Emergency Medical Evacuation Tokyo Singapore

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Emergency Medical Evacuation Tokyo Singapore

Singapore Emergency Medical Evacuation from Tokyo - Tokyo Japan to Singapore - Air Ambulance Services

A Hypertensive patient who had a stroke with a left-sided weakness of both upper and lower limb was transported from Tokyo Japan to Singapore in a Commercial Airline Flight in Business class.

The patient had recovered in an ICU but needed oxygen during travel and had limited mobility in view of the paralysis.

The main cause of his problem was Uncontrolled Hypertension.
He was 75 years old and his children requested the Air Ambulance transfer on Commercial flight from our company.

You are at an increased risk of high blood pressure or hypertension if you are overweight, have a relative with high blood pressure, smoke, eat too much salt, do not eat enough fruits and vegetables, do not exercise, drink too much coffee and alcohol, or are over the age of 65.
Here are some key points about hypertension. More detail is in the main article.
Normal blood pressure is 120 over 80 mm of mercury (mmHg), but hypertension is higher than 130 over 80 mmHg.
Acute causes of high blood pressure include stress, but it can happen on its own, or it can result from an underlying condition, such as kidney disease.
Unmanaged hypertension can lead to a heart attack, stroke, and other problems.
Lifestyle factors are the best way to address high blood pressure.

What is hypertension?
Regular health checks are the best way to monitor your blood pressure.
Regular health checks are the best way to monitor your blood pressure.
Hypertension is the medical term for high blood pressure.

This means that the blood applies too much force against the walls of the blood vessels.

Around 85 million people in the United States have high blood pressure and an equal number of people in South Asia suffer from the problem.

Medical guidelines define hypertension as a blood pressure higher than 130 over 80 millimeters of mercury (mmHg), according to guidelines issued by the American Heart Association (AHA).

Regular physical exercise

Doctors recommend that patients with hypertension engage in 30 minutes of moderate-intensity, dynamic, aerobic exercise. This can include walking, jogging, cycling, or swimming on 5 to 7 days of the week.

Stress reduction

Avoiding stress, or developing strategies for managing unavoidable stress, can help with blood pressure control.

Using alcohol, drugs, smoking, and unhealthy eating to cope with stress will add to hypertensive problems. These should be avoided.

Smoking can raise blood pressure. Giving up smoking reduces the risk of hypertension, heart conditions, and other health issues.

People with blood pressure higher than 130 over 80 may use medication to treat hypertension.

Drugs are usually started one at a time at a low dose. Side effects associated with antihypertensive drugs are usually minor.

Eventually, a combination of at least two antihypertensive drugs is usually required.

A range of drug types is available to help lower blood pressure, including:

  • diuretics, including thiazides, chlorthalidone, and indapamide
  • beta-blockers and alpha-blockers
  • calcium-channel blockers
  • central agonists
  • peripheral adrenergic inhibitor
  • vasodilators
  • angiotensin-converting enzyme (ACE) inhibitors
  • angiotensin receptor blockers

The choice of drug depends on the individual and any other conditions they may have.

Anyone taking antihypertensive medications should be sure to carefully read labels, especially before taking any over-the-counter (OTC) medications, such as decongestants.

Risk factors
A number of risk factors increase the chances of having hypertension.

Age: Hypertension is more common in people aged over 60 years. With age, blood pressure can increase steadily as the arteries become stiffer and narrower due to plaque build-up.
Ethnicity: Some ethnic groups are more prone to hypertension.
Size and weight: Being overweight or obese is a key risk factor.
Alcohol and tobacco use: Consuming large amounts of alcohol regularly can increase a person's blood pressure, as can smoking tobacco.
Sex: The lifetime risk is the same for males and females, but men are more prone to hypertension at a younger age. The prevalence tends to be higher in older women.
Existing health conditions: Cardiovascular disease, diabetes, chronic kidney disease, and high cholesterol levels can lead to hypertension, especially as people get older.
Other contributing factors include:

  1. physical inactivity
  2. a salt-rich diet associated with processed and fatty foods
  3. low potassium in the diet
  4. alcohol and tobacco use
  5. certain diseases and medications
  6. A family history of high blood pressure and poorly managed stress can also contribute.

A person with hypertension may not notice any symptoms, and it is often called the "silent killer." While undetected, it can cause damage to the cardiovascular system and internal organs, such as the kidneys.

Regularly checking your blood pressure is vital, as there will usually be no symptoms to make you aware of the condition.

It is maintained that high blood pressure causes sweating, anxiety, sleeping problems, and blushing. However, in most cases, there will be no symptoms at all.

If blood pressure reaches the level of a hypertensive crisis, a person may experience headaches and nosebleeds.

Long-term hypertension can cause complications through atherosclerosis, where the formation of plaque results in the narrowing of blood vessels. This makes hypertension worse, as the heart must pump harder to deliver blood to the body.

High blood pressure raises the risk of a number of health problems, including a heart attack. 
High blood pressure raises the risk of a number of health problems, including a heart attack.
Hypertension-related atherosclerosis can lead to:

heart failure and heart attacks
an aneurysm, or an abnormal bulge in the wall of an artery that can burst, causing severe bleeding and, in some cases, death
kidney failure
hypertensive retinopathies in the eye, which can lead to blindness
Regular blood pressure testing can help people avoid more severe complications.

Some types of hypertension can be managed through lifestyle and dietary choices, such as engaging in physical activity, reducing alcohol and tobacco use, and avoiding a high-sodium diet.

Reducing the amount of salt

Average salt intake is between 9 grams (g) and 12 g per day in most countries around the world.

The WHO recommends reducing intake to under 5 g a day, to help decrease the risk of hypertension and related health problems.

This can benefit people both with and without hypertension, but those with high blood pressure will benefit the most.

Moderating alcohol consumption

Moderate to excessive alcohol consumption is linked to raised blood pressure and an increased risk of stroke.

The American Heart Association (AHA) recommend a maximum of two drinks a day for men, and one for women.

The following would count as one drink:

12 ounce (oz.) bottle of beer
4 oz. of wine
1.5 oz. of 80-proof spirits
1 oz. of 100-proof spirits
Eating more fruit and vegetables and less fat

People who have or who are at risk of high blood pressure are advised to eat as little saturated and total fat as possible.

Recommended instead are:

  • whole-grain, high-fiber foods
  • a variety of fruit and vegetables
  • beans, pulses, and nuts
  • omega-3-rich fish twice a week
  • non-tropical vegetable oils, for example, olive oil
  • skinless poultry and fish
  • low-fat dairy products

High blood pressure that is not caused by another condition or disease is called primary or essential hypertension. If it occurs as a result of another condition, it is called secondary hypertension.

Primary hypertension can result from multiple factors, including blood plasma volume and activity of the hormones that regulate of blood volume and pressure. It is also influenced by environmental factors, such as stress and lack of exercise.

Secondary hypertension has specific causes and is a complication of another problem.

It can result from:

  • diabetes, due to both kidney problems and nerve damage
  • kidney disease
  • pheochromocytoma, a rare cancer of an adrenal gland
  • Cushing syndrome, which can be caused by corticosteroid drugs
  • congenital adrenal hyperplasia, a disorder of the cortisol-secreting adrenal glands
  • hyperthyroidism, or an overactive thyroid gland
  • hyperparathyroidism, which affects calcium and phosphorous levels
  • pregnancy
  • sleep apnea
  • obesity
  • CKD

Treating the underlying condition should see an improvement in blood pressure.

Amlodipine is an oral medication that doctors prescribe to treat some cardiovascular conditions. In the United States, it commonly goes under the brand name Norvasc.
Amlodipine is a type of calcium channel blocker. Doctors commonly prescribe these drugs to treat people with high blood pressure. A doctor may also prescribe amlodipine for coronary artery disease and angina.

In this article, we look at what doctors prescribe amlodipine for and its recommended dosage. We also cover the side effects, interactions, warnings, and considerations for amlodipine as well as some alternative drugs.

The U.S. Food and Drug Administration (FDA) first approved amlodipine in 1987. The FDA considers amlodipine safe and effective for treatment of:

high blood pressure, which doctors refer to as hypertension
coronary artery disease
angina, which is chest pain resulting from reduced blood flow to the heart
Doctors sometimes also prescribe amlodipine to treat people with other conditions. This is known as "off-label" treatment because the FDA has not yet approved the drug for these uses.

According to one source, off-label uses of amlodipine include:

  • diabetic nephropathy
  • left ventricular hypertrophy
  • Raynaud's phenomenon
  • silent myocardial ischemia

New Development
A new study demonstrates a link between zinc deficiency and high blood pressure. The findings could help scientists design new ways of intervening in at-risk patient populations.

Hypertension is incredibly common; understanding how it works is vital.
High blood pressure, or hypertension, is a huge and growing health concern in the United States.

According to the American Heart Association, hypertension affects more than 100 million people in the U.S.

Over recent years, researchers have noted a relationship between lower zinc levels and hypertension.

However, to date, scientists have been unable to pinpoint zinc's exact role in the development of hypertension.

For instance, individuals with certain conditions, such as type 2 diabetes and chronic kidney disease, commonly have a zinc deficiency and high blood pressure. Scientists are still unclear whether zinc levels are a cause or an effect of elevated blood pressure.

Similarly, other studies have shown that individuals with lower zinc levels are more likely to be hypertensive.

Understanding the specific mechanisms by which [zinc deficiency] contributes to [blood pressure] dysregulation may have an important effect on the treatment of hypertension in chronic disease settings."


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