{"id":54890,"date":"2020-12-22T17:08:12","date_gmt":"2020-12-22T17:08:12","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=54890"},"modified":"2023-06-28T14:26:04","modified_gmt":"2023-06-28T14:26:04","slug":"high-blood-pressure-and-stroke-by-dr-harold-gunatillake","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/high-blood-pressure-and-stroke-by-dr-harold-gunatillake\/","title":{"rendered":"High Blood Pressure and Stroke-by Dr Harold Gunatillake"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"color: #000080;\">High Blood Pressure and Stroke-by Dr Harold Gunatillake<\/span><\/h1>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-48674 aligncenter\" src=\"https:\/\/websitedesigns.com.au\/elankanew\/wp-content\/uploads\/2020\/08\/Harold-Gunethilake.jpg\" alt=\"Harold Gunatillake\" width=\"160\" height=\"160\" \/><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/JjqyfFLX65M\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span style=\"font-size: 20px; color: #800080;\">Website:<a style=\"color: #800080;\" href=\"http:\/\/www.Doctorharold.com\">www.Doctorharold.com<\/a><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Transcript:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Yes, most strokes are preventable.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Unchecked high blood pressure is the most common and important known risk factor for stroke, heart attacks and kidney failure, loss of eyesight and even Alzheimer\u2019s disease.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">You can effectively and successfully lower your blood pressure and prevent the above episodes by checking your blood pressure at home.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Increase blood pressure due to extra forceful pumping of the heart, really the left ventricle, cause intense pressure on the walls of your arteries. This high blood pressure causes damage or injury to the inner lining of the arteries, which progresses to a condition called atherosclerotic plaques.<\/span><!--more--><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Atherosclerosis is a slow, progressive disease that may begin as early as childhood. Although the exact cause is unknown, atherosclerosis may start with damage or injury to the inner layer of an artery.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">There are three serious diseases caused by atherosclerosis. Each has its own warning signs:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Heart disease, Cerebrovascular disease, the present topic of discussion. Peripheral arterial disease, causing poor circulation in your legs first.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In addition to high blood pressure, high cholesterol, high triglycerides, smoking, insulin resistance, obesity, diabetes, inflammation from diseases, such as arthritis, lupus, or infections- all cause hardening and damage of the vessels that can lead to a stroke.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Patchy inflammation of the inner lining of the arteries at certain locations, especially at bifurcations is the earliest change in the atherosclerotic plaque formations.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">This endothelial dysfunction allows entry of lipoproteins and migration of inflammatory cells into the inner layer of the artery.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Inside the plaque the cells are activated by cytokines. These are proteins secreted by specific cells of the immune system produced by lymphocytes. They signal and regulate immunity, inflammation, among other changes<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Following inflammation in the inner lining of arteries, fatty streaks are formed. Then leucocytes and smooth muscle cells migrate into the plaque and foam cells are formed.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Macrophages are scavenging cells that eat the low-density lipoproteins i.e., bad cholesterol, become and gives a foamy appearance.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">So, these macrophages at these sites are called the foam cells.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">So, atherosclerotic plaques are formed due to chronic inflammatory and immune disease involving multiple cell types, including monocytes, macrophages, T-lymphocytes, smooth muscles cells-all form the bulk of the plaque.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">These plaques grow gradually and can obstruct to the flow of blood and starve tissues without oxygen.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">This is exactly what happens in TIA. The underlying cause of a TIA is a buildup of cholesterol-containing fatty deposits called plaques in the carotid arteries of the neck, or one of its branches that supplies oxygen and nutrients to your brain.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The blockage by a clot is only for a short time.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In most situations the plaque ulcerates, or ruptures into tiny pieces of plaque and clotted blood can travel in the blood stream to the brain.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The symptoms are like a stroke but do not last long and does not cause permanent damage to the brain.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">It is also called a ministroke, being a warning sign to have a real stroke unless immediate remedial measures are taken after hospitalization.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">About 1 in 3 people who has a TIA attack will eventually have a stroke within a year.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Immediately after hospitalization antiplatelet drugs are given. Anticoagulants like heparin drips are started to dissolve the clots. Medicines may include aspirin, clopidogrel, dipyridamole or warfarin medications are given long term.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">If the plaque obstructs over 60 percent of the blood flow an operation to sleeve the plaque called endarterectomy is done and a stent is inserted to prevent rebuild of plaque.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Stents alone when they are inserted, may cause intracranial hemorrhages which in turn also cause a stroke.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Most vascular surgeons prefer to perform carotid endarterectomy without stents and is a well proven treatment for carotid artery disease. It has been performed successfully for over 50 years, in preventing a first or recurrent stroke.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The other types of strokes that are more severe are the ischemic stroke when the blood clots keep flowing into the brain and cause brain cell death.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">There are two major types of ischemic stroke:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Ischemic Stroke (Clots)<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\"><strong>Occurs when a blood vessel supplying blood to the brain is obstructed. It accounts for 87 percent of all strokes.<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The thrombotic or ischemic strokes are caused when clots are formed in the arteries supplying the brain.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The underlying condition for this type of obstruction is the development of fatty deposits lining the vessel walls. This condition is called atherosclerosis, as previously described.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Embolic strokes begin with a clot in a distant site as the heart in auricular or ventricular fibrillation, or any irregular erratic movements of the heart.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Blood seems to clot in the chambers of the heart, and they travel through the carotid arteries to the brain.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">They could arise from a plaque in the neck carotid arteries due to ulceration of the plaques.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Together they are the most common type of stroke.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The early symptoms are numbness or weakness on one side of the body or face, trouble speaking and difficulty with vision or balance.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">You need prompt treatment in the closest hospital outpatients.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In hospital, they are given tPA stands for tissue plasminogen activator.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Larger clots in the brain may require a minimally invasive procedure known as a thrombectomy.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The other common type of stroke especially in old people is the hemorrhagic stroke. This happens when a weak blood vessel like the congenital berry aneurysm bursts and bleeds into the brain. Uncontrolled high blood pressure alone can cause this.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In hemorrhagic stroke there are warning signs like a headache or head pain. In ischemic strokes there may not be any warning signs.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Hemorrhagic strokes are less common, but they are deadlier.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Bleeding could be from a weak blood vessel breaking on the surface of the brain.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The other site of a bleed is the subarachnoid hemorrhage which occurs on the surface of the brain.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In minor ruptures from an aneurysm, a surgical clip is place at the base of the brain aneurysm to remove blood flow and stop the bleeding.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Unfortunately, not everyone survives \u2013 around one in eight people die within 30 days of having a stroke. That is why it is so important to be able to recognize the symptoms and get medical help as quickly as possible.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Hello viewers, over 40,000 globally, this is my humble plea to you. According to the World Health Organization, 15 million suffer stroke worldwide each year. Of these 5 million dice and another 5 million are permanently disabled.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">High blood pressure contributes to more than 12,7 million strokes worldwide.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The incidence of stroke in Sri Lanka is remarkably high.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Stroke has been ranked the second most common cause of death and the third most common cause of disability-adjusted life years lost worldwide<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">This is a preventable disability, and my message for 2021 is, please change your lifestyle for a healthier one: eating less foods with added sugar, less fats, eating lots of veggies, pulses, and nuts.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Keep your blood cholesterol level and your weight within the normal range, check your blood pressure with your own apparatus at home frequently and keep your systolic 120 and diastolic between 60- 70 mm. of Hg.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Most of all the best medicine for the prevention of chronic diseases, including cancer, is daily exercise.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Most of you are by now retired, and you should spend at least 2-3 hours walking intermittently, daily.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">If you walk 25,000 steps daily, your plaques in your artery will dissolve, your blood pressure may come within the normal range without medication or with minimum.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">If you are a diabetic, you could reduce your insulin resistance and you may be able to control your blood sugar with low sugar diets and exercise with extraordinarily little anti-diabetic medication.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Your reserve strength of your heart increases to perform your daily routines much more efficiently.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Take my word, I have done this routine for years and at ninety-one, I feel so fit.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Do not wait until the conditions are perfect to begin. Beginning makes the conditions perfect.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Take care and goodbye for now.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px;\"><em>Disclaimer:<\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px;\"><em>The information contained in this article is for general information purposes only, and whilst the author will endeavour to keep the information up to date and correct, eLanka makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the eLanka website or the information, products, services, or related graphics contained in this article for any purpose. Any reliance you place on such information is therefore strictly at your own risk. In otherwords, eLanka In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website \/ article. Also please note that through this website \/ web page articles you are able to link to other websites which are not under the control of eLanka and therefore we have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>High Blood Pressure and Stroke-by Dr Harold Gunatillake Website:www.Doctorharold.com Transcript: Yes, most strokes are preventable. Unchecked high blood pressure is the most common and important known risk factor for stroke, heart attacks and kidney failure, loss of eyesight and even Alzheimer\u2019s disease. You can effectively and successfully lower your blood pressure and prevent the above [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[872,3611],"class_list":{"0":"post-54890","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-dr-harold-gunatillake","10":"tag-high-blood-pressure","11":"post_format-post-format-aside"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.7.1 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>High Blood Pressure and Stroke-by Dr Harold Gunatillake<\/title>\n<meta name=\"description\" content=\"Yes, most strokes are preventable.Unchecked high blood pressure is the most common and important known risk factor for stroke, heart 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