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Blood pressure is a crucial physiological parameter that reflects the force of blood against the walls of arteries as the heart pumps it through the circulatory system. Understanding blood pressure changes during the cardiac cycle is essential for assessing cardiovascular health. In this topic, we will explore how blood pressure is measured, the variations it undergoes throughout the cardiac cycle, and the significance of hypertension.
Blood pressure is typically measured using a device called a sphygmomanometer, which consists of an inflatable cuff and a pressure gauge (manometer). The process involves the following steps:
1. Cuff Inflation
The inflatable cuff is wrapped around the upper arm and inflated to a pressure above systolic pressure, temporarily stopping blood flow in the artery.
2. Gradual Deflation
The cuff is then gradually deflated, allowing blood to flow back into the artery.
3. Pressure Detection
As the cuff pressure decreases, blood starts to flow through the artery, resulting in the detection of a pulse. The point at which the pulse is first heard corresponds to the systolic blood pressure.
4. Pulse Disappearance
As the cuff pressure continues to decrease, the pulse eventually disappears. This corresponds to the diastolic blood pressure.
Blood pressure undergoes cyclic changes throughout the cardiac cycle, which includes both systole and diastole:
During ventricular systole, when the left ventricle contracts to pump blood into the aorta, blood pressure increases significantly. This increase represents the peak pressure in the arteries and is referred to as systolic blood pressure.
In contrast, during diastole, when the heart is in its relaxation phase, blood pressure decreases as the arterial walls recoil. Diastolic blood pressure represents the lowest pressure in the arteries.
The blood pressure reading is typically expressed as a fraction, such as 120/80 mmHg, where the first number (systolic pressure) is the higher value, and the second number (diastolic pressure) is the lower value. The units of measurement are millimetres of mercury (mmHg).
Hypertension, commonly known as high blood pressure, is a medical condition characterised by consistently elevated blood pressure levels. It is considered a major risk factor for various cardiovascular diseases, including coronary heart disease. Here are some key points regarding hypertension:
Hypertension is a significant risk factor for conditions such as heart attacks, strokes, and kidney disease. It can lead to damage in the arteries, which may result in atherosclerosis (narrowing of the arteries) and other complications.
Hypertension is often referred to as a "silent killer" because it may not present noticeable symptoms until it reaches advanced stages. Regular blood pressure monitoring is essential for early detection.
Lifestyle modifications, such as maintaining a healthy diet, engaging in regular physical activity, and managing stress, can help control hypertension. In some cases, medication may be prescribed by a healthcare provider to lower blood pressure.
Human Biology
Blood pressure changes during the cardiac cycle, with systolic pressure reflecting the highest pressure during ventricular systole and diastolic pressure representing the lowest pressure during diastole. Measurement of blood pressure using a sphygmomanometer is a common diagnostic tool, with a typical reading for a young adult being 120/80 mmHg. Hypertension, or high blood pressure, is a significant risk factor for various cardiovascular diseases, making regular blood pressure monitoring and management crucial for overall health.
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