The patient irritated by the subject was a 57-year old man with acute exacerbation of COPD. There was also a history of hypertension, pulmonary embolism, deep vein thrombosis. The patient is both a smoker and a family member. He has had many problems trying to quit smoking for years. The patient also has a history of depression and anxiety. The patient is taking more than one medicine to suppress his high blood pressure, but it is still out of the normal range.
Since hypertension is an important predisposition to coronary artery disease, congestive heart failure and chronic kidney disease it should be named "silent killer" (hypertension - "silent killer." Public health college briefing. Royal Medical School in the UK University). The goal of treating hypertension is to reduce the risk of cardiovascular and kidney complications. All treatments start with changing the patient's lifestyle. For prevention and treatment, it is essential to take a healthy lifestyle with diet, exercise, alcohol management, smoking cessation and so on. The Latin proverb explains precisely this prevention and treatment. It says Optima medicina temperantia est; this means that relaxation is the best medicine (Post details: Latin slang about medicine: doctor, (<http: //latin.bestmoodle.net.index .php / proverbia) / 2006/06/20 / proverbia_about_doctors>)
High blood pressure is known as "silent killer". Usually, there are few or no symptoms, it is not considered the main cause of death. Untreated hypertension increases the incidence and severity of cardiovascular disease and stroke. Before 1950 there was no effective treatment for hypertension. His doctor controlled his high blood pressure with prescription medicine sedation and rest, but the US President Franklin Roosevelt died in 1945 after a stroke. When sulfonamide is introduced into the treatment, one of the side effects that it brings is metabolic acidosis (acid base imbalance). After further study, acidosis was found to be caused by inhibition of enzyme carbonic anhydrase. Inhibition of carbonic anhydrase causes diuresis (urine formation). Subsequently, many sulfonamides were synthesized and screened for their ability to inhibit carbonic anhydrase.