HMOD hypertension: what it means and what to do

HMOD means hypertension-mediated organ damage. Persistently raised pressure can place mechanical strain on blood vessels and organs such as the heart, brain, kidneys and eyes. HMOD may be suspected from symptoms, examination findings or tests, but a person can have important changes without feeling unwell. Assessment may include repeated blood-pressure readings, blood and urine tests, an eye examination, and checks of heart structure or rhythm when appropriate. The result helps a clinician judge overall risk and tailor treatment.

Take prescribed blood-pressure medicine consistently and do not stop it because a reading improves. Keep a record of readings with the time, position and any symptoms, using a validated monitor if one has been recommended. Limit excess salt, avoid smoking, move regularly within your ability, and discuss weight, sleep and alcohol with your clinician. Attend planned checks so treatment and kidney function can be reviewed. Do not double a missed dose unless your prescriber has given that instruction.

Call emergency services for sudden weakness or numbness on one side, facial drooping, trouble speaking, severe chest pressure, severe breathlessness, collapse, confusion, or a sudden severe headache. Seek urgent medical advice for a very high reading accompanied by new symptoms, repeated vomiting, vision change or marked dizziness. A high reading without symptoms still needs appropriate follow-up, but do not delay emergency care while repeatedly checking it.

Which organs are being assessed, and what did the tests show? What blood-pressure target applies to me? How should I handle a missed dose or an unusual reading? Which medicines or supplements can raise pressure? When should my kidney function and treatment be reviewed?