Rikildis 👑

🧸🩺

[Dr M Shujat Rasool @DrMShujat]

In most patients, hypertension is not simply a transient elevation in blood pressure. It is a chronic disorder involving dysregulation of multiple systems, including the renin-angiotensin-aldosterone system (RAAS), sympathetic nervous system overactivity, endothelial dysfunction, vascular remodeling, arterial stiffness, and impaired renal sodium handling.

Antihypertensive medications do not “remove” these underlying abnormalities. Rather, they counteract them. ACE inhibitors suppress RAAS activation, calcium channel blockers reduce vascular smooth muscle contraction, diuretics promote sodium excretion, and beta-blockers blunt sympathetic drive. As long as these mechanisms are being pharmacologically controlled, blood pressure remains within the normal range.

When treatment is stopped, the underlying pathophysiological processes often persist. Increased peripheral vascular resistance, sodium retention, neurohormonal activation, and vascular stiffness re-emerge, causing blood pressure to rise again sometimes gradually and sometimes rapidly. This is why a patient can have a perfectly normal BP today and still be at significant risk of future hypertension related complications if therapy is discontinued.

A normal BP in a treated hypertensive patient is therefore best viewed as a marker of successful disease control, not necessarily disease resolution.

The goal of treatment is not to achieve one normal reading; it is to reduce lifelong exposure to elevated blood pressure and thereby prevent stroke, myocardial infarction, heart failure, chronic kidney disease, and premature death.

[Rikildis 👑 @Rikildis_]

@ndafelao_01 Missed diagnosis there from very early on when she was faking illnesses prior to this catastrophe.

[Rikildis 👑 @Rikildis_]

Occasionally we can be remarkably bright creatures✨

[tom @tomiezequiel15]

hoy es el único día que puedes retuitear esto:

[Hilde-K @HILDE_K_]

But it’s easier 😭😭

[Vuyiswa. @Vuyiswavv_]

Adult friendships are so funny because you really just lose a friend on a random day after realizing you clearly don’t mean anything to this person, while at one point they meant the world to you.

Fortunately, this doesn’t change the price of bread, so good riddance and stuff🤘🏾

[Rikildis 👑 @Rikildis_]

The early bird catches the parking spot!

[Kasi The Ashy @Kasikili_]

Unpopular opinion: if I come to work earlier than you, I deserve to take your parking spot.

[Rikildis 👑 @Rikildis_]

@Kasikili_ Following

[Rikildis 👑 @Rikildis_]

This job is tryna take us out😭

[BBC News (World) @BBCWorld]

WHO declares Ebola outbreak a global health emergency https://t.co/toiP4gYFdG

[Martha Ahumuza @MarthaAhumuza]

I’m very generous with myself when it comes to pain management for menstrual cramps. All i need is to feel the first hint of cramping.

[OMG its Kt🔞 @DamnitsKt]

Square

[Rikildis 👑 @Rikildis_]

@Reign_Hard_ @georgeowill Told you we see right through it😂

[Rikildis 👑 @Rikildis_]

@VRodabough You’re onto something.

[Rikildis 👑 @Rikildis_]

You’d come across a YT video with the title “How I became a millionaire in my 20s”, just to find out it’s in Nairas😭

[Rikildis 👑 @Rikildis_]

@her_eloquence @Ms____V If this isn’t me😭

[Rikildis 👑 @Rikildis_]

@VRodabough @zimlive Agreed. This is such an insult.

[Rikildis 👑 @Rikildis_]

@gwashipahu Finally😭

[Rikildis 👑 @Rikildis_]

@Reign_Hard_ Etse💀