertension patients, and are given medications to reduce blood pressure which puts them at the risk of suffering low blood pressure. The most common cause of Pseudo Hypertension is the thickening of arterial walls with age. The condition is actually pretty common amongst the elderly. It is, therefore, essential for the doctor to carefully diagnose the condition of Pseudo Hypertension before beginning the treatment.

Niharika

What measures can be taken to keep hypertension in check?

BPincontrol Team

Hypertension occurs when there is an abnormal rise in blood pressure. The main problem is that it easily goes undetected, as it does not have any immediate symptoms. It acts as a gradual silent killer who eventually causes severe problems like strokes and even heart attacks. It needs to be treated at the right time. Following measures and BP medication can treat hypertension - Losing extra weight and watching your waistline - Regular exercise - Maintain a healthy diet - Reduce sodium in your diet - Limit the amount of alcohol you drink - Quit smoking Use of Medications such as diuretics, ACE inhibitors, ARBs, calcium channel blockers, beta-blockers, etc.

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