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What Are The Symptoms Of Resistant Hypertension
You can have hypertension without having any symptoms. The best way to know if you have high blood pressure is to have your blood pressure checked by a health care provider.
However, symptoms may be felt when blood pressure first rises or during a hypertensive crisis, when levels are extremely high. These symptoms may include headaches, shortness of breath, chest pain and nosebleeds.
Dizziness is usually not a symptom of high blood pressure. In fact, dizziness can sometimes be a symptom of low blood pressure. Frequent or unexplained dizziness may be a warning sign of a serious condition and should be addressed by your physician.
Excessive Salt Raises Blood Pressure
Too much sodium can cause water retention that puts increased pressure on your heart and blood vessels. People with high blood pressure and those at a high risk for developing hypertension, including adults over 50 and black men and women, should have no more than 1,500 milligrams of sodium daily of salt.
Even people with normal levels should eat salt in moderation. Stick to no more than 2,300 mg of sodium , per day.
Most dietary sodium comes from processed foods. Rules of thumb are to choose foods with 5% or less of the daily value of sodium per serving and opt for fresh poultry, fish and lean meats, rather than canned, smoked or processed. Similarly, fresh or frozen vegetables are better than canned.
A study published in the New England Journal of Medicine found that if people cut just 1/2 teaspoon of salt per day, it could help lower the number of new cases of heart disease per year by up to 120,000.
Further, potassium found in foods like sweet potatoes, spinach, bananas, oranges, low-fat milk and halibut can counterbalance the pressure-increasing effects of sodium by helping to rid the body of excess sodium.
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What’s The Impact Of Having High Blood Pressure
High blood pressure is a major risk factor for developing cardiovascular diseases such as:
- coronary heart disease – where the main arteries that supply your heart become clogged up with plaques
- strokes – a serious condition where the blood supply to your brain is interrupted
- heart attacks – a serious condition where the blood supply to part of your heart is blocked
Diabetes and kidney disease are also linked to high blood pressure complications.
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Maintain A Healthy Weight
Being overweight is a risk factor for having high blood pressure, and your risk increases further if you are obese.
There are two ways to check if you are overweight:
- Body Mass Index – This is your weight in kilograms divided by your height in metres squared. In the UK, people with a BMI of between 25 to 30 are overweight, and those with an index above 30 are classed as obese. People with a BMI of 40 or more are morbidly obese.
- Waist size – Using a measuring tape place the tape round your waist between the bottom of your ribs and the top of your hip bone. The table below indicates how much your health might be at risk, your ethnicity should also be taken into account.
|Over 80 cm|
The best way to tackle obesity is by reducing the amount of calories that you eat, and taking regular exercise. Your GP can provide you with further information and advice on how you can do this.
More about having a healthy weight
Possible Causes Of Resistant Hypertension
Resistant hypertension may have one or more other underlying medical conditions. In addition to treating resistant hypertension with medications, doctors typically investigate secondary causes , such as:
- Abnormalities in the hormones that control blood pressure.
- The accumulation of artery-clogging plaque in blood vessels that nourish the kidneys, a condition called renal artery stenosis.
- Sleep problems, such as the breath-holding type of snoring known as obstructive sleep apnea.
- Obesity or heavy intake of alcohol or other substances that can interfere with blood pressure.
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Target Your High Blood Pressure
Once you have been diagnosed with hypertension, remember that high blood pressure can be lowered. For most people, blood pressure readings should be lower than 140/90 mmHg when measured in the doctors office. At home, your blood pressure should generally be below 135/85 mmHg. For those people with diabetes or kidney disease, lower blood pressure is even more important and should be below 130/80 mmHg when measured in the doctors office.
Most people who lead healthy lifestyles do not suffer from high blood pressure. For those with hypertension, following the steps outlined above will lower their blood pressure.
Cough And Cold Medications
Many cough and cold medications contain NSAIDs to relieve pain. As mentioned above, NSAIDs may increase your blood pressure. Cough and cold medications also frequently contain . Decongestants can make blood pressure worse in two ways:
- Pseudoephedrine is a specific decongestant that can increase blood pressure.
What can you do? Avoid using cough and cold medicine that contains NSAIDs or decongestants, especially pseudoephedrine. Ask your doctor for suggestions about other ways to ease congestion symptoms, such as antihistamines or nasal sprays.
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Who Is Affected By High Blood Pressure
Approximately 1 in 3, more than 100 million, American adults have high blood pressure. But only half of those people have their condition under control. Many people develop high blood pressure when they are in their late 30s or early 40s, and it occurs more frequently as people age. However, because of the obesity epidemic, more and more children are also developing high blood pressure.
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Underlying Causes Of High Blood Pressure Are Not Erased By Medication
The truth is, even if you take medication, you still have a chronic medical condition that needs to be tracked and managed. The fact that you are on medication is evidence of this. If everything were ok, you would not need the pills.Since you do need them, it is essential to continue to track and manage the stress of hypertension that your body is undergoing. Even if it seems âunder controlâ through the use of medications, the condition is still a high health risk and cannot be ignored.
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You Shouldn’t Ignore White Coat Hypertension
Some people experience white coat hypertension, when blood pressure is elevated in the doctor’s office but not in other settings. These patients need to monitor their blood pressure at home or wear an ambulatory blood pressure monitor that takes your blood pressure every 30 minutes for 24 hours.
While white coat hypertension was formerly considered simple nervousness, recent research suggests otherwise.
A study published in the journal Hypertension found that people with white coat hypertension are at a significantly greater risk for developing sustained high blood pressure than people who have normal blood pressure. One possible explanation is that people with white coat hypertension have a harder time managing stress and anxiety.
Why Your Blood Pressure Can Remain High On Medication
While blood pressure medication can drastically reduce your blood pressure over time, it can still remain above normal levels. Learn more about high blood pressure, medications commonly used to treat it, and why your blood pressure can stay high on medication.
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High blood pressure is a common condition in the US, affecting around 47% of the population.
Blood pressure is the amount of strain or force your blood puts on your blood vessels as it circulates throughout your body. Your heart beats continuously, and it takes large amounts of force to move blood from one area of your body to another.
When your blood pressure is higher than normal, it can put a lot of wear and tear on your blood vessels. This puts you at risk of other health conditions.
How blood pressure is measured
Blood pressure measurements give two different numbers, systolic and diastolic blood pressure, both of which are measured in mm Hg .
Systolic blood pressure, the top number, shows the amount of pressure placed on your blood vessels when your heart beats. Diastolic blood pressure, the bottom number, indicates the amount of pressure your blood puts on your blood vessels between beats.
Blood pressure readings higher than 120/80mm Hg have the following categories:
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How Can You Manage Your High Blood Pressure
Treatment of high blood pressure often starts with lifestyle changes, including decreasing salt in your diet, losing weight if necessary, stopping smoking, cutting down on alcohol use, and regular exercise.
In addition to lifestyle changes, medications are often used to lower blood pressure. There are several types of medications that treat high blood pressure with each type of medication having benefits and risks that should be carefully weighed by you and your health care provider. Most people take more than one medication in order to bring their blood pressure down to their treatment goal.
Your blood pressure medication should begin to work within days. However, because high blood pressure is a long-lasting medical condition that often has little or no symptoms, remembering to take your medications can be a challenge. Combination medicines, long-acting or once-a-day medications, may be used to decrease the burden of taking numerous medications and help ensure medications regularly. Once started, the medication should be used until your doctor tells you to stop.
Controlling your blood pressure should be part of a healthy living plan and lifelong task. The damage that high blood pressure causes your internal organs does not cause any symptoms until serious damage has been done.
As Men Live Longer More Face The Challenge Of Difficult
High blood pressure, or hypertension, remains a common health issue for a majority of older men.
In fact, approximately 54% to 67% of men ages 65 and older suffer from the condition, which occurs when your systolic pressure is 140 mm Hg or higher, and your diastolic pressure is 90 mm Hg or higher, according to the American Heart Association.
Common drug treatments include calcium channel blockers, ACE inhibitors, and diuretics, given either individually or in combination. Calcium channel blockers and ACE inhibitors help blood vessels relax, and diuretics get rid of excess sodium and water in the body.
These drugs often bring high blood pressure down into a safer zone. However, some men do not respond to the therapy. If your blood pressure remains at 140/90 mm Hg despite taking the highest dosage of at least three different blood pressure medications, including a diuretic, you have what’s called resistant hypertension.
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What If Ive Made Heart
If you make diet and lifestyle that lower your blood pressure, you may be able to reduce or stop medications. For example, if you are carrying excess body weight and have high blood pressure, losing 5-10% can make a vast difference in your blood pressure numbers. You may be able to reduce the medication and eventually cease taking it altogether as you lose the weight that was causing your high blood pressure – with a doctorâs supervision.Similarly, if you increase the percentage of fiber from fruits and vegetables in your diet, you may have a big impact on your heart health.It is important to consult with your physician in these cases. While you may be healthier in some respects, this does not guarantee your high blood pressure is gone. Never stop taking medications simply because your readings are normal. Continue to track your blood pressure through daily monitoring and check in with your physician to see about trying to reduce it.
Reason: You Could Be Experiencing White Coat Hypertension
If you feel nervous aboutseeing a doctor, your blood pressure could spike at each appointment and givethe false sense that your blood pressure is generally high.
Try arriving early at your appointment, then take deep breaths in the waiting room to relax. Work to manage your anxiety. The American Heart Association recommends that you sit quietly for at least five minutes before taking your blood pressure. Also, if you or your doctor suspect that its the actually the medical office itself spiking your blood pressure, you can talk about options.
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What You Can Do
If you have reached the maximum dosage of at least three medications and your blood pressure is still high and lifestyle changes also haven’t helped your doctor will look for other causes such as kidney disease, Cushing’s disease, or pheochromocytoma . After that, he or she will explore other underlying issues. For example:
Sleep apnea. This common condition is marked by repeated pauses in your breathinglasting from a few seconds to a minute or sowhile you sleep. A 2014 study in the Journal of Clinical Sleep Medicine involving almost 300 people who had sleep apnea or were at high risk for heart disease found that sleep apnea quadrupled the odds of having resistant hypertension.
Nonsteroidal anti-inflammatory drugs . These include over-the-counter pain relievers like ibuprofen and naproxen . A 2012 study in BMC Cardiovascular Disorders of 1,340 users of NSAIDs and 1,340 users of the non-NSAID painkiller acetaminophen found that NSAID users had a 2 mm Hg increase in systolic blood pressure compared with acetaminophen users. “If you are taking more than occasional doses to control pain, you should discuss this with your doctor,” says Dr. Fisher.
Alcohol. Excess drinking can elevate blood pressure, Men should limit their intake to no more than two drinks per day, says Dr. Fisher.
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