Hypertension is one of the pandemic disorders that adds to the worldwide morbidity catastrophe. Hypertension, often known as high blood pressure, is a major cause of cardiovascular disorder, particularly ischemic strokes. However, many people with high blood pressure go undiagnosed and live with hypertension for a long period until it is identified. The rising frequency of HTN cannot be dismissed as “one individual’s issue.” Uncontrolled HNT is a leading cause of disability and early mortality worldwide, wreaking havoc on both individuals and health-care systems. This results in a rising economic and societal burden (Huston, 2018).
I am working with a patient John, a 50-year-old man, who suffers from chronic hypertension and is at danger of having a stroke. Face-to-face interviews with personal communication were employed in this practical strategy to examine the entire scenario. He has a history of smoking (present), ETOH (says he no longer consumes), epilepsy episodes (for roughly 4 yrs), and heart failure with maintained ejection fraction. When diagnosed, the ejection fraction (EF) by echocardiography was 50%, owing to hypertension. He states that his breathing and energy levels are identical to his previous visit. He experienced two instances of pillow orthopnea but no instances of paroxysmal nocturnal dyspnea. He denies having any chest pain, palpitations, lightheadedness, vertigo, nausea, edema, or eating problems (he claims his appetite is OK). Despite having a normal EF, he has clinical heart failure based on his echocardiogram history and symptoms of dyspnea and exhaustion. He benefited from medication changes that helped him to better control his blood pressure. While his diastolic blood pressure was normal, his elevated systolic blood pressure exacerbated afterload and backflow pressure, resulting in mild pulmonary hypertension from his heart failure. He doesn’t have any technological knowledge neither he has any transportation help. He has to take bus for every time he comes to the hospital.