hypertension_praeveniohypertension_praevenio

YOUR SPECIALIST FOR HIGH BLOOD PRESSURE (HYPERTENSION)

Definition and Classification | Primary and secondary forms | Diagnostics and therapy | PDF high blood pressure (hypertension)

praevenio offers you one Comprehensive care and treatment relating to high blood pressure (Hypertension). Dr. med Ingo Prack is an internist and specialist in angiology (vascular medicine), Dr. med. Heiko Zuercher is also an internist and certified hypertensiologist (specialist in high blood pressure) and a member of the German High Pressure League.

If the physical examination reveals a diagnosis of high blood pressure, we will use further measurements to determine the nature of the hypertension and possible causes. This often leads to targeted medication and sometimes interventional therapy for elevated blood pressure.

What you should know about elevated blood pressure values ​​– information from a high blood pressure specialist

high blood pressure (hypertension) is a disorder of the cardiovascular system with increased pressure in the arterial vascular system. It often remains undetected for years because it does not necessarily lead to immediate physical symptoms.

High blood pressure is a disease that is often initially reversible and later becomes chronic. In addition to diabetes, high cholesterol levels and smoking, it is a major risk factor for arteriosclerosis. Over a period of years to decades, high blood pressure can lead to serious complications such as heart enlargement, stroke, coronary artery disease (CHD), heart attack and kidney failure.

Occurring in around 20% of people and increasing in frequency with age, high blood pressure represents a significant health problem for the population.

The blood pressure values ​​consist of systolic (maximum vascular pressure when the heart is pumping) and diastolic values ​​(vascular pressure when the heart is filling).

Definitions and classification of blood pressure values ​​(in mmHg)

Category systolic diastolic
optimally <120 <80
normal 120-129 80-84
high normal 130-139 85-89
Hypertension °I (mild) 140-159 90-99
Hypertension °II (medium) 160-179 100-109
Hypertension °III (severe) 180 ≥ 110 ≥
isolated systolic hypertension 140 ≥ <90

Primary and secondary forms of hypertension

A distinction is made between primary and secondary forms of high blood pressure. Forms of hypertension in which a causal organic mechanism can be identified are referred to as secondary high blood pressure. They only make up around 10% of all cases and are usually the result of chronic kidney tissue, renal vascular or, rarely, hormonal diseases.

The remaining 90% or more are referred to as primary or essential hypertension. It results from the interaction of many hereditary factors as well as multiple environmental influences (including body weight, diet, salt intake, physical activity, stress).

Anyone who researches the subject of high blood pressure on the Internet often comes across the question of whether you should go to an internist, cardiologist, endocrinologist or nephrologist if you have blood pressure problems? Where patients are best cared for depends on whether they have a primary or secondary form of high blood pressure. If you don't know this yet, you can first consult a doctor who has the additional title of hypertensiologist and is therefore specialized in the diagnosis and treatment of high blood pressure - in our group practice this is Dr. med. Heiko Zuercher.

Our offer for the diagnosis and treatment of high blood pressure

  • Medical history about the person, lifestyle and family
  • Health check with blood pressure measurement and examination of the organs relevant to blood pressure
  • Laboratory tests of blood and urine to determine the causes and consequences of high blood pressure as well as to check other risk factors
  • Electrocardiography (ECG)
  • Bicycle stress test (ergometry) to detect hidden high blood pressure (stress hypertension)
  • Long-term blood pressure measurement over 24 hours
  • Evaluation of protocols for self-measuring blood pressure in everyday life (important for stress-induced high blood pressure)
  • Measurement of the ankle-brachial index (ABI) and pulse wave velocity as indicators of arterial occlusive disease and individual vascular risk
  • Ultrasound of kidneys, vessels and heart
  • Advice on improving lifestyle habits (exercise, nutrition, stress)
  • Advice on medication (there are many good medications, but they have to suit the patient and his high blood pressure)

MAKE AN APPOINTMENT

OPENING HOURS

Mon, Tue, Thu
8:30 - 18:00

Wed 8:30 a.m. - 17:00 p.m

FRI 8:30 a.m. - 15:00 p.m