Expert opinions and online advice on hypertension delivered via your computer or mobile device. Second opinion is available wherever there is an internet. All you need is a PC or a smartphone.
High blood pressure (hypertension) occurs in many people. They don't usually feel it, so their blood vessels remain under excessive strain for many years. If the high blood pressure persists, it can lead to heart attacks, strokes, and kidney damage. The higher it is, the greater the risk of disease.
Normal range limits
When measuring blood pressure, two numbers are recorded, which are always indicated together, e.g. 128 by 85. The first one is systolic blood pressure. It indicates how much pressure the blood is exerting against artery walls when the heart beats. The second is called diastolic, which means the pressure between the heartbeats.
Blood pressure is considered high if the systolic number is above 140, the diastolic value is over 90, or both are elevated. These limits have been established for practical reasons and are only a guideline. Therefore, recommendations as to when and how high blood pressure should be handled may vary from case to case.
Constantly high blood pressure can contribute to the development of cardiovascular disorders and other organ damage.
Possible consequences may include:
- circulatory disorders in the lower extremities (peripheral vascular disease);
- heart failure;
- myocardial infarction;
- impaired renal function.
Treatment of hypertension
The risk of high blood pressure complications can be reduced by appropriate disease management.
However, in addition to therapy, there are a number of measures that help normalize blood pressure, which the patient can take on his or her own. For example, this includes weight loss, a reduction in salt intake, and increased physical activity.
If this alone is not sufficient, treatment with drugs is prescribed. Currently, ACE inhibitors, angiotensin receptor blockers, calcium antagonists, and diuretics are considered as primary measures; beta-blockers may also be used in some cases. However, the decision to initiate therapy, as well as setting the blood pressure target values and the type of therapy must be tailored individually by the treating physician.
What is the service about?
A second opinion on hypertension is a service which makes it possible to get a remote consultation of a qualified specialist, based on available medical summary or study results.
It might be helpful:
• to confirm the existing diagnosis;
• to make sure that the recommended treatment is correct;
• to obtain information on advanced methods of hypertension diagnostics and treatment;
• to get expert commentary on previously performed exam results;
• to make the right choice if there are two or more possible therapeutic options.
What will the client get?
Diagnostic conclusion, observation and treatment proposals, based on the provided information. In case of the provided initial data incompleteness, will be given recommendations for additional examinations.
What data should be provided to get a second opinion?
- Medical report (desirable)
- The results of the examinations, including ECG at rest and under stress, echocardiography, Holter monitoring, pulmonary function examination (desirable)
- List of medications, along with details of dosage and frequency of use (required)
- Laboratory test results (desirable)
- Heart and coronary vessels CT with angiography (desirable)
- MRI of the heart with provocative testing (desirable)
- Cardiac catheter examination (desirable)
What are the second opinion formats and terms?
Written second opinion:
Making a report based on the data provided, the consulting specialist summary including a diagnostic report and recommendations for further diagnostic, treatment and observation tactics. Report size: up to 1 page.
All services of written second opinion. Additionally:, a 10-minute video consultation with a doctor, including a visual patient examination, clarification of symptoms, radiology images consulting, explanation of the proposed treatment tactics, answering patient's questions.
All services of written second opinion. Additionally: a 10-minute telephone consultation with a doctor, including clarification of symptoms, explanation of the proposed treatment tactics, answering patient's questions.
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