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Hypertension Control

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Hypertension Control

What Is High Blood Pressure?

  • Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps blood. If this pressure rises and stays high over time (Hypertension), it can damage your heart, blood vessels, kidney and other parts of your body.


What Cause Hypertension?

  • Hypertension is commonly caused by hemodynamic abnormalities associated with high Peripheral Resistance, High Cardiac Output, high Total Body Water (TBW) or a combination of these factors. Figure 1 illustrates the physiology of Hypertension.

 

Figure 1: The Physiology of Hypertension

Blood Pressure Numbers

  • Blood pressure is measured as systolic and diastolic pressures. “Systolic” refers to blood pressure when the heart beats while pumping blood. “Diastolic” refers to blood pressure when the heart is at rest between beats.
  • The table below shows categories for blood pressure levels in adults (measured in millimeters of mercury or mmHg). It also shows which numbers put you at greater risk for health problems. See Figure 2 for blood pressure values.

 

Figure 2: High blood pressure values

How Hypertension is Currently Being Treated?

  • Due to lack of reliable instrumentation capable of measuring hemodynamic abnormalities, doctors, to a certain extent, are force to work in the dark resulting compromised treatment.

What is NICaS Inspection?

  • NICaS is a revolutionary device that is capable of indicating the exact cause of hypertension based on objective hemodynamic parameters.
  • What are the Benefits of NICaS Inspection?
  • Enable your doctor to provide you the exact treatment that will maximized your Hypertension control.
  • Enable your doctor to trend over time the effectiveness of your treatment and adjust treatment accordingly.

How NICaS Inspection Is Done?

  • NICaS inspection is very simple: all you need to do is lay down (no need to undress!), two sensors will be attached to your left wrist and right ankle and the results will appear in just 2 minutes.
  • The inspection is FDA cleared, very accurate, not invasive, no radiation and absolutely no pains.

Case Study: Hypertension

2 Hypertension patients are under evaluation:

Patient A: blood pressure – 176/76 and patient B: blood pressure – 210/98

Additional data available for the physician includes:

Patient A:        Age – 84

BMI – 24

HR – 52

No diabetes

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Patient B:        Age – 71

BMI – 27

HR – 74

No diabetes

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NICaS inspection reveal that Patient A is Vasoconstricted (low Cardiac Index and high Peripheral Resistance) and Patient B in Hyperdynamic with high Cardiac Index and normal Peripheral Resistance. See Figure 3 for NICaS measurement report of both patients.

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Figure 3: NICaS measurement reports

NICaS additional information suggest that patient A is Vasoconstricted therefore needs Vasodilator agents (such as ACEI or ARB) and patient B is Hyperdynamic therefore needs negative inotropic agents (such as BB or CCB)

References:

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