Pheochromocytoma is an important cause of secondary Hypertension. We have adnenal gland located at upper portion of each kidney. It is divided into adrenal cortex and adrenal medulla. Pheochromocytoma is a tumor of Adrenal Medulla. Normal function of adrenal medulla is to produce epinephrine or adrenaline. Which is responsible for controlling blood pressure and to help cope with stressful situations.So majority of symptoms of pheochromocytoma are due to excess secretion of adrenaline from adrenal medulla. Most patients of pheochromocytoma have recurrent episodes of headache, sweating and a feeling of high anxiety. The following symptoms are listed from the most common to the least commonHeadaches (severe) sweating Episodes (generalized) heart palpitations (tachycardia and palpitations) Anxiety nervousness (feelings of impending death) tremors Pain in the lower chest or upper abdomen Nausea (with or without nausea) Weight loss Heat intolerance These symptoms may come by situations which causes pressure over tumor like physical activity, exercise, defecation, anesthesia, or change in body position.Who should be examined for PheochromocytomaThose who have uncontrolled hypertensionThose who have age between 40 and 60Those who are already taking 4 antihypertensive drugs but blood pressure is not controllable.Those who have episodes of above symptomsCause of pheochromocytoma is unknown, however some forms of this tumor runs in families like,a-Multiple endocrine neoplasia, type II (MEN-II). In addition to a pheochromocytoma, people with MEN-II also have thyroid cancer. Other forms of MEN-II include pheochromocytoma with thyroid cancer and hyperparathyroidism (MEN-IIA), and pheochromocytoma with thyroid cancer and tumors of nerves in the eyes lips, mouth and digestive tract (MEN-IIB). b-Neurofibromatosis 1 (NF1). Pheochromocytomas can occur in a small percentage of people with NF1, a syndrome that includes multiple tumors in the skin (neurofibromas), pigmented skin spots, tumors of the optic nerve of the eye, and bone diseases. c-Von Hippel-Lindau (VHL) disease. People with this rare multi system disorder are at high risk of pheochromocytoma brain eye and kidney tumors.Most pheochromocytomas are benign tumors and they don't spread to other parts of body however some forms do show metastasis (spread) to other parts of body like lungs, bones and brains. Usually only one gland is involved however this tumor can be present in both adrenal glands.Investigations:Blood and Urine tests: We perform blood and urine tests to diagnose pheochromocytoma. 24 hr urine collection is tested for epinephrine, norepinephrine and dopamine. This test is called VMA. Idea is just to check level of epinephrine and its metabolites in urine. If these are detected in urine in excess quantity, then tumor is diagnosed.Abdominal scan. Now you have diagnosed tumor by blood and urine tests, after that to find out location of tumor, do Ultrasound, CT scan of abdomen.Complications:If high blood pressure remained uncontrolled it may lead to complications of heart failure, infarction, cerebrovascular accident, vision damage and kidney failure.Treatment:First treatment is to control high blood pressure with medication like Alpha Blockers and Beta Blockers. When epinephrine is secreted by this tumor it acts on alpha and beta receptors present on heart and blood vessels, result is vasoconstriction and increase heart rate. Now if if we take drugs like alpha blocker and beta blocker, epinephrine will be blocked by these drugs to act on these receptors so result is vasodilation and slow heart rate. Common Alpha blockers are Prazosin (Minipress), Terazosin (Hytrin) Phenoxybenzamine( Dibenzaline). Common Beta Blockers are Atenolol(Tenormin), Carvedilol(Carveda), Metoprolol(Mepressor), Inderal.Treatment of choice for this tumor is Surgery. After removal of this gland by surgery, blood pressure becomes normal with a day. There are two types of surgeries. General and Laproscopic surgery. However Surgery is not an option for those tumors which show metastasis to other parts of body. For that we use chemotherapy and radiations.Whenever you have high blood pressure with any symptom, don't ignore it, you may be the patient of Pheochromocytoma. Always contact your Doctor.If you want to know more about Pheochromocytoma, visit our site highbloodpressuremed.com
Blood pressure is the force of your blood pushing against the walls of the arteries each time your heart beats. Your blood pressure is highest each time the heart beats, pumping blood into the arteries. This is called systolic pressure, and is the high number in your reading. The diastolic pressure measures the pressure in between beats, when your heart is at rest. Your blood pressure is lowest while sleeping and although it varies some during the day, it remains close to the same. Normal blood pressure is 120/80. If your systolic pressure rises to 140 or above, or if your diastolic pressure rises to 90 or above, this is considered high blood pressure. According to the American Heart Association, an estimated one in three U.S. adults have high blood pressure, also known as hypertension, and an alarming one-third of those don't even know they have it. It's no wonder this condition has long been called "the silent killer". High blood pressure is a major risk factor for stroke, heart attack, heart failure and kidney failure. And when it exists with obesity, smoking, high blood cholesterol or diabetes, the risk of heart attack or stroke increases several times. If you don't have high blood pressure by age 55, your chance of developing it at some point in your life is 90 percent, according to the National Heart, Lung, and Blood Institute. Although high blood pressure can occur in both children and adults, it is most common in those over age 35, and is most prevalent in African Americans, middle-aged and elderly people, obese people, heavy drinkers and women taking birth control pills. Although many people get high blood pressure as they get older, it is not part of the aging process! Proper diet, exercise and lifestyle changes can help in prevention and lowering of blood pressure. Commonly Prescribed Medication for High Blood Pressure In 9095 percent of cases, research scientists don't know what causes high blood pressure, but fortunately they know enough to have developed both drug and non-drug products to treat it effectively. A wide variety of medications are available to medical professionals for treating high blood pressure. Although other classes of medications are sometimes prescribed, the most commonly prescribed can be broken down into five different classes of medications that work in different ways to lower pressure. Diuretics (water pills) work in the kidney to get rid of excess water and sodium. Beta-Blockers reduce nerve impulses to the heart and blood vessels to cause the heart to beat more slowly and with less force. Angiotensin Converting Enzyme (ACE) Inhibitors prevent the formation of a hormone called angiotensin II, which would otherwise cause vessels to narrow. Angiotensin Receptor Blockers (ARB) block the action of angiotensin II. Calcium Channel Blockers prevent calcium from entering the muscle cells of the heart and blood vessels, causing blood vessels to relax.As of June, 2005, there didn't appear to be much global agreement among medical experts worldwide in terms of recommended first-line therapy for treating high blood pressure. It is important to note that in June, 2006, The National Institute for Health and Clinical Excellence and the British Hypertension Society have come to an agreement within the UK, and have issued new guidelines, including important changes to help guide primary care physicians in determining first-line therapy. A major change is that Beta-Blockers, which have been shown to be less effective in preventing strokes and more likely to cause diabetes, are no longer recommended as routine treatment for the majority of people with high blood pressure. Instead, ACE Inhibitors (or Angiotensin Receptor Blockers if there are side effects) are now recommended in the UK for most people, with some exceptions, before trying other classes of medication for hypertension. As with any medication, there may be side effects from taking ACE Inhibitors, and some should not use them at all, including black people of any age. According to the Mayo Clinic, a study published by the New England Journal of Medicine, also in June, 2006, indicated an increased risk of birth defects in children whose mothers took ACE inhibitors during the first trimester, adding to the known risks during the second and third trimesters. While most people can tolerate ACE Inhibitors, some may experience side effects such as cough, elevated blood potassium levels, low blood pressure, dizziness, headache, drowsiness, weakness, abnormal taste (metallic or salty taste), and rash. Rare, but more serious side effects include kidney failure, allergic reactions, a decrease in white blood cells, and swelling of tissues (angioedema). Very similar to ACE Inhibitors are ARB medications, and depending on the individual's particular health issues, a doctor may switch between the two, and may sometimes prescribe both. The most common side effects with ARBs are cough, elevated potassium levels, low blood pressure, dizziness, headache, drowsiness, diarrhea, abnormal taste sensation (metallic or salty taste), and rash. Compared to ACE inhibitors, cough occurs less often with ARBs. The most serious, but rare, side effects are kidney failure, liver failure, allergic reactions, a decrease in white blood cells, and swelling of tissues (angioedema). On January 19, 2007, Rush University Medical Center reported findings that ACE Inhibitors and ARBs prevent people from getting diabetes, and that diuretics and beta-blockers increase the chance that a person becomes diabetic. The authors pointed out that more studies are required to determine whether new-onset diabetes leads to as many heart attacks, strokes or death, as long-standing diabetes. However, their data suggests that the differences between antihypertensive drugs regarding the risk for new-onset diabetes are real and are significant. Melaleuca offers a natural high blood pressure remedy called ProStolic which interacts with a natural body enzyme much like the ACE Inhibitors and ARB medications to relax blood vessels and allow healthy blood flow. As a comparison, it might be helpful to understand how the ACE and ARB class of drugs react, as well as how the non-drug hypertension remedy ProStolic reacts with the body. In Part 2 of our Blood Pressure Research Report we will discuss the ACE Inhibitors and Angiotension Receptor Blockers, Natural Therapy for Maintaining Healthy Blood Pressure and benefits of Bioactive Casein Hydrolysate Tripeptides VPP and IPP.
We all know that keeping up with our heart health is an important thing to do. We all know that there are a wide variety of factors that cause heart problems, and we should know by now that there are some basic ways to help protect the health of our hearts. What many people do not realize, however, is that keys to their "heart health" may be different than keys to the heart health of others.There are almost as many strategies and tips for having good heart health as there are people with hearts in the world. It is important that each person takes the time to learn about his or her own heart health and to learn about the possible methods of ensuring heart health for years to come.One of the best ways for anyone to become familiar with the needs of their heart is to see a physician. Schedule a visit to see your doctor and plan to discuss your heart health with him or her. If you can think of any questions or concerns you have regarding your heart health, write them down and bring them along. It will also be very helpful if you have a record of your extended family's heart health history. It is likely that your physician will want to discuss more than just your own [*_*]. He or she will want to look for patterns or trends that have affected other people you're related to.A physician can help you determine not only the current health of your heart, but also give you a better understanding of specific things you can do to help prevent heart attack or heart disease. For some people, the most significant factor in achieving and maintaining [*_*] is to change their diet. The foods we choose to put into our bodies affect our [*_*] in more ways than we know. Eating large amounts of sugar, carbohydrates or processed foods will eventually take their toll on our [*_*]. Your physician can set you up with a dietician who specializes in creating unique diet plans that promote [*_*].For other people, it is their exercise and physical fitness habits that a physician will address. Heart health can be significantly altered based upon a person's level of exercise. Your physician will be able to help you create a fitness plan that will be effective for you and your [*_*] needs.It is never too late to take your [*_*] seriously. Make an appointment to see your physician today.
Many individuals who experience signs of a heart attack allow them to go unnoticed. Ignoring the tale-tell signs of a heart attack can cause the problem to be much more serious than necessary, potentially leading to heart failure and even death. If you think you are experiencing a heart attack, seek medical attention immediately. This is especially true for individuals who have previously had a heart attack or at a greater risk for a heart attack due to medical conditions or current prescriptions. Remember the old adage, better safe than sorry and immediately seek medical help if you can identify a single sign that the pain or discomfort you are experiencing may be a heart attack.There are a great many myths when it comes to dealing with heart attacks and the symptoms of individuals who are having a heart attack. Many people believe the pain has to be extreme or intense before they should seek medical attention. This is a common myth and completely false, as some sufferers say their heart attack was simply discomforting or mildly painful.When an individual is having a heart attack, they will probably not look like sufferers in movies or on television. The mental association of heart attacks with individuals clutching their chests and falling to the ground is usually incorrect, as many heart attack victims say their attack began very slowly with an unusual feeling. If left undetected, a heart attack can significantly magnify in scale, but usually heart attacks are not a sudden burst of pain.Women are prone to having heart attacks without knowing it, putting them at a greater risk for complications or problems. Most women think they are not at risk for a heart attack, but may actually be at a high risk for one. Speak with your doctor about any potential problems with heart attack in your family history or as a result to a current medical issue before dismissing the threat.There are four main warning signs when it comes to determining whether or not the symptoms you are experiencing may be a heart attack. If you are experiencing any of these symptoms, seek medical attention for potential heart attack immediately.1.Chest pain or discomfort. The chest pain associated with a heart attack may not be overwhelming, but rather an uncomfortable feeling. This discomfort has been said to come and go, feeling like a pressure on the sufferers chest or an uncomfortable squeezing feeling. Usually, during a heart attack, any pain or discomfort originates in the center of the victims chest.2.Upper body discomfort. Many heart attack victims relate that they experienced discomfort in their upper body, especially their shoulder, back, jaw, or arms, before the sensation affected their chest. This can also include an unusual sensation in the stomach. For this reason, a heart attack can be easily mistaken for heartburn or a simple stomach ache.3.Shortness of breath. Usually occurring simultaneously with pain or discomfort in the chest, shortness of breath can be anything from the inability to catch ones breath to being unable to properly breathe. Many heart attack victims dismissed this symptom as a side effect of whatever activity in which they were participating when the heart attack occurred.4.Nausea. The feeling of being sick to ones stomach is commonly associated with early warning symptoms of a heart attack. This symptom coupled with discomfort in the stomach can lead the heart attack to dismiss the symptoms as a simple stomach ache or stomach flu.Other symptoms can include a general feeling of lightheadedness or dizziness. Many heart attack victims relate they received an overall feeling of unease and had an idea that something was out of the ordinary. Also, many victims have been known to break out in a cold sweat, which can also lead to a misdiagnosis of a flu bug or a less serious problem.Since heart attacks are quite common in both men and women, you should make it a point to speak to your primary health care provider about your risk for a heart attack. Many individuals are unaware of any potential risk or heart problems until it is too late and they have already experienced a heart attack. By treating any problems before it is too late, you will be more likely to experience the least damage to your heart as possible.
Hypertension can wreck havoc on many body organs. Its effects on the heart are especially damaging. High blood pressure and heart disease are closely connected. Moderate to high blood pressure significantly increases the load on the left side of the heart. Arterioles are often diseased or constricted, which increases resistance to blood flow. When this happens, the heart has to work much more to pump blood into the arterial system including the aorta. When any muscle is overused, it tends to increase in size and bulk. The heart muscles react the same way. An enlarged heart is a sign of trouble. Heart enlargement can be detected in several ways. A chest x-ray can reveal it. So can an electrocardiogram or even a physical examination. In many high blood pressure patients, the walls of the left ventricle thicken. This increases the workload on the heart. Eventually, the heart falters and the left side of the heart no longer pumps blood adequately. When this happens, major organs and tissues of the body are denied sufficient blood supply. The affected person becomes lethargic and weak. Because of the higher pressure in the left ventricle, blood from the lungs cannot drain into the top compartment of the heart (the atrium). As a result, the lung tissues get congested which brings on bouts of breathlessness and coughs. The patient may have a dry cough or even frothy phlegm with blood stains in it. This is a very scary experience to the sufferer and onlookers. In an acute attack, it seems to the patient that he or she is choking to death. Breathlessness due to heart problems may be first noticed during prolonged physical exertion. If the condition has progressed further, breathlessness may occur even while resting. This is a serious situation and needs to be tacked immediately. If this damage worsens, the right side of the heart will be affected as well. When pressure builds up in the right atrium, it will be difficult for veins to drain blood into it. When the heart's condition deteriorates to this stage, the external jugular veins may become enlarged and more prominent. These veins are anyway close to the skin and may be visible even in healthy adults, but stress on the heart can increase their protrusion. There are several other symptoms of right side heart failure. They include an enlarged liver, swollen ankles and feet, loss of appetite, swollen abdomen and lower urine flow. High blood pressure and heart disease frequently have a cause and effect relationship. Making necessary lifestyle changes can help combat both.