Abstract
In this case study the persistence of hypertension in a patient after successful coronary angioplasty was assessed. Pulse and blood pressure were recorded twice daily for 33 days at random interval. The results show the patient had high blood pressure for a total of 17 days in the 33 days of study period after Coronary Angioplasty and Stenting. The patient’s blood pressure never excided above 170/90 and pulse remained normal through the study period. In the case study multiple drugs failed to control blood pressure adequately. Other external factors may play a role in failure of management of BP. Indeed the patient’s lack of lifestyle modification as per advice of the physician may play a significant role in the persistence of hypertension. The patient should seek further medical assistance from specialists and drugs should be altered to control blood pressure adequately. Further investigation might be considered to rule out secondary causes of persistent hypertension.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.501-506
Highlights
During cardiac contraction the ejected blood creates a lateral pressure against the blood vessels termed “Blood pressure”
The results show the patient had high blood pressure for a total of 17 days in the 33 days of study period after the percutaneous coronary intervention (PCI)
All these are possible factors which may have contributed to uncontrolled hypertension. This agrees with the findings of 8Djindjic et al (2012) who found that total Occupational Stress Index (OSI) associated significantly with arterial hypertension, DM type 2 and dyslipidemia in both genders
Summary
During cardiac contraction the ejected blood creates a lateral pressure against the blood vessels termed “Blood pressure”. If blood pressure is too high, it puts extra strain on the arteries (and heart) and this may lead to heart attacks and strokes. Having high blood pressure (hypertension) is usually asymptomatic. High blood pressure is related to heart and kidney disease, and is closely linked to some forms of dementia. Blood supply of the heart is maintained by the coronary arteries. In older people, these arteries can become narrowed and hardened (known as atherosclerosis), which can cause coronary heart disease. A coronary angioplasty is a procedure used to widen blocked or narrowed coronary arteries[1]. The combination of coronary angioplasty with stenting is usually referred to as percutaneous coronary intervention (PCI)[6]. This procedure is generally safe but serious complications of the procedure include
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