Hypertension Questionnaire: Fill & Download for Free

“Doctor, my husband now gets angry very soon, for no reasons at all. I think he has high BP.”We normally smile, check the husbands BP, knowing that most likely it will be normal; and then, smile once again.The first smile is because we believe that the aetiology of his anger is often standing by his side clad in 5 yards of silk.The second, retarded smile arise because of the familiarity of the phrase, we ourselves have heard the same complaint so often, from our spouses.Uncontrolled persistent hypertension (high BP) can result in damage to eyes, brain, heart and kidneys. Till recently doctors believed that emotional upsets (eg. anger), in the absence of organic damage, are generally not related to hypertension.Recently we (PRS Hospital, Trivandrum) collaborated with Dr. Beckett (St Thomas Hospital, London) and did a study of over 1500 patients in 32 cities of India, with a Nottingham Questionnaire score, showing that around 61% patients at baseline developed emotional disturbance in association with hypertension. Once their BP got controlled, they started feeling better (17.1%).(published in Journal of practice of cardiovascular sciences).But understand that, most angry people are not hypertensives, and most hypertensives don’t show aggressive behavior.

The simplest way would be to take repeated recordings.. Hypertension due to physical or clear cut pathological changes will persist on repeated recordings whereas stress induced or as u put psychological hypertension is transient and will normalize once the stress riser has been eliminated..Apart from this there are plenty of tests and psychological questionnaires to assess and evaluate if the doctor needs to confirm his diagnosis..

These are the things that affects your body while you are depressed and feel stress and to know more about this now check here.Several studies have already established that stress, depression and anxiety increase the risk of cardiovascular diseases, such as heart attacks and strokes.However, it had never been said to what extent or how this situation occurred.Now, two international studies, published this past month, equated these emotions to the damage that causes problems such as obesity or high cholesterol levels.Also, the scientists managed to discover that everything happens due to the hormonal load that is activated when the levels of stress, depression or anxiety are very high and constant over time.As a result, there is an inflammation of the amygdala (the "emotional control center of the brain"), the aorta (most important artery) and the bone marrow (spongy tissue inside some bones that is vital in the formation of white blood cells or defenses).These discoveries are vital to understanding cardiovascular diseases, the leading cause of death in the world and in Costa Rica, where they top the death list since 1970.Evidence.The first study was developed by the University of Munich in Germany and the German Center for Environmental Health and was published in the journal Atherosclerosis.To analyze the link between depression and stress with heart disease, the researchers reviewed the data of an investigation that took into account 3,428 people between 45 and 74 years of age, following them for ten years.The scientists compared the impact of depression and stress on heart disease and deaths from these causes.The comparison was made with obesity, cholesterol level, smoking and hypertension.The team saw that, although hypertension and smoking are the major risk factors for heart disease, depression or stress alone (not necessarily both diseases must be experienced) are the cause of 15% of the deaths of diseases of the heart. heart: the same figure that is seen for obesity and high cholesterol levels."Our recommendation is that those who already have hypertension, obesity or who smoke a lot are also checked for their emotional health, as this can further increase their cardiac risk," Karl-Heinz Ladwig, the study coordinator, said in a news release.Inflammation in key areas.The other research explored what happens to the body when it is under constant levels of stress and how it affects the heart.Thus, scientists from the Harvard Medical School and the Massachusetts General Hospital took 293 patients older than 25 years, performed an MRI and monitored them for 3.7 years.They answered questionnaires about their level of tension every six months.After this time, 22 developed a cardiovascular disease and eight of them died.The scientists noticed that people with very high levels of stress, had inflammation in the aorta and bone marrow.The more chronic the stress, the greater the inflammation in these areas.The results were published in The Lancet magazine .For what is this?Scientists presume that, during periods of stress, the amygdala can send orders to the spinal cord to produce more white blood cells, which could cause more inflammation in the aorta.This, in turn, would hinder the passage of blood, favoring the possibility of infarction or stroke.What to do?Both studies agree that physical activity generates hormones called endorphins that lower the levels of stress and depression that give a sense of well-being.In addition, this would also have a positive impact in regulating blood pressure, weight and cholesterol levels."It is extremely important to treat chronic stress as a more risk factor for cardiovascular diseases, in the same way that we do with smoking or even with blood pressure levels," concluded Ahmed Tawakol, author of the report.