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Beckerman added that with PAH, the tiny arteries in the lungs is narrow or
blocked. It is tougher for the blood to flow, and that raises the blood pressure in the
lungs. The heart has to work firmer to pump blood to the arteries, and eventually the
heart muscle will get weak and can result to heart failure.
Meanwhile, according to the National Heart, Lung and Blood Institute, patients
with blood hypertension usually the symptoms are not recognizable until the patient
shows serious health problems.
Diagnosis
Blumenthal and Blaha (2019) discussed that a blood pressure reading has two
numbers: systolic and diastolic. Systolic is the energy of the blood preventing the artery
walls during the contraction of heart for pumping blood. It is always the higher number.
Diastolic is the pressure against the arteries in between heartbeats, as the heart lowers
the pumping. Unit for measuring is in millimeters of mercury (mm Hg).
Treatment
According to Vachiéry and Gaine (2012) the ultimate goal of PAH therapy is to
have no functional disability, normalising the haemodynamics and enhanced outcome.
Achieving this enhancement remains the main hurdle for clinic and hospitals nowadays
and, though advance treatments towards these goals is in sight, there is evidently
ample room for development. Meanwhile, according to the Japanese Society of
Hypertension, Antihypertensive treatment containing modifications of lifestyle such as
taking antihypertensive medication therapy, lifestyle alterations that consist of limiting
salt intake weight management and exercise for obese patients, control of alcohol
consumption, fruit and vegetable-based diets, limiting the consumption of saturated fatty
acids and total lipids. To avoid hypertension, lifestyle modification is paramount. The
time of starting antihypertensive medication should be in accordance with the level of
blood pressure and the occurrence or nonexistence of risk factors for heart disease and
organ impairment.