Hypertension Explained Clearly - Causes, Diagnosis, Medications, Treatment, Pathophysiology

[@Medcram]

IMPORTANT NOTE: We have a newer video on hypertension and the updated 2017 Hypertension Guidelines here: kzbin.info/www/bejne/eZiWi2aae8tomZI See all of our CLEAR, concise, and easy-to-follow medical videos (over 60 different topics) at www.medcram.com We also offer CME, CEUs, and work with medical programs and hospitals.

[@germanoangeloni2538]

MEDCRAMvideos

[@angelatimmons5767]

What kind is metropollinall?

[@ssingleshwar3592]

Cc

[@SD-co9xe]

I went on a plant-based diet and my blood pressure dropped to healthy levels within 4 weeks.

[@veragittens1992]

What precisely was the plant based diet you used.

[@SD-co9xe]

@@veragittens1992 It was the Forks over knives diet. I did not eat any meat or cheese - basically a vegan diet with a focus on vegetables and fruits.

[@fallback8314]

any idea if this diet would clear someone's skin?

[@SD-co9xe]

@@fallback8314 I don't know if it would help with that. You could give it a try. There is a Forks Over Knives group on Facebook.

[@jasonriek4212]

Dr. Seheult is a excellent teacher. He uses a easy approach but still gives you all the terminology you need as well. Great balance.. Please keep on with the videos. I am a med student and wish I found this channel when I started!!!

[@DrHoweThD]

I am an Independent Duty Corpsman Corpsman in the US Navy. As such, like a PA, I work under the supervision of a physician as an extension of that physician's military patient population and scope of care. This is one of the best presentations on understanding treatment options for hypertension that I have seen. I am very grateful for this seriies of videos and look forward to learning more and increasing my knowledge base for the patients that I am a provider for.

[@camilofigueroa2968]

John Howe

[@browngosling3929]

John Howe

[@nataliefisher5153]

Over time, consistently high blood pressure weakens and damages your blood vessels, which can lead to complications.Here A 100% safe and proven way to lower your blood pressure quickly and permanently from 190/120 to 116/74 just in 17 days-> 4BloodPressureControl.blogspot.com

[@Medcram]

Glad to hear the NPs are enjoying the lectures. Bamboo tablet and any drawing program. Front cam can be used to capture the video.

[@inachu]

I totally killed off my hypertension just by increasing the dosage of magnesium. The side effect is I feel great! The weird side effect is I got my old personality back from my younger days and it feels good but weird to feel like that again. Now I am researching how much magnesium is too much.

[@Elly3121]

Im a pharmacy student & this helped me to get the concept. Thanks so much

[@23232323jumpman]

BEST LECTURES IVE WATCHED SO FAR! I JUST WENT THROUGH THE HYPERTENSION SERIES AND PLAN ON GOING THROUGH THE REST...NICE JOB, KEEP EM COMING!

[@davegarski1548]

Lots of big medical words, but I am learning what they all mean. Informative presentation, grateful for the information. Thanks!

[@atilnozarab53]

I wish you were my teacher in med school. It was concise, thorough, simple and informative, understandable even to a layman. Bird's eye view to help a hypertensive person actively participate in his medical regimen for such knowledge increases compliance with use of either lifestyle changes and medication or both.

[@shivalirana3104]

My uncle was diagnosed with hypertension a few months ago. Then he went to Chandigarh Ayurved Centre for treatment and his Blood pressure is balanced within 15 days. He is still continuing his medicines.

[@barbarawoods3905]

Someone said that doctors are excellent teachers, that they love to teach..hello Your lectures are living proof of it! Thank you. I never seen any nursing book explaining that easy way before. Anything that is presented a long complicated way, will be hard not only to understand and absorb, but to remember as well. I betcha You would explain gases chart way better too. Years ago in my study years, I had to put down everything from the text book into a simple chart, otherwise would never ever past one exam. Amazing how something can be simplified without loosing the most important content, on the contrary it highlights the most important and relevant content. Thanks for that.

[@Boltonater]

Very nice presentation. I am studying for NP certification and needed to review in simple terms due to fact that I have been out of nursing school for 20 years. You have clarified any questions I had. Thanks

[@fallback8314]

wonder if you ever got that NP certification??

[@Medcram]

Thanks for the feedback. Over the next month, please visit the MedCram Facebook page to suggest a topic idea you'd most like to see a MedCram lecture on. On Feb. 28, 2013, Dr. Seheult will go to work on the most popular topic.

[@ketinporta4994]

MedCram - Medical Lectures Explained CLEARLY I have to tell you, a patient of mine was taking many - many bp meds and none of them did any good to him. He needed to go to the ER several times due to vertigo caused - in my opinion- by those meds. Doctors kept on insisting to have him take those and one day he decided not to take them. He was so depressed and so over everything. Two days later his bp went down. His vertigo decreased and his appetite came back. He has been taking green smoothies and stopped eating bread and beef. Began walking more often and today - a month after the last ER visit with vertigo - is happy, healthy, working out more and no signs of depresión and confusion anymore. Oh, and his BP stayed to 130/75... no meds needed. I think the was misdiagnosed when he had a panic attack and his BP was high. He had familial issues but he had no BP issues after he stopped meds.

[@Spark_Iskra_z_Polski]

Do I get it right? You POISON a person with Mercury to lower his blood pressure?

[@savingmoneyunapologetically]

What a wonderful, concise presentation. As a renal failure patient with uncontrolled hypertension, it gives me more information to discuss the meds that are not working. Thank you

[@Medcram]

+Pat Grant (Old And New Stuff) Glad the video helped with your understanding-- thanks for the comment

[@Medcram]

Thanks for your support from Honduras. We'll put Thyroid and Chronic Renal Failure on the list for future lectures.

[@AprilHeath-hf8sp]

Thanks for sharing this. I think lots of the information you included is useful for the general public and not just med students. I linked to this video in an article I wrote for my blog and LinkedIn.

[@phyllisgallant555]

I believe these programs are very useful for Doctor to follow or check for diagnosis or answers for regular person it,s nice to go to these videos when you are concerned about your health. Thank you.

[@JohnBauman-h6d]

You are the best doctor that I have ever seen

[@claudiapyke7538]

I feel so much more confident for my Med Surgical Exam this evening. The ABCD’s Of HTN has never been so simply put. You are an amazing instructor. I haven’t had a chance to see the other videos on other illnesses, but for sure you will be my guide throughout this phase of my nursing education. I have learned from in one hour more than I have from my instructors in two weeks of class

[@Prexy198]

Thank you for making this video!!! you make sooo much more sense than my nursing instructors!!!

[@hiwapharm]

to a point, concise lecture made everything easier, thank you for sharing

[@CatherineLatson11]

Awesome I agree

[@danabrooks3548]

Hi! First of THANK YOU medcram!!! I am an FNP student in an on-line program. I learned early on that in many ways this is "do it yourself med school" and KZbin lectures became my best friend. Before discovering medcram I would spend as much time searching for relevant in depth lectures as I would watching them- now medcram is my go to for lectures on just about everything!

[@bhstone1]

There is such thing as an online nurse practitioner program? That doesn't give me a lot of confidence in NPs. I would certainly not want to be treated by anyone who went to an online medical school (which don't exist) or online nursing school. Scary thought.

[@ginar9593]

bhstone1 There are many online nursing schools and FNP schools. There is a large population of nurses that obtain their education online. I can't speak for medical school, but I am enrolled in NP school through and online program. The learning is much more comprehensive and involved in an online program than in a classroom. I received my bachelor's at a traditional school with classroom time. And I can say, that even when I was present in class, you don't necessarily pay attention because professors just read directly from power point slides, which I can do on my own time at home. There is a lot of information that needs to be learned in nursing school, so a self-directed online program enhances that type of learning. You still have to complete hundreds of hours of on-site clinical hours with a licensed nurse practitioner, where you receive your on the job education as well. Your lack of confidence in NPs is an uneducated statement.

[@bhstone1]

I am seriously disturbed that there are so many online NP schools. There is no way one can obtain the training or experience necessary in an online program. This completely delegitimizes the NP profession as a whole.

[@ginar9593]

Let me ask you this, what do you do as a career? Did you get all your training before you obtained your degree, if you even have one? Not all that is learned is learned in school. If you think that online education is not an acceptable form of education, I think you need to do some more research instead of making assumptions you clearly know nothing about.

[@danabrooks3548]

Hi, the fact of the matter is that you shouldn't be able to tell whether your provider was educated in person or on-line. A majority of NP programs are at least partially on-line. If you feel your provider is not competent does it matter how they were educated? And if they are good at their job and provide comprehensive care- again does it matter where they were educated?

[@julieanderson2428]

Well done - thank you so much. Why can professors not explain it this way!

[@KT-lz6ko]

Your teaching is very easy to understand. Your class helped me a lot. Thank you!

[@markmil7694]

This blood pressure level solution t.co/GsO1JmyXtf works for me, right after Two weeks following this plan, my blood pressure level down Twenty points. Nonetheless, you will have to exercise for about 35 minutes a day. In general, I really feel more healthy now that my blood pressure is less than my usual.?

[@superjockstick]

Thanks so much for this posting. There are those of us who realize that nursing is also an ongoing education. Postings like this are helpful. Thanks again.

[@drummondstephanie82]

thanks this totally helped for my med surg nursing exam. your review was perfect

[@JoeKaye-hn5dt]

The temporal aspect (how many years of hypertension) is very important. Stroke and heart disease due to hypertension is well characterized. The relationship in most cases boils down to intimal damage over time to large blood vessels creating plaques that are unstable structures that can break off and cause acute vascular obstruction (stroke and MI). The flip side of the coin is important. So-called "downstream" atherosclerosis often disabling (lacunar strokes) or even fatal (MI) often occurs in people who were (are) normotensive. It's etiology is unclear, but there is some evidence that a sub-clinical vasculitis involving medium sized arteries - usually in mid life, sometimes associated with arthritis, psoriasis, or other systemic inflammatory diseases, sometimes no clear clinical syndrome is the culprit - not hypertension. This is important. Because a patient who presents with a lacunar stroke and no history of hypertension, but may have a BP of 160/90 (in the ER) is best left alone. They have an obstruction of an artery unlikely damaged by hypertension, but also, in the short term require that pressure head to hopefully maintain good perfusion to that part of their brain (basal ganglia and surrounding areas) in order to get past that obstructive episode. Treating these patients for hypertension in the acute phase could risk extension of that lacunar infarct. I've seen it happen. As for angina with clean large vessels and patent initial segments in the coronaries and downstream blockage - leave their hypertension alone at least until those stents are in place. To mees with BP at this point in time can cause unnecessary morbidity. You can deal with hypertension later - after they've stabilized.

[@rui-dongduan4977]

It is the best video on hypertension I have heard. Thanks a lot!

[@momdaughtertri7793]

The though guidelines have changed, great video. Thank you.

[@earnestthompson5136]

Excellent and concise .........as usual. Of course there are currently many discussions and schools of thought regarding what kind of diet is optimal. Still the Seheult Team is definitely my prescription for non biased and Evidence Based Medicine. Thank you.

[@williammpua]

Thanks so much doctor. I am a registered nurse and I find your video very useful

[@Medcram]

williammpua Good to hear, thank you for the feedback

[@sirmasteryan4958]

straight to the point, very clear, detailed!

[@JD-kv7tx]

Some of, if not the best, medical education videos on the web. Succinct, informative and well produced. Keep them coming! THANKS!

[@Medcram]

***** Thanks for the feedback. We are working on more videos

[@frods28]

That was awesome. Thanks John

[@dcsx5133]

This was one of the most helpful pharmacology videos I've ever watched... and was more helpful than most of the professors I've had in pharmacy school. This was a great review for my rotations - it's hard to condense so much information, and you did a great job to highlighting the key attributes of each class of medication. Students keep in mind that JNC 8 doesn't recommend the usage of beta blockers for hypertension anymore (this video was made in 2012; JNC guidelines came out in Jan 2014).

[@3greatgreyhounds3]

Hi I saw your comment about guidelines on beta blockers for hypertension, what does the JNC guildelines from 2014 recommend then? Thanks.

[@ofeliaaquino5093]

THANK YOU so MUCH for a very clear explanation.

[@limpnjen]

I am not in med school but I found this to be more understandable than videos for us lay people that is so dumbed down it makes zero sense. It is important to note that the swelling due to ACE, can happen at any time, even after years of taking it and is more prone in AA. When I went to the ER the white doctor said they knew immediately what my problem was and said female AA are at higher risk of the side affect.

[@triciejones226]

I really enjoyed watching this video. I was diagnose with hypertension a few months ago. My physician has prescribed a diuretic to help with my hypertension. It's great to know all the side effects that comes along with each blood pressure medication.. It's good to know what also work well with every situation a patient or person may have that's being treated for this condition. Great job and keep the information coming.

[@omarmuneeb]

I actually enjoy your videos, in addition, they are helpful in my study. Waiting for more and more!

[@oduma9803]

simple and short, love it.

[@shantimoykarmakar5484]

Thank you Sir for giving us necessary information regarding hypertension & how we can rid of it.

[@nicholestraughter8338]

Excellent video! Studying for my FNP board certification and experiencing anxiety related to the treatment of hypertension. This video really helps. Thanks!!

[@anasdameh5512]

Nice great video but uf u could plz make a video for clinical cases and which drug to use in thess cases would be perfect

[@Medcram]

Anas Dameh Thanks for the feedback and suggestion

[@danielleboyd3070]

Thank you Dr Seheult your outstanding videos and heroic work in ICU are greatly appreciated. I was wondering if you have made any videos which detail how to care for patients with leg ulcers. I am caring for a gentleman who is 95 years old. He is receiving codeine and his legs are being dressed daily. He is in tremendous pain and this is affecting his ability to sleep. He is finally elevating his legs but there is very little improvement.

[@00kidney]

Very well explained. Be careful about Hypertension, is the second leading cause of Chronic Kidney Disease. Manage it and treat it if it's higher than 130/80.....

[@thobilelolo1166]

The video shows 140/90 at the beginning

[@arungondhali]

Very nice lectures I seen ever The concepts get cleared now which was not cleared in graduation level Thank you very much for your support to educate all in simple manner

[@ricosuave9410]

This really work!! I woke up to a fast beating heart beat I tried it in 5 minutes. A my heart rate went down immediately! Thanks for the report information!

[@NONEELONE]

you are doing a placebo effect to yourself by way of positive thinking.

[@deefullerton32]

you just made my studying for end of semester exam so much easier.....plz keep em coming....plus if you can add some nursing interventions that would be marvelous

[@TheCaligirl79]

I was put on beta blockers at age 38... Labetalol and propranolol after delivery of my son.. I developed postpartum preeclampsia and the calcium channel blockers which was Procardia/Nifedipine was causing scary bouts of tachycardia... 18 months later have been able to wean down but still taking small doses which is about 125 milligrams per day total now.. at first I was up to almost 800 milligrams for the first six months postpartum. I was completely healthy before preeclampsia and now wondering if I will ever be able to come off completely as it can be dangerous to stop taking suddenly. My cardiologist is very helpful and we are optimistic.

[@p.crockett1854]

Very informative for us nurses, too. Thanks!

[@MaximillianTiberius]

Excellent work doctor, as always. Keep up the good work !

[@annacisneros9434]

Great overview! I wanted to hear more about ARBS.

[@friendlyovertones]

I am sorry to see someone write what they wrote below-wonderful lecture!

[@laneydavis5776]

Awesome video. Thank you soooo much. I finally have a clear understanding on the side effects and medications.

[@Medcram]

***** Good to hear the video helped. We'll keep making more..

[@dejagerrosemarie]

MedCram - Medical Lectures Explained

[@aclassmedicine3306]

Finally, a doctor who lists lifestyle as the first step to reducing disease and the need for medication. Vegetables have a very high K:Na ratio so hypertension plummets without medication. Fruits are overrated and too high in natural sugars.

[@briguy4238]

The title of your video is "Hypertension Explained Clearly" - but the video defines the stages then jumps right into medications. What causes it? Why do some people have it and others do not? Medications are explained, but hypertension itself is not explained at all.

[@FilAmRN]

First time viewer. Thank you very much! Please cover Fluids and Electrolytes and labs such as CBC and CMP. Awesome!

[@atonebai_52]

It's very informative content sir thank you for sharing this vedio I'm from philippines and I'm also hypertension

[@AnnaCWilliams]

thank so much for the clarity. much appreciated

[@holliemcdonald1673]

These Medcram videos are incredibly helpful! Thank you for clear explanations :)

[@markbenson1948]

Thanks for the wisdom....never stop learning!

[@shumwetedd1799]

hi everyone ,if anyone else wants to learn about how to prevent a kidney stone try Alkarno Fast Dance Alchemist (should be on google have a look ) ? Ive heard some interesting things about it and my brother in law got great results with it.

[@Melben316]

Excellent presentation! Good job!

[@minimedlessons]

Great video! I LOVE MedCram content! I've been making similar videos, inspired by you guys. Keep up the great work, MedCram!

[@ultrahealthylivingedithbra5673]

Very informative. Thanks for sharing

[@Belladorphia]

Great video. Very helpful.

[@poornimapalandage3313]

Very very useful Clearly explained

[@OssieRichards]

This is for folks following the "Standard American Diet" aka SAD. This way of eating causes HPB, Metabolic Syndrome , various immune disorders, etc., which eventually lead on to one needing meds along with side effects over long term use.

[@endtime_watchman]

Im watching bc I’m in nursing school, but after I watch that video I feel like a doctor 🥼😂😂😂

[@adantephil8833]

A very instructive video. I’m gonna bookmark this on my computer. I’ll surely return to this video and make a whole lecture exercise book (with time points) out of this video Time to end wasteful hours (not minutes) on the net. Oh, thank God I stumbled upon you, dear Professor (what’s your name again?). This is the Professor I missed in my pharmacology class connecting all the dots. Thank you

[@Medcram]

Thank you for the feedback! We appreciate comments like yours.

[@geoadventure996]

God bless and save you doctor. Love your lectures

[@melindabendle6459]

This is all Good information for my Self BRAIN SURGERY IN SANTA BARBARA CA..🇺🇸🌝🇺🇸

[@pavierre]

seriously awesome videos man. Saving me for my nursing exam!

[@ravindrakumarsingh8806]

thanks for such information so clear and simple

[@jackdemask4177]

Excellent review!

[@jrroyal23]

This was Excellent! Thank you for sharing! We are on the CVS now in pharm school. By any chance could you cover the Cardiac Cycle, EKG, Hyperlipidemia and Arrhythmia's in the future? Thanks!!

[@ofeliaaquino5093]

Thank you SO MUCH, very INFORMATIVE . .

[@Medcram]

You're welocme

[@raccam89]

Very informative and concise. Thank you!

[@solovely03]

Why are the last two recommended for AA patients despite the fact that they don't improve survival? Are they more effective in other ways (for AA patients) than the first two?

[@ShalomHealthServices]

Thats the question I had... this is because blood pressure medications are for white people not black people

[@RWOLR8]

I very much had the same question in mind

[@adnewwolde7031]

Thankyou about teaching hypertension and things happen before attack body

[@Medicare.insights]

Good information, thanks!

[@priyankamalhan955]

Good and easy explanation. helped a lot to learn more about hypertension especially Drug treatment. Thanks for putting it up. Keep doing the good work. Cheers!!!

[@ANFeuerstahl]

ASTONISHING JOB ! CONGRATULATIONS !

[@shannonn2121]

Great explanation. Keep posting please!

[@vichhai7116]

Very good explanation

[@76blackpanther]

Great concise video ! Thanks so much. Was looking for something like this to refresh my knowledge. As a pharmacist always on the go it's ideal. I don't have to carry big textbooks around!

[@Medcram]

+76blackpanther Glad the video was helpful and helps lighten your load

[@vladbajenaru8653]

I'm studying reducing high blood pressure naturally and discovered a great website at Wilfs Calmer Plan (look it up on google)

[@76blackpanther]

@Vlad Bajenaru. Thanks for the info. Will look it up even though I am a bit of a sceptic. I guess it depends on exactly what is being offered. I work in Germany and the market here is massive for natural and complementary therapies but sometimes it pains me to see patients spending a lot of money on something because they believe the marketing claims for a product. I am curious and I will look it up.

[@hadimohammed7661]

Please come up with clinical cases as well. Thanks

[@user-wz4pj6vq8r]

sir. please cover all the topics of medicine

[@miriami7]

Thank you very much for your great explanation.

[@PGravori]

This was a great lecture as were your other ones. Please continue making more! Thanks

[@exoplanet2]

A great site!

[@67lomeli]

What is your diagnosis: BP 105/90 + pleuodynia + wheezing? Since the pulse pressure is less than 30 (implying heart failure). With this data, the diagnosis best supported is a viral cardiomyopathy due to Coxsackie virus (group B?). Another case: If a patient has severe hypertension and too low of a potassium (not on diuretics) that is hard to correct? What is your diagnosis? Aldosterone producing adrenal adenoma and spironolactone (pills) can help us diagnose many of these patients. BP of 140/80 often implies the patient is anxious-at risk for "white coat" hypertension (≈25% of patients with "htn.")

[@stellabrown2974]

Well done you are the best explained clearly you are bless keep the good work up

[@jeromebacani9471]

i just would like to add and i think great to consider that beta blocker will mask hypoglycemic symptoms. this is consideration to patients with diabetes.

[@sonyaross9783]

Oh thank you so very much. I wish I could talk to you in person or on the phone for a couple of other questions I have.

[@MarathonMan26]

Thank you for this lucid, concise tutorial - my Nurse Practitioner students loved it! Would you mind sharing what technology you used for recording this?

[@Akinor0309]

Great video. Very helpful. Thanks!

[@sunnysmallsdgupp7077]

This blood pressure level solution tinyurl.com/zwpcdv8 works well with me, right after 14 days using this plan, my blood pressure lower Twenty points. Nevertheless, you will have to workout for around 35 minutes every day. Overall, I feel healthier now that my blood pressure level is less than my normal.

[@CheeksKT]

Great videos. I'm a pharmacy resident and these have been great for refreshing on pathophysiology and in some cases teaching patho that I never got in pharmacy school. Thank you so much! Just wanted to add that you can use bisoprolol too as a beta blocker in HF.

[@Medcram]

CheeksKT Thanks for the feedback and comment about bisoprolol

[@charlessmith263]

I am taking amoldipine to fight off essential HTN. I wonder if amoldipine can also cause drowsiness and probably constipation as side effects?

[@Medcram]

+Charles Smith it can definitely cause constipation

[@ayatmuslim5994]

Thanks for all these amazing videos , such a great channel , it would be very nice of you if you present a videos for anemia , please

[@Medcram]

+ayat muslim Thank you for the feedback and topic suggestion

[@fateh03]

It should be uploaded.