How to get blood pressure down to 120

The findings, which have not yet been published and are still preliminary, found lower rates of heart attack, stroke and death among people with high blood pressure who brought that top number down to 120. In order to reach that goal, study participants in the 120 group took an average of three blood pressure medications, whereas the 140 group took two medications.

“This is notable because there (are) a lot of people out there with blood pressure in the 130s that we might previously have left alone, but if the results of this trial (are) as we think they are, it might be reason to try to get them to 120,” said Dr. John D. Bisognano, professor of medicine at the University of Rochester Medical Center and president-elect of the American Society of Hypertension.The final results of the NIH study will arrive in the coming months, but “it has changed in my practice. Like if I have someone in the low 140s, I no longer say that’s sort of close. … I try to push them down into the mid-130s if they are nondiabetic,” Bisognano said. (Although this strategy might also help people with diabetes, Bisognano added, the NIH study only looked at people over 50 who did not have diabetes.)

The focus is on the top number in a blood pressure reading because it’s a better predictor of heart attack and stroke than the bottom number, the diastolic pressure, Bisognano said.

So how can patients take their blood pressure down to 120?

If that becomes the new goal, many people will probably need to start a blood pressure medication or add another to their current regimen, Bisognano said. But there are also a number of lifestyle interventions they may be able to tap into instead of taking a new drug. Here are their options:

Medicate

Many people have to take blood pressure medication just to stay close to the 140 mark, Bisognano said. Some may even run marathons and lead otherwise healthy lives, but just can’t get down in the normal range, possibly because they are genetically predisposed to high blood pressure.

To get down to 120, these people may have to take more blood pressure medication. The most common, Bisognano said, are the “ABCDs”: ACE inhibitors, beta blockers, calcium channel blockers and diuretics. Typically, patients who need more than one medication would take one from each of these classes.

Although the ABCDs can lead to side effects, such as dehydration, headache and weakness, most people can tolerate them and the problems are usually not severe, Bisognano said. In addition, “we are in a golden age of hypertension treatment, where almost all of the drugs are cheap,” he said.

A medium dose of one of these medications usually brings systolic blood pressure down by about 10 points, said Dr. Karen Margolis, director of clinical research at HealthPartners Institute for Education and Research.

Lose weight

Weight loss can lower blood pressure about as much as taking a single blood pressure medication, Margolis said. Research suggests that losing about 9 pounds could reduce systolic blood pressure by 4. 5 points, and one study found that maintaining weight loss of about 7 pounds for a year could even bring it down by 11 points.It is not clear why weight loss is so beneficial for blood pressure, Bisognano said. It may lead to changes in circulation, or it may be because of the dietary changes that can accompany weight loss, such as eating less salt. “(However) we have to appreciate how difficult it is to lose weight,” especially if you are busy, Bisognano said. “Sometimes you can do it and sometimes you cannot.”

Exercise

Along with weight loss, exercise is probably the best way to lower blood pressure without the possible side effects of medication, Bisognano said. It makes arteries more flexible and better able to dilate, which directly reduces systolic blood pressure, he said.

The American College of Cardiology and the American Heart Association recommend 2½ hours a week of medium intensity physical activity, such as jogging, swimming and dancing. One study found that 10 weeks of moderate exercise, such as walking and cycling, for an hour three times a week reduced systolic blood pressure in sedentary older adults by 5 points.

For some people, however, the slog of going to the gym after a long work day may be worse than the side effects of medication, Bisognano said. But even being a “weekend warrior” can help. “Then, when your life permits you to do something once or twice a week, you’ll be in physical shape to do that,” Bisognano said.

Scale back the salt

One of the most important dietary changes some people can make to lower blood pressure is reducing salt intake, Bisognano said. Many of us consume 9 to 12 grams of salt a day, but the American Heart Association recommendation is 3 or 4 grams. In one study, scaling back daily salt levels from 8 grams to 4 grams was associated with a drop of 6.7 points in systolic blood pressure.But only people whose blood pressure is affected by salt may reap this kind of blood pressure-lowering benefit. “If you don’t have salt-sensitive hypertension, it will not do much,” said Dr. Samuel Joseph Mann, professor of internal medicine at New York-Presbyterian Hospital Weill Cornell Medical College.

About half of black people and a quarter of white people have salt-sensitive hypertension, and the numbers are higher in older people, Mann said. You can see if your hypertension is affected by salt by reducing your intake for four or five days, such as by cutting out soups and processed foods and not eating out, and measuring your blood pressure at your drugstore before and after, Mann added.

Eat more fruits and vegetables

If reducing salt is not enough, people with high blood pressure have an entire diet designed for them. Dietary Approaches to Stop Hypertension, or DASH, was developed by the National Institutes of Health and has been voted one of the best overall diets.

The DASH diet is high in fruits, vegetables and fiber, and low in sodium. It may further reduce systolic blood pressure by about 3 points compared with a regular low-sodium diet, according to a trial of DASH.

However, a drawback of the DASH diet is that it’s high in carbohydrates. This can stimulate the appetite and make it harder for people to lose weight, Bisognano said. If you are trying to lose weight and lower blood pressure, diets such as Zone and South Beach, which balance carbs with protein and fat, may be easier to stick with for six months or so, he added.

Snack on chocolate

Not every tasty treat is bad for your blood pressure. Research suggests that people who ate more dark chocolate over a period of two to eight weeks had lower systolic blood pressure by about 2 points. Antioxidants in cocoa, called flavanols, may help dilate arteries.

Although this reduction in blood pressure is relatively small, it may complement other interventions. However, Bisognano said, “if you have 400 calories of dark chocolate, you don’t get to have 400 calories of something else.”

Don’t binge drink

High blood pressure is another reason not to binge drink. Studies suggest that alcohol reduction interventions can reduce systolic blood pressure by about 4 points among people who consume between 30 and 60 drinks a week. The American Heart Association recommends that women stick to an average of one alcoholic drink a day and men to two.

Meditate

It may not come as a surprise that meditation practices that aim to improve focus and reduce anxiety may also lower your blood pressure. An analysis of studies of transcendental meditation using a short mantra found it could reduce systolic blood pressure by nearly 5 points more than those who did not meditate or used other relaxation techniques.

“We know that transcendental meditation, and other relaxation techniques such as yoga, definitely work if done regularly. The question is, can people do it regularly?” Bisognano said.

Preoperative Hypotension Linked to Mortality Risk

BERLIN — Preoperative hypotension — but not hypertension — was associated with increased perioperative mortality risk, according to a large retrospective study presented at the Euroanaesthesia Congress.

In the unadjusted analysis, both preoperative hypertension and hypotension were associated with mortality risk. However, after adjusting for risk factors and confounders, the risk associated with hypertension disappeared, reported lead investigator Robert Sanders, MBBS, PhD, FRCA, of the University of Wisconsin, and colleagues.

• This study was presented as an abstract at a meeting. Its findings should be considered preliminary until the study is published in a peer-reviewed journal.

Sanders and colleagues analyzed data from more than 250,000 patients from the United Kingdom Clinical Practice Research Datalink who underwent noncardiac surgery. They looked for a link between preoperative blood pressure and 30-day perioperative mortality, adjusting for 29 risk factors including age, gender, race, comorbidities, surgical risk score, and end-organ vascular damage.

For patients with a preoperative systolic blood pressure less than 100 mmHg, mortality risk increased by 40% (OR 1.40; 95% CI 1.05-1.86) in the adjusted analysis. For those with a preoperative diastolic BP less than 40 mmHg, mortality risk increased by approximately 250% (OR 2. 49; 95% CI 1.43-4.33).

As preoperative blood pressure decreased below the threshold of 100/40 mmHg, the odds of mortality increased.

“While high blood pressure control is important for long-term health, high blood pressure itself does not impose a significant risk of postoperative death,” the study authors said in a press release. “Rather the health consequences of uncontrolled high blood pressure convey other health risks — therefore we still recommend that patients’ blood pressure should be as well controlled as possible prior to surgery.”

“What these data tell us is that patients with low blood pressure before surgery are at higher risk. What we don’t have is causality. There could be some other factor we haven’t measured which is driving this risk. That will be the next step in our research,” Sanders said in an interview with MedPage Today.

“But we still think this is significant new information,” Sanders said. “It will be important to understand how we can mitigate this risk to make sure these patients are less vulnerable. “

“This study is important because it makes us step back and recognize that hypotension, rather than hypertension, is the dominant problem,” P.J. Devereaux, MD, PhD, of McMaster University in Hamilton, Ontario, told MedPage Today. Devereaux was not involved in the study.

Physicians should be more aware of hypotension as a potential complication for surgical patients and have good procedures in place for measuring and monitoring it, Devereaux said.

Advising patients to take all of their high blood pressure medicine the morning before surgery might need to be reconsidered in some cases, Devereaux said. “If you have an elderly patient who has fasted overnight and then takes three or four hypertension medications that morning, this might lead to a hypotensive episode that gets them into trouble.”

Richard Dutton, MD, an anesthesiologist at the University of Chicago and Chief Quality Officer for the American Society of Anesthesiologists, was more cautious in interpreting the study results.

“This is a retrospective study, so it can show an association but it can’t prove cause and effect,” Dutton said in an interview with MedPage Today. “And you can’t account for all the variables and potential confounders.” Dutton was not involved in the study.

Hypotensive patients may have fared worse in this study because they were sicker to begin with, Dutton said. A patient going into surgery with low blood pressure may be suffering from internal bleeding, dehydration, uncontrolled diabetes, malnourishment, or any number of maladies.

“Still, this study increases my awareness of low blood pressure as a risk factor, and it raises the possibility that correcting low blood pressure might improve surgical outcomes,” Dutton said.

• Jeff Minerd is a freelance medical and science writer based in Rochester, NY.

Disclosures

No funding sources were reported for this research.

Robert Sanders reported no financial relationships with industry.

Neither P.J. Devereaux nor Richard Dutton disclosed financial relationships with industry.

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Before an operation, low blood pressure rather than high is a risk factor for death — ScienceDaily

New research presented at this year’s Euroanaesthesia congress in Berlin, Germany, suggests that, before an operation, low blood pressure (hypotension) rather than high blood pressure (hypertension) is an independent risk factor for death. The study is by Assistant Professor Dr Robert Sanders, Anesthesiology & Critical Care Trials & Interdisciplinary Outcomes Network (ACTION), Department of Anesthesiology, University of Wisconsin, Madison, WI, USA, and Drs Puja Myles and Sudhir Venkatesan, University of Nottingham, UK, together with collaborators from the University of Southampton, Oxford University and University College London (all UK).

Despite numerous years of study, the influence of preoperative blood pressure (BP) on perioperative risk remains controversial. In this new research, the authors investigated the relationship between preoperative BP and thirty-day mortality following non-cardiac surgery.

They used data from 252,278 patients from the United Kingdom Clinical Practice Research Datalink to perform their analysis. A number of models of varying complexities were used to account for 29 perioperative risk factors including age, gender, race, comorbidities, medications, and surgical risk score. After risk factor adjustment, the effect of systolic and diastolic hypertension (high blood pressure) was no longer associated with increased odds of perioperative mortality.

However preoperative hypotension (low blood pressure) was associated with statistically significant increases in the odds of perioperative mortality. For patients with a systolic BP of below 100 mmHg, the likelihood of death increased by 40%. For those with a diastolic BP of under 40mmHg, the likelihood of death increased by 2.5 times. While the risk from hypotension was present in patients with low systolic or low diastolic pressure, values below 100/40 were of greatest risk. Hence the likelihood of death further increased as either or both systolic or diastolic BP decreased further.

The authors say: “The effect of preoperative high blood pressure on perioperative risk disappeared after adjusting for confounders including end-organ vascular disease. Hence while high blood pressure control is important for long-term health, high blood pressure itself does not impose a significant risk of postoperative death. Rather the health consequences of uncontrolled high blood pressure convey other health risks–therefore we still recommend that patients’ blood pressure should be as well controlled as possible prior to surgery. In contrast, even after adjustment for confounders, we demonstrated the increased perioperative risk associated with preoperative low blood pressure.”

They add: “Preoperative low blood pressure is under-recognised as a risk factor for perioperative mortality. Future studies will need to identify how this risk can be modified to improve patient outcomes.”

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ESA (European Society of Anaesthesiology). “Before an operation, low blood pressure rather than high is a risk factor for death.” ScienceDaily. ScienceDaily, 29 May 2015. <www.sciencedaily.com/releases/2015/05/150529193639.htm>.

ESA (European Society of Anaesthesiology). (2015, May 29). Before an operation, low blood pressure rather than high is a risk factor for death. ScienceDaily. Retrieved October 29, 2021 from www.sciencedaily.com/releases/2015/05/150529193639.htm

ESA (European Society of Anaesthesiology). “Before an operation, low blood pressure rather than high is a risk factor for death.” ScienceDaily. www.sciencedaily.com/releases/2015/05/150529193639.htm (accessed October 29, 2021).

High Blood Pressure During Pregnancy

Some women have high blood pressure during pregnancy. This can put the mother and her baby at risk for problems during the pregnancy. High blood pressure can also cause problems during and after delivery. ^1,2 The good news is that high blood pressure is preventable and treatable.

High blood pressure, also called hypertension, is very common. In the United States, high blood pressure happens in 1 in every 12 to 17 pregnancies among women ages 20 to 44.³

High blood pressure in pregnancy has become more common. However, with good blood pressure control, you and your baby are more likely to stay healthy.

The most important thing to do is talk with your health care team about any blood pressure problems so you can get the right treatment and control your blood pressure—before you get pregnant. Getting treatment for high blood pressure is important before, during, and after pregnancy.

What are high blood pressure complications during pregnancy?

Complications from high blood pressure for the mother and infant can include the following:

• For the mother: preeclampsiaexternal icon, eclampsiaexternal icon, stroke, the need for labor induction (giving medicine to start labor to give birth), and placental abruption (the placenta separating from the wall of the uterus). ^1,4,5
• For the baby: preterm delivery (birth that happens before 37 weeks of pregnancy) and low birth weight (when a baby is born weighing less than 5 pounds, 8 ounces).^1,6 The mother’s high blood pressure makes it more difficult for the baby to get enough oxygen and nutrients to grow, so the mother may have to deliver the baby early.

Discuss blood pressure problems with your health care team before, during, and after pregnancy.

Learn what to do if you have high blood pressure before, during, or after pregnancy.

What should I do if I have high blood pressure before, during, or after pregnancy?

Before Pregnancy

• Make a plan for pregnancy and talk with your doctor or health care team about the following:
  • Any health problems you have or had and any medicines you are taking. If you are planning to become pregnant, talk to your doctor.⁷ Your doctor or health care team can help you find medicines that are safe to take during pregnancy.
  • Ways to keep a healthy weight through healthy eating and regular physical activity.^1,7

During Pregnancy

• Get early and regular prenatal careexternal icon. Go to every appointment with your doctor or health care professional.
• Talk to your doctor about any medicines you take and which ones are safe. Do not stop or start taking any type of medicine, including over-the-counter medicines, without first talking with your doctor.⁷
• Keep track of your blood pressure at home with a home blood pressure monitorexternal icon. Contact your doctor if your blood pressure is higher than usual or if you have symptoms of preeclampsia. Talk to your doctor or insurance company about getting a home monitor.
• Continue to choose healthy foods and keep a healthy weight.⁸

After Pregnancy

• Pay attention to how you feel after you give birth. If you had high blood pressure during pregnancy, you have a higher risk for stroke and other problems after delivery. Tell your doctor or call 9-1-1 right away if you have symptoms of preeclampsia after delivery. You might need emergency medical care.^9,10

What are types of high blood pressure conditions before, during, and after pregnancy?

Your doctor or nurse should look for these conditions before, during, and after pregnancy:^1,11

Chronic Hypertension

Chronic hypertension means having high blood pressure* before you get pregnant or before 20 weeks of pregnancy.¹ Women who have chronic hypertension can also get preeclampsia in the second or third trimester of pregnancy.¹

Gestational Hypertension

This condition happens when you only have high blood pressure* during pregnancy and do not have protein in your urine or other heart or kidney problems. It is typically diagnosed after 20 weeks of pregnancy or close to delivery. Gestational hypertension usually goes away after you give birth. However, some women with gestational hypertension have a higher risk of developing chronic hypertension in the future. ^1,12

Preeclampsia/Eclampsia

Preeclampsia happens when a woman who previously had normal blood pressure suddenly develops high blood pressure* and protein in her urine or other problems after 20 weeks of pregnancy. Women who have chronic hypertension can also get preeclampsia.

Preeclampsia happens in about 1 in 25 pregnancies in the United States.^1,13 Some women with preeclampsia can develop seizures. This is called eclampsia, which is a medical emergency.^1,11

Symptoms of preeclampsia include:

• A headache that will not go away
• Changes in vision, including blurry vision, seeing spots, or having changes in eyesight
• Pain in the upper stomach area
• Nausea or vomiting
• Swelling of the face or hands
• Sudden weight gain
• Trouble breathing

Some women have no symptoms of preeclampsia, which is why it is important to visit your health care team regularly, especially during pregnancy.

You are more at risk for preeclampsia if:¹

• This is the first time you have given birth.
• You had preeclampsia during a previous pregnancy.
• You have chronic (long-term) high blood pressure, chronic kidney disease, or both.
• You have a history of thrombophilia (a condition that increases risk of blood clots).
• You are pregnant with multiple babies (such as twins or triplets).
• You became pregnant using in vitro fertilization.
• You have a family history of preeclampsia.
• You have type 1 or type 2 diabetes.
• You have obesity.
• You have lupus (an autoimmune disease).
• You are older than 40.

In rare cases, preeclampsia can happen after you have given birth. This is a serious medical condition known as postpartum preeclampsia. It can happen in women without any history of preeclampsia during pregnancy.¹⁴ The symptoms for postpartum preeclampsia are similar to the symptoms of preeclampsiaexternal icon. Postpartum preeclampsia is typically diagnosed within 48 hours after delivery but can happen up to 6 weeks later.⁹

Tell your health care provider or call 9-1-1 right away if you have symptoms of postpartum preeclampsia. You might need emergency medical care.^9,10

*In November 2017, the American College of Cardiology (ACC) and the American Heart Association (AHA) updated the definition of chronic stage 2 hypertension to mean having blood pressure at or above 140/90 mmHg.¹⁵ The American College of Obstetricians and Gynecologists’ recommendations on hypertension in pregnancy predate the 2017 ACC/AHA’s guideline and definition of hypertension and stage 2 hypertension.

What to eat in sudden high and low blood pressure

In today’s time, there are very few people who are not affected with blood pressure issues. Be it low or high, any kind of blood pressure can become dangerous for your life. Low blood pressure, which is known as ‘Hypotension’ in medical terms, is a condition in which you might feel dizziness and fainting.

While high blood pressure is medically known as ‘Hypertension’, which is more serious of the two and can result in heart diseases, strokes. In this condition, the blood pressure in arteries persistently increases. High blood pressure is known as a silent killer as the symptoms generally go unnoticed. Both these types of blood pressure are chronic medical conditions in which your lifestyle matters a lot.

Blood pressure is indicated by two measurements, systolic and diastolic. These are the maximum and minimum pressures of the arteries. A normal pressure may sit between 100-130 mmHg systolic and between 60-80 mmHg diastolic. If the measurements are high or low compared to the above number then your blood pressure is not normal.

Diet and Blood Pressure

Diet and lifestyle play an important role in balancing our blood pressure. Below are the types of food that one should eat when you have high blood pressure.

Leafy Greens: If you are suffering from high blood pressure, eating leafy greens is very healthy for you. The potassium in leafy greens helps your kidneys to remove sodium from the body in the form of urine which helps to lower the BP.

Berries: Berries help to prevent hypertension and lower blood pressure because of the flavonoids in them.

Beetroot: Beets are a rich source of nitric oxide that helps to open the blood vessels and lower down your high BP. In fact, according to research beetroot juice helps to lower down BP in just 24 hours.

Dairy foods: Skim milk and low-fat yoghurt are an excellent source of calcium. Research shows that consumption of either of the two is very helpful in lowering down blood pressure.

Oats: Oats are a very healthy way of lowering down your blood pressure as it contains high fibre content, low fat and low sodium which improves BP problems efficiently.

Garlic: Eating garlic helps in reducing blood pressure by Vasodilation. It’s a process where nitric oxide increases in the body after consumption of certain food items, which helps to widen the arteries promoting better blood flow and normal blood pressure.

Foods to normalise low blood pressure

1. Staying hydrated is the key for patients with low blood pressure problem. Dehydration decreases blood volume eventually leading to low blood pressure.

2. One should totally avoid carbohydrate-rich food. Carbohydrate-rich food is digested very quickly by the system which makes BP low.

3. Vitamin B-12 rich food is very healthy for people with hypotension. Consumption of Vitamin B 12 daily in the right amount helps by preventing anaemia which can cause low BP. Folate-rich foods too help in lowering down BP.

4. Salt is very essential in maintaining your BP. An adequate amount of sodium intake helps to raise BP which can be beneficial for people with Hypotension.

5. Consumption of food and drinks rich in caffeine instantly pumps up low blood pressure by stimulating the cardiovascular system and increasing heart rate.

6. Consumption of Tulsi leaves daily in the morning helps to keep the body and maintains the BP level. The high content of potassium, vitamin C and magnesium regulates blood flow in the entire body. Tulsi is also loaded with antioxidants that primarily help to maintain BP.

What do Blood Pressure Readings mean? – Kansas Medical Center

What do your blood pressure numbers mean?
The only way to know (diagnose) if you have high blood pressure (HBP or hypertension) is to have your blood pressure tested. Understanding your blood pressure numbers is key to controlling high blood pressure.

Healthy and unhealthy blood pressure ranges
Learn what’s considered normal, as recommended by the American Heart Association.

Blood pressure categories
The five blood pressure ranges as recognized by the American Heart Association are:

• Normal blood pressure
  Congratulations on having blood pressure numbers that are within the normal (optimal) range of less than 120/80 mm Hg. Keep up the good work and stick with heart-healthy habits like following a balanced diet and getting regular exercise.
• Prehypertension (early stage high blood pressure)
  Prehypertension is when blood pressure is consistently ranging from 120-139/80-89 mm Hg. People with prehypertension are likely to develop high blood pressure unless steps are taken to control it.
• Hypertension Stage 1
  Hypertension Stage 1 is when blood pressure is consistently ranging from 140-159/90-99 mm Hg. At this stage of high blood pressure, doctors are likely to prescribe lifestyle changes and may consider adding blood pressure medication.
• Hypertension Stage 2
  Hypertension Stage 2 is when blood pressure is consistently ranging at levels greater than 160/100 mm Hg. At this stage of high blood pressure, doctors are likely to prescribe a combination of blood pressure medications along with lifestyle changes.
• Hypertensive crisis
  This is when high blood pressure requires emergency medical attention. If your blood pressure is higher than 180/110 mm Hg and you are NOT experiencing symptoms such as chest pain, shortness of breath, back pain, numbness/weakness, changes in vision or difficulty speaking, wait about five minutes and take it again. If the reading is still at or above that level, you should CALL 9-1-1 and get help immediately. Learn more about the two types of hypertensive crises.

Your blood pressure numbers and what they mean
Your blood pressure is recorded as two numbers:

• Systolic blood pressure (the upper number) — indicates how much pressure your blood is exerting against your artery walls when the heart beats.
• Diastolic blood pressure (the lower number) — indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats.

Which number is more important?
Typically, more attention is given to systolic blood pressure (the top number) as a major risk factor for cardiovascular disease for people over 50. In most people, systolic blood pressure rises steadily with age due to the increasing stiffness of large arteries, long-term build-up of plaque and an increased incidence of cardiac and vascular disease. However, elevated systolic or diastolic blood pressure alone may be used to make a diagnosis of high blood pressure. And, according to recent studies, the risk of death from ischemic heart disease and stroke doubles with every 20 mm Hg systolic or 10 mm Hg diastolic increase among people from age 40 to 89.

Why blood pressure is measured in mm Hg
The abbreviation mm Hg means millimeters of mercury. Why mercury? Mercury was used in the first accurate pressure gauges and is still used as the standard unit of measurement for pressure in medicine.

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Leave a reply 90,000 Why blood pressure drops: seven possible causes of hypotension

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Published on 08/19/2020 07:15 AM

Why blood pressure drops: seven possible causes of hypotension

Low blood pressure is often a symptom of cardiac insufficiency, when the heart pumps blood worse and vascular tone is weakened

Is it also normal that it should increase with age? Experts tell us about the real causes of pressure problems.

Hypotension (scientifically – arterial hypotension) is a condition when, when measuring pressure, the tonometer shows numbers below 105/70 mm Hg. Art. As a rule, it is accompanied by weakness, dizziness, headaches, nausea.

1. There are people who have REDUCED BLOOD PRESSURE is a congenital feature of the autonomic nervous system. These are people of the so-called asthenic type (as a rule, they have a fragile physique, light or light brown hair, pale skin), they are about 7% of the population.They are not distinguished by great endurance and efficiency, but they live quite active lives and do not feel

of its low pressure. But an increase in pressure even up to the normal range (120/80) is very poorly tolerated.

2. Low blood pressure is often a symptom of cardiac insufficiency, when the heart pumps blood worse and vascular tone is weakened. Often this condition occurs against the background of inflammatory heart diseases – endo- and myocarditis, which in half of the cases develop as complications after angina and flu. Also, hypotension accompanies diseases associated with a violation of the nervous regulation of the heart (various arrhythmias and blockages). All these violations are clearly visible on the ECG.

3. Vegeto-vascular dystonia of the hypotonic type (scientifically called neuro-circulatory dystonia). Because there are two options for reactions in this condition: sympathoadrenal and parasympathetic

Psychiatrists joke that a person’s soul is not in the heart, but in the kidneys – after all, stress hormones are produced in the adrenal glands:

– Adrenaline (“aggressive hormone”) excites, causes a feeling of heat, rush of blood to the head, increased pressure, sweating, aggressive irritability, dysphoria (irritable-gloomy mood).

– Acetylcholine (“the hormone of weakness”), on the contrary, lowers blood pressure, causes cold sweat, chills, irritable weakness, a feeling of melancholy and weakness.

– And someone has mixed attacks when acetylcholine and adrenaline reactions alternate. This gives rise to pressure surges, a person is literally thrown into hot and cold weather, says psychiatrist, psychotherapist, psychosomatics specialist Anatoly German.

4. REDUCING PRESSURE may be a side effect of some medications.Pressure can be “dropped”:

– heart medications (nitroglycerin preparations, beta-blockers),

– large doses of antibiotics,

– antispasmodics and pain relievers,

– large doses of “simple” sedatives (corvalol, valocordin, peony and motherwort tinctures). Valerian has a milder effect.

5. A sudden drop in pressure occurs with an exacerbation of a stomach ulcer, an attack of pancreatitis. Usually this condition, in addition to pain in the stomach, is accompanied by general weakness, cold sweat.This is symptomatic hypotension that will go away as soon as you heal your belly.

Also, the pressure always drops with any bleeding: nasal, hemorrhoidal.

6. Hypotension almost always accompanies some types of depression:

– asthenic – depression of exhaustion. With her, a feeling of fatigue prevails, outwardly – a shade of exhaustion, a person can even seriously lose weight.

– apathetic. She is characterized by complete indifference to the environment, she does not want anything, “nothing pleases, does not hurt …”

– anhedonic.It is the loss of a sense of joy. Sated with emotions, a sense of mental impasse. Depression of great emperors and successful businessmen.

7. In completely healthy people, the pressure can drop sharply after procedures that cause vasodilatation – Russian baths, saunas, thermal baths, wraps. So everyone, especially the elderly, needs to closely monitor the pressure if you go to take a steam bath. You should not be in the steam room for more than 5-7 minutes at a time. Even if you are a lover of bath procedures, you need to take breaks and in no case drink either before the bath or after alcohol.

90,000 Dr. Myasnikov told about the victims of the misconception about pressure

Dr. Alexander Myasnikov on the air of the Russia 1 TV channel said that the so-called low blood pressure is a variant of the norm, and feeling unwell with hypotension is only the result of insufficient physical activity and inability to adapt to the external environment.

During the broadcast, one of the spectators asked the doctor how to increase the pressure, and said that with her pressure of 100 to 70, she often feels tired and lethargic.

“You are a victim of a misconception about blood pressure – even among doctors,” Alexander Myasnikov replied to the woman. “In fact, the concept of low blood pressure, as in your question, does not exist at all.”

The medic recalled that the upper pressure numbers are usually known, and what is higher than them is no longer considered normal: 119 to 79, 120 to 80 is already prehypertension. Systolic blood pressure of 130 is already the first stage of hypertension, if a person does not take medication, noted Dr. Myasnikov.

Low blood pressure can alarm doctors only if the patient is in intensive care and his blood pressure begins to drop rapidly. “70 to 40, 50 to 0 is a problem, because the kidneys begin to fail, perfusion of all tissues, and when a person’s pressure drops sharply, he, accordingly, may have a stroke, heart attack, kidney failure,” the doctor said.

“All of you, hypotensive patients, have normal blood pressure,” concluded Dr. Myasnikov. “Just absolutely normal blood pressure.And 90 to 70, and 90 to 60 is a variant of the norm. “He noted that if a person does not feel well at the same time, this is not from pressure. This is a sign that he is not adapted to the external environment, does not know how to manage stress, does not have enough physical activity.

“Therefore, hypotension, you are not, – said the doctor. – The reasons are not in the pressure, but in the way of life. Look if you have anemia, problems with the thyroid gland. What do you want, but it is not from pressure. ”

Reduced pressure

Blood pressure (BP) norms exist for each age.Doctors say that 110/65 – 140/90 mm can be considered the norm. rt. Art. What pressure is considered to be low? Experts call indicators less than 100/60 mm. rt. Art. However, low blood pressure is a rather individual concept, since for many people, low blood pressure is the norm that does not require treatment. But if it periodically gives a person discomfort, negatively affects his life, then these are signs of serious pathologies. Be sure to see a doctor and get diagnosed.

What is Low Blood Pressure ?

Low blood pressure is not a disease in itself, but it indicates the presence of certain diseases.This condition is also called “low blood pressure” or hypotension. It is accompanied by a decrease in vascular tone and a slowdown in blood circulation.

Hypotension can be temporary, for example, when relaxing in high-altitude or tropical resorts, where the atmospheric pressure itself is lower, and solar activity is higher. If blood pressure periodically decreases under normal conditions and negatively affects health, we are talking about acute or chronic pathology.

Distinguish between primary and secondary hypotension.

• At primary hypotension , the vascular tone decreases due to a malfunction in the central nervous system, which for various reasons ceases to regulate it normally. Therefore, this condition is called vascular dystonia of the hypotonic type. It may indicate diseases of the kidneys, adrenal glands, due to which these organs cease to produce hormones normally. And also about neuro-circulatory dystonia, myocardial infarction, anaphylactic shock, lack of certain minerals in the body.
• Secondary hypotension is caused by a number of diseases: thyroid gland pathology, various tumors, anemia, stomach ulcer, inflammatory processes in the liver. It can also be the result of taking certain medications.

In some cases, hypotension may indicate the onset of a cardiological, endocrine disease. You can complete the full range of diagnostics at the CBCP clinic. Here you will be offered the latest research methods (including daily blood pressure monitoring), which provide objective and detailed information about your health.

What are the symptoms of low blood pressure ?

There are general symptoms and signs of low blood pressure. They should alert you, becoming a reason for contacting a specialist.

• You often feel weak in your body.
• You get tired quickly during normal activities.
• Dizziness appears suddenly.
• Unreasonable headaches often suffer.
• You began to notice pain in your heart.
• During the day you are bothered by sleepiness, and at night – by insomnia.
• At times there is no appetite at all.
• There are problems with digestion.
• Sometimes you feel that you are about to faint.
• You are acutely aware of the change in weather and atmospheric pressure.
• In the morning, body temperature can drop below 36 ^o C.

These are all signs of low blood pressure.In some patients, blood pressure drops sharply when getting out of bed after sleep, sometimes even fainting is possible.

Two variants of hypotension

There is cardiac and cerebral hypotension.

• With cardiac variant , the concentration of dull, aching pain occurs in the chest. Many patients confuse it with ischemic heart disease pain and take nitroglycerin. However, with hypotension, it does not relieve pain.They can suddenly appear and disappear after a few simple physical exercises.
• With cerebral variant , patients often have headaches. Pain worries after physical or mental stress, eating, when the weather changes. Nausea, dizziness, intolerance of stuffy rooms, sensitivity to light and loud sounds are added to the symptoms of low blood pressure.

Symptoms of low blood pressure in women

A typical sign of low blood pressure in women is menstrual problems.Low blood pressure is often diagnosed during early pregnancy. The condition is accompanied by vomiting, nausea, which women take for signs of toxicosis.

Symptoms of hypotension in men

The listed general symptoms in men are often accompanied by sexual dysfunctions, expressed in a decrease in potency and sexual desire.

Risk factors

• Sedentary lifestyle.
• Work in hazardous conditions.
• Stress, depressive states.
• Professional sports.
• Visiting high-mountain resorts.
• Alcohol abuse.

Causes of low blood pressure

Doctors call the reasons for lowered heart pressure:

90 092

90,093 tumors;

90,093 liver diseases;

cervicothoracic osteochondrosis.

The reasons for low blood pressure in men often lie in the need to work underground, in conditions of high temperature and humidity.

Causes of low blood pressure in women

Women are more susceptible to lowering blood pressure, as their nervous system is more mobile. The most common cause is early pregnancy, when the heart is under high stress. The causes of low blood pressure in women aged 30 or more are associated with the appearance of problems in the production of certain hormones.

Low blood pressure and pregnancy

Most often, an increase in pressure occurs during pregnancy. However, in some cases it goes down. This occurs with early toxicosis. The fetus may be at risk of miscarriage, uterine bleeding is observed.

If the mother had a consistently low blood pressure before bearing the fetus, then it does not pose a particular threat. However, in the fetus, the blood flow rate can also slow down, and this is fraught with a lack of oxygen supply to the tissues.

What to do with low blood pressure, low heart rate ?

The best advice on what to do with low heart pressure will only be given by a specialist after an individual examination and diagnosis. However, there are general rules on how to increase and stabilize low blood pressure at home.

• Healthy sleep 8-9 hours.
• Proper nutrition (proteins, vitamins C, B).
• After waking up, get up slowly, smoothly.
• More physical exercise, hardening.
• However, many people experience conditions when blood pressure is very low. What to do with a sharp decrease in blood pressure? How to increase low blood pressure at home urgently and quickly?
• Give the patient strong freshly brewed black tea and coffee.
• Place the patient in a position with the head lower than the body.
• Massage the neck where the carotid arteries are.
• Apply cold to the forehead.
• Offer a glass of grape juice with 30 drops of ginseng root tincture.

What to do with low blood pressure during pregnancy ?

Women carrying a child should know how to increase low blood pressure during pregnancy, especially if blood pressure was low before it.

• After sleeping, get out of bed slowly.
• If nausea occurs, lie down with your legs up.
• Practice moderate physical activity.
• Drink more fruit juices.

Treatment of low blood pressure

Only a specialist can determine how low your blood pressure is. For example, how much pressure is considered low at 40? The doctor will determine your individual rate based on your weight, stress, and the presence of bad habits.

Treatment of low blood pressure should be carried out exclusively under the supervision of a physician. It is not recommended to independently treat low blood pressure at home.

Also used tonic phytopreparations – adaptogens, drugs that increase blood pressure, containing caffeine. The patient is prescribed hypoxic therapy, massage, reflexology, physiotherapy procedures.

What foods lower blood pressure in humans ?

People with low blood pressure should know the list of foods that lower blood pressure, and use them with caution:

• oranges;

90,093 spinach;

90,093 broccoli;

90,093 celery;

90,093 almonds;

90,093 turmeric;

• garlic.

Instead, you should pay attention to baked goods, nuts, potatoes, semolina, offal, meat, fish dishes high in fat and spices.

Which doctors should I contact with low blood pressure?

Since the main reasons for lowering blood pressure are associated with cardiovascular, endocrine diseases, you should contact a therapist, cardiologist, endocrinologist.

Any delay in seeing a doctor can result in dangerous complications.Make an appointment with qualified professionals at the CBCP Clinic. Here you will find the latest diagnostic methods and professional advice. Right now, use the online form, order a call back on the website or call yourself: +7 (495) 640-57-56.

Blood pressure – OGBUZ Smolensk Central District Hospital

News

27.10.2021

28, 29 October and 1,2,3 November 2021 OGBUZ “Smolensk CRH” and all its structural divisions are working as usual!

November 5, 2021
home call service by phone

04/22/2021

May 3 and 8, 2021 from 9:00 to 13:00 doctors of Prigorskaya VA, Pecherskaya VA, Katyn VA

will be on duty

04/14/2021

On Saturday 15 MAY 2021 from 8:00 to 13:00 in the OGBUZ “Smolensk Regional Oncological Clinical Dispensary” there will be an action Open Day “Early detection of prostate tumors”.

Hypertension Awareness Month

In the world there are up to 1.5 billion people suffering from arterial hypertension, and almost half of them are unaware of their illness.Meanwhile, arterial hypertension is one of the most common causes of heart attacks, strokes, loss of vision.

Therefore, in order to raise awareness of the population about measures for the prevention, diagnosis and treatment of arterial hypertension, the World Health Organization has initiated an annual World Hypertension Day on the second Saturday of May. Drawing attention to the solution of the problem of arterial hypertension allows simultaneous effective prevention of most cardiovascular diseases that are complications of arterial hypertension.

In 2017, World Hypertension Day falls on 13 May.

In the period 2013-2018 the theme of the World Day Against Arterial Hypertension is “Know your BP numbers!”

The prevalence of hypertension is extremely high. Globally, annually 7 million people die and 15 million suffer from high blood pressure or hypertension. It is the most significant risk factor for death worldwide.

In Russia, almost a third of the population suffers from hypertension.

Russia differs from European countries by a very high mortality rate from cardiovascular diseases (CVD). It has been proven that one of the leading risk factors for CVD, along with smoking and overweight, is arterial hypertension. In Russia, according to rough estimates, 40 million people to suffer from hypertension. Considering that we have 115 million adults, this is almost a third.

The prevalence of hypertension is influenced by the level of socio-economic development, the attitude of the population to maintaining health, the prevalence of risk factors that provoke hypertension.

Age is the most important risk factor. Of course, this does not mean that every elderly person should have hypertension, nevertheless, in Russia, hypertension begins on average at 35-40 years for men and at 40-50 years for women. Another risk factor is excessive salt intake (twice as much as necessary). The next factor is overweight and obesity. This does not mean subcutaneous obesity, but the accumulation of fat in the abdominal cavity. In middle-aged people, hypertension is mainly caused by this factor.The danger lies in the fact that abdominal fat is hormonally active, it provokes processes that lead to high blood pressure, the development of atherosclerosis, diabetes mellitus and, of course, heart attacks, strokes and death. If a person gains courage and loses excess weight, then hypertension is likely to go away. By the way, obesity is spreading more and more towards a young age, respectively, and hypertension is getting younger. And, of course, smoking is also a factor that provokes hypertension.

The prevalence of hypertension is influenced by the level of socio-economic development, the attitude of the population to maintaining health, the prevalence of risk factors that provoke hypertension.

Age is the most important risk factor. Of course, this does not mean that every elderly person should have hypertension, nevertheless, in Russia, hypertension begins on average at 35-40 years for men and at 40-50 years for women. Another risk factor is excessive salt intake (twice as much as necessary).The next factor is overweight and obesity. This does not mean subcutaneous obesity, but the accumulation of fat in the abdominal cavity. In middle-aged people, hypertension is mainly caused by this factor. The danger lies in the fact that abdominal fat is hormonally active, it provokes processes that lead to high blood pressure, the development of atherosclerosis, diabetes mellitus and, of course, heart attacks, strokes and death. If a person gains courage and loses excess weight, then hypertension is likely to go away.By the way, obesity is spreading more and more towards a young age, respectively, and hypertension is getting younger. And, of course, smoking is also a factor that provokes hypertension.

If hypertension is detected promptly, it is possible to minimize the risk of heart attacks, stroke, heart and kidney failure.

The likelihood of developing high blood pressure and its adverse effects can be minimized by applying the following measures:

• Promotion of healthy lifestyles with a focus on adequate nutrition for children and young people
• Reducing salt intake to less than 5 g.salt per day
• Consumption of five servings of fruits and vegetables per day
• Decreased consumption of saturated fat and total fat 90 096
• Alcohol Abuse Refusal
• Regular physical activity and the promotion of physical activity in children and young people. Exercise should be given at least 30 minutes a day, five times a week.
• Maintaining normal body weight
• Cessation of tobacco use and exposure to tobacco products
• Appropriate stress management

Individuals who already have hypertension can actively participate in the management of their condition through the following measures:

• following the norms of healthy behavior listed above;
• home blood pressure monitoring, if possible;
• control of blood sugar, blood cholesterol and urinary albumin levels;
• Ability to assess cardiovascular risk using a risk assessment tool;
• following medical advice;
• Regularly taking any prescribed blood pressure lowering medications.

We are holding a MONTH AGAINST HYPERTENSION this year!

In a month, a large number of people will be able to learn how to measure blood pressure in themselves and their loved ones, will be able to understand why it is so important and even be able to develop the habit of regularly monitoring blood pressure.

Medical professionals will help you with this!

COME, MEASURE YOUR HELL!

LET’S CHANGE TOGETHER!

What is HELL

Blood pressure is the force with which the heart drives blood through the body.Blood pressure is determined by the strength and amount of blood pumped, as well as the size and flexibility of the vessels. It consists of two digits, for example 120/80 mm Hg.

The first digit is , the systolic blood pressure of , which occurs when the heart beats. Numbers between 90 and 140 are considered the norm for adults.

The lower level shows diastolic pressure , determined between heartbeats, when the heart relaxes, “rests”. Numbers between 60 and 90 are considered the norm for adults.

Hypertension is a chronic condition in which blood pressure is high. Many people have high blood pressure and are unaware of it. For a long time, this condition is asymptomatic, but when blood pressure reaches critical levels, arteries and vital organs are affected. Hypertension causes heart disease, kidney disease, stroke, and contributes to the development of diabetes. This is why high blood pressure is called the “silent killer.”

It is not necessary to have high blood pressure for it to work as a risk factor for heart attack or stroke. Even mildly high blood pressure is enough to trigger dramatic events. The fact is that hypertension is not a direct cause of heart attack or stroke, but contributes to this to a very large extent .

For people with diabetes and chronic kidney disease, any numbers above 130/85 are considered high blood pressure.

Hypertension starts from 140 to 90. However, there is such a thing as “high normal” pressure. This is the zone 130-140 of the systolic blood pressure index. This is normal blood pressure for people who do not have additional cardiovascular risk factors (obesity, smoking, high cholesterol, old age) and high for those who have them .

As soon as a person reaches the age of 35-40 years for men and 40-50 years for women, he needs to measure blood pressure.At least once every six months. At the first symptoms – heaviness, headache, a feeling of heat, especially in situations associated with emotional stress, you should consult your local doctor. It is necessary to immediately consult a doctor if a pronounced increase in blood pressure is detected, over 160.

The task of both the state and each person is to push back hypertension as much as possible. It is necessary to maintain a normal body weight, and first of all not to have an enlarged abdomen, eat less salt, increase physical activity, and stop smoking.Hypertension can be prevented by following these simple rules. This is completely real in life and is confirmed by evidence-based medicine. If you already have confirmed hypertension, then you need to understand that, unfortunately, it cannot be cured. Taking medications will last for a long time, or rather indefinitely. The trouble with hypertensive patients is that the normalization of pressure provokes them not to take medications, and this is the principle of a compressed spring. The blood pressure has decreased, the state of health has become better, it seems that it is possible not to take medications.This is a very big mistake, because blood pressure will certainly rise again, and this is a risk factor for the development of heart attack and stroke .

Parameters of a healthy organism

Blood pressure (BP) – less than 140/90 mm,

Pulse – 60-80 beats / minute,

Waist circumference (OT) –

women (w): less than 88 cm

men (M): less than 96cm,

Body mass index (BMI) – 25-27 (weight in kg / height m2)

Cholesterol and glucose – fasting 5 mmol

Recommendations for the fight against hypertension

MEASURE YOUR BLOOD PRESSURE

It is very important to measure your blood pressure regularly.You can do it yourself at home with an automatic machine.

Here are 6 tips to help you measure your blood pressure correctly.

Before purchasing the device, measure the circumference of the shoulder, that is, the biceps. Choose a device with a cuff that fits your size. Take it easy. Do not drink tea, coffee or other drinks containing caffeine, do not engage in any physical activity 30 minutes before the measurement. Sit down correctly. Lean your back against the back of a chair.The device should be at the level of the heart. The arms bent at the elbows lie quietly on the table. Don’t cross your legs or arms. During measurements, one should not talk, watch TV, listen to the radio, or eat. The bottom edge of the cuff should be 2 cm above the elbow bend. Take a few measurements. Measure blood pressure 2-3 times and write down the arithmetic mean of these measurements. Measure your blood pressure at the same time. Since blood pressure changes throughout the day, it is very important to measure it at the same time every day.It is recommended to do this in the morning and in the evening. Write down all of your metrics.

MEDICINES WILL HELP YOU REACH AND KEEP NORMAL BLOOD PRESSURE

Many drugs that lower blood pressure also prevent heart attacks and strokes. Talk to your doctor about your prescriptions.

And remember:

take medication regularly, as prescribed by the doctor, it is very important not only to achieve, but also to maintain normal blood pressure, for which medication must be continuous, immediately inform your doctor about any side effects continue to measure blood pressure when taking medication

FOUR CIRCUMSTANCES ARE IMPORTANT CONDITIONS FOR REDUCING ARTERIAL PRESSURE:

1.REDUCING BODY WEIGHT.

The number of obese people is growing all over the world. Obesity leads to hypertension. A good way to keep track of your weight is to check it against the Body Mass Index table. To calculate your BMI, divide your weight in kilograms by your height in square meters. Body mass index = kg / m2.

Another way to determine obesity is to measure your waist circumference.

Waist circumference is measured in a standing position, without outerwear. Hold the measuring tape horizontally.The waist circumference in men is more than 102 cm, and in women more than 88 cm indicates obesity.

2. QUIT SMOKING

Stop smoking once and for all: how to do it?

There are many ways to quit smoking, which one to choose?

Himself: got ready, decided, gave up. Cheap and cheerful. But it is not always and not applicable for everyone.

Sport : a very useful activity: and a pleasant alternative to smoking – it can prevent smoking cravings, depression, nervousness, stressful situations, weight gain, and therefore helps to prevent smoking relapse and increase self-esteem.

With the help of a doctor : The doctor will recommend, explain, help and support …

Individual or in a group: Psychological support – individual or group helps to quit smoking. Often combined with medications.

Hypnosis : Possibly helps, although there is no convincing evidence. Maybe find something else?

Medicines . There are some, but it is better to be recommended and prescribed by a doctor. Some medications in the form of patches, inhalers and chewing gums contain nicotine and are designed to partially replenish its reserves in the body of an already ex-smoker, so that he does not experience the withdrawal syndrome of his favorite cigarettes.

Other medications behave like nicotine and are also designed to reduce the urge to smoke.

Not drugs . Acupuncture, electromagnetic waves, electropuncture – all this is good, everything works, it helps to overcome the withdrawal syndrome, and sometimes even to prevent it.

All methods are good if there is a desire and a strong will to win!

3. CHOICE FOR HEALTHY FOOD

Eating healthy foods is always a good idea. Eat 3 times a day and watch your portion sizes.Try to do without ready-made convenience foods and fast food outlets, the so-called “fast foods”.

Instead:

– When buying food, pay attention to the weight of the product, its calorie content and chemical composition, the content of proteins, fats, carbohydrates indicated on the label

– Diversify your diet as much as possible to make it more balanced. Refuse long-term use of unilateral unbalanced diets and diets; vegetarianism is possible only after consulting a doctor.

– Change the proportions of foods in your plate towards more fish, vegetables and herbs, whole grains, and less fried side dishes, sugary drinks, sauces and fat.

– It is necessary to limit sugar, confectionery, puffs; creamy ice cream, sundae, sweet carbonated drinks

– Avoiding sausages, hot dogs, smoked meats, hamburgers, hot dogs, pates, chips and other high-fat, high-calorie foods is recommended.

– Replace meat with fish (2 times a week), poultry, legumes (beans, lentils, peas.) Portions of meat or poultry should be small (90-100g ready-made), and red meat (beef, lamb, pork) should be cooked no more than 2-3 times a week.Preference should be given to lean meats or removed from meat when cooking and visible fat from the surface of the broth, and skin from chicken and other game.

– It is advisable to steam, boil, bake; you need to reduce the addition of oils, sugar, table salt. When dressing salads, it is better to use vegetable oils: corn, sunflower, olive, soy up to 2 tablespoons a day, and not mayonnaise and sour cream

– It is necessary to choose dairy products with a lower fat content: milk, yoghurts, kefir up to 1-2.5%, cottage cheese 0-9%,

– It is recommended to provide half of the bread with whole grain, wholemeal, rye or bran bread.

– In cereals – it is better to use unpeeled cereals: brown rice, buckwheat (done), whole grain oats. You can consume walnuts, almonds, chestnuts, seeds, dried fruits with cereals. Do not add sugar to cereals and do not spread butter on bread.

4. ACTIVE LIFE

Your body was born to move. So, be active in any form. Walking, walking, cycling, volleyball, dancing…. Everything your heart desires!

Try:

– walk to work, or walk 2-3 stops to transport or 30-40 minutes on foot daily

– leave your car 1-2 quarters before office

– spin to the music and dance!

90,000 Cardiologist explained the danger of high blood pressure

According to the World Health Organization, more than 1.28 billion people in the world suffer from hypertension today, which is twice as high as 30 years ago.High blood pressure 4-5 times accelerates the development of atherosclerosis, which leads to stroke, heart attack, and kidney damage. How to “catch” hypertension in time, reduce the risk of this disease or severe consequences from it and why genetically modified products in treatment can only harm, the cardiologist of the hospital for war veterans No. 2 Sergei Ivanov told “Parliamentary Gazette”.

– Sergey Nikolaevich, what is the reason for the increase in the number of hypertensive patients, what factors affect this?

– Hypertension in the structure of cardiovascular diseases occupies one of the leading places, and in the population of people over 50 years old there are always many hypertensive patients – more than half.Most often, they acquire hypertension due to a sedentary lifestyle, excess weight, stress, psycho-emotional stress, smoking, excessive alcohol consumption. Another factor that increases the number of cardiovascular diseases, including in young people, is diabetes mellitus.

– That is, hypertension occurs mainly under the influence of external factors, not hereditary?

– Heredity also has an impact. If someone in the family suffered from hypertension, then, of course, the risk of arterial hypertension is slightly higher.But there is no large evidence base specifically on the hereditary predisposition to hypertension.

– Why is hypertension dangerous?

– In case of hypertension, if a person does not have a vascular aneurysm in parallel with it, both congenital and acquired, the vessels and heart do not rupture from high pressure, but the processes of atherosclerosis proceed 4-5 times faster. With an increase in blood pressure, the endothelium, the inner layer of the vascular wall, is damaged. And then fats, cholesterol begin to be deposited faster on the walls of blood vessels and form atherosclerotic plaques.This leads to a heart attack, stroke, kidney damage and a whole cascade of complications, from which in the future patients with hypertension die.

– Not all people suspect that they have hypertension. How to “catch” this disease in time?

– The big problem is that a lot of people do not measure blood pressure regularly, because not all hypertensive patients have an increase in blood pressure accompanied by some kind of clinical picture – it can be completely asymptomatic.Therefore, people do this from time to time, having gotten to an appointment with a doctor, where they suddenly find out that they have a pressure of 150 or 160. It is clear that such an indicator does not appear in one day, but, apparently, has been in patients for several years. but they did not measure their blood pressure and, therefore, did not begin to receive rational antihypertensive therapy on time.

In general, a modern person, in addition to having to control his cholesterol level at least once every one to three years, depending on age, his sugar level, should, of course, measure blood pressure at least once a month.This is normal, this is an indicator of an adequate attitude towards yourself and your health. By the way, in order to measure pressure, it is not necessary to have a tonometer at home. Today in Moscow they are in all the centers “My Documents”, they can be freely used. In some offices, you can now even take an electrocardiogram in a minute. For this, cardio chairs are installed there. After the measurement, the cardiogram will go to the electronic medical record and will be available to doctors there as well. And if a pathology is found, then the person will receive an SMS with an invitation to a face-to-face appointment.

– How to reduce the risk of hypertension?

– The main reasons that we have more and more hypertensive patients, especially young people, is stress and a sedentary lifestyle. Unfortunately, we sit a lot at the computer, in offices, and this is a forced position with a bend in the neck, which means a load on the cervical spine, where the carotid and vertebral arteries pass. When sitting at a computer for a long time, they are physiologically squeezed, and this begins to form, including arterial hypertension.People who have such a sedentary job need to remember that every 40-45 minutes you need to take a break, walk, relieve the spine, switch.

In addition, with the “car-work-home” lifestyle, a person has almost no physical activity. And physical exercise for endurance, cardio exercise is good for any cardiovascular disease. Even with the existing hypertension, physical exercise and cardio exercise are needed, since they can reduce the amount of antihypertensive drugs taken.

© Lori.ru

– What kind of physical activity would you advise to do, including for those who are sitting on self-isolation?

– This should be a cardio load at a pulse rate of 100-120 beats per minute, which will increase the endurance of the cardiovascular system. It can be step-aerobics, treadmill, bicycle trainer. The most important thing is that the load should last more than 30-35 minutes.If we translate this into steps, since now many people use gadgets that measure the number of steps, then a modern person, including a hypertensive person, must walk at least about eight thousand steps a day.

– What else besides sports and a lack of stress can prevent hypertension? Maybe some special food?

– Yes, you need to eat less salt, exclude a huge amount of semi-finished products from your diet, adhere to a balanced diet so that there is no excess body weight, which leads to hypertension.You also need to eat fewer foods that contain animal fats. If we talk about the wrong products, then these are, as a rule, the cheapest: sausages, which contain a lot of fat, sausage, dumplings. It is healthy to eat good complete protein – meat, fish and vegetables. It is also necessary to give up the excessive use of “fast” carbohydrates, as they form type 2 diabetes mellitus.

– How can those who have already contracted hypertension protect themselves from heart attack and stroke? Sports, proper nutrition, and what else?

– Yes, nutrition, sports, and if we have a patient with hypertension, then this, of course, is rational antihypertensive therapy and it is necessary to achieve the target level of blood pressure.The target level is below 130 to 80.

In 2018, our high blood pressure bar dropped from 140 to 90 to 130 to 80, that is, today the upper level of normal blood pressure is 130 to 80. Everything above this , already pathology, that is, arterial hypertension.

– Why is the coronavirus more severe in hypertensive patients than in other people?

– Any concomitant pathology aggravates the course of coronavirus infection.For hypertensive patients in this regard, endothelial dysfunction, an imperfect internal lining of blood vessels, is a danger. We already know well that the coronavirus infection itself often causes microthrombosis, and the damaged endothelium in a hypertensive patient, of course, increases the risk of thrombosis. Hypertensive patients, as well as patients with diabetes mellitus, who also have endothelial dysfunction, are usually more severe and with a large number of complications pass coronavirus disease.

– Japan has begun selling genome-edited tomatoes to treat hypertension, according to media reports. They contain five times more gamma-aminobutyric acid, which can lower blood pressure and slow heart rate. How effective do you think such a product can be in treating a disease?

– We know gamma-aminobutyric acid well, it has been used in medicine for many years. True, mainly by neurologists, because gamma-aminobutyric acid is a nootropic.But the fact that it lowers blood pressure is a very speculative theory.

Read also:

• The doctor explained how to cope with surges in atmospheric pressure and temperature
• Cardiologist named foods good for the heart
• Scientists have found heart problems in half of the “severe” patients with COVID-19

Today we have a large selection of effective antihypertensive drugs with few side effects.And almost any patient, even with malignant arterial hypertension, can choose the right antihypertensive therapy that will keep the blood pressure level at target values. And if it doesn’t work out, then you need to look for reasons, because, for example, if a patient has plaques in the carotid arteries, then the body physiologically increases the pressure in order to supply the brain with blood in full, that is, this is a protective reaction. And in these patients it is difficult to lower blood pressure and, in principle, it cannot be reduced, because this will lead to the development of ischemic stroke.

Therefore, if the patient does not respond to treatment, then he needs to be examined in more detail. It is quite possible to find out the cause of symptomatic arterial hypertension, as well as to eliminate it, and this will not only lower the baseline level of blood pressure, but in some cases will solve the problem of hypertension.

90,000 Why blood pressure should be measured on both hands. | LLC “Medservice”

Introduction to the problem

The data of numerous studies convincingly show: the difference in pressure is more than 10 mm Hg.Art. between the right and left arms can be a marker of vascular disease in the extremities. With a steady systematic difference of 15 mm Hg. Art. and higher, the probability of having a significant lesion of the cerebral vessels, and hence the risk of stroke, increases by 1.5 times, and the probability of death from cardiovascular diseases – by 70%.

The difference in pressure on the right and left hands can be felt by discomfort, weakness, dizziness, tinnitus, decreased reaction, weakness in the arm, fatigue when performing physical activities, chilliness of the fingers.But, sometimes the pressure difference does not manifest itself in any way, and it can only be detected by regular measurement of the pressure on both hands. At the same time, patients who do not suffer from high blood pressure may have different pressure on different hands.

But, in practice, the pressure on both hands is measured extremely rarely, even in medical institutions.

Causes of pressure difference

If you identify a difference in pressure on your hands, you should not panic right away: the difference in pressure is a symptom of many conditions, both serious and not so, among which, for example, a different tone of the hands.With the help of additional examination, it is possible to understand what caused the difference.

Pressure measurements on different hands may vary due to a number of reasons:

1. Excitement. When our blood pressure is measured, we can get a little worried. Then we calm down, and the reading on the other hand can return to normal.
2. Anatomical features. For many people, the blood pressure measured on the right arm will be higher than on the left. This is especially true for those who often work physically.Sometimes fibrosis can develop in the muscles of the shoulder girdle. It causes compaction and thickening of the legs of the left scalene muscle. In this regard, the neurovascular bundle, which passes in the left side of the body, can be infringed.
3. More developed musculature on one of the arms.
4. Impaired blood circulation, including due to atherosclerosis.

Risks related to pressure differences

As mentioned above, if the difference in measuring the pressure on the hands does not exceed 5-10 mm, there is no reason to worry.If the indicators differ by 15-20 mm or more, then this is the reason for the examination. For example, for young people this may mean the presence of vascular anomalies, for middle-aged and elderly people – most often atherosclerosis. Ischemic heart disease, impaired cerebral circulation, hypertension, intermittent claudication (muscle pain when walking) – this is what often leads to atherosclerosis of the vessels.

The difference is more than 20 mm Hg. Art. between the results obtained on the right and left hand, may indicate atherosclerotic narrowing or occlusion of the subclavian artery.And this pathology already significantly increases the risk of developing a stroke.

Countermeasures

A timely detected deviation from the norm will help to diagnose in a timely manner and take the necessary measures for effective treatment, in a number of situations it will help prevent a stroke or heart attack. The difference in pressure between the right and left hand allows detecting atherosclerosis in the early stages, which speeds up the initiation of treatment and increases its effectiveness. It should not be forgotten that atherosclerosis in the early stages, regardless of the target organ, often proceeds without noticeable symptoms.

Early diagnosis of pressure difference can be an additional reason for quitting smoking, for changing lifestyle, as well as for taking medications prescribed by a doctor.

Diagnosis of stenosis of the subclavian arteries

To find out if you have stenotic lesions of the arteries or not, your doctor will examine you. Even if you are asymptomatic, your doctor may hear a murmur over the carotid or subclavian arteries caused by blood flow through the stenotic area.If necessary, first of all, an ultrasound duplex scanning of the main arteries of the head and the initial sections of the upper extremities (ultrasound-DS) will be prescribed. It allows you to determine the localization of the narrowing, its degree and significance.

For a more detailed assessment of the condition of the arteries, the doctor may recommend an angiography (X-ray examination of the blood vessels). This study is carried out by catheterization, usually of the femoral artery or artery in the wrist, under local anesthesia in a special operating room equipped with an angiographic unit.

Treatment of subclavian artery stenosis

For those cases when stenotic lesions of the arteries are diagnosed and it is already impossible to do without surgery, there are two methods of surgical treatment. The first is open bypass surgery performed by vascular surgeons. The second is a modern, low-traumatic, X-ray surgical operation – stenting performed by X-ray endovascular surgeons (under local anesthesia through a puncture). Both methods have their own indications and contraindications.Therefore, the question of choosing one of them is always decided individually.

Clinical cases

Clinical case No. 1

A patient with complaints of dizziness, lack of pulse in the left arm, periodic cramps in the shoulder, weakness in the left arm during exertion, paresthesia in the fingers, hand and forearm. Angiogram shows pronounced (up to 90%) stenosis of the left subclavian artery in the initial segment.

A balloon-expandable stent was installed in the area of ​​stenosis under local anesthesia through the femoral access (puncture on the thigh) (see.below photos before and after).

Stenosis (and the associated pressure difference in the arms) has been completely eliminated.

The patient’s well-being has improved significantly.

Clinical case No. 2

A patient with complaints of weakness in the left hand, aggravated by minimal physical activity, chilliness of the fingers of the left hand, episodes of dizziness, headaches. At the time of measurement before angiography, the pressure on the right arm was 190/100, on the left – 110/75.The difference in systolic pressure between the arms is 80 mm! Angiogram shows occlusion (blockage) of the left subclavian artery in the initial segment (Fig. 1 – angiography from the side of the aorta, Fig. 2 – angiography from the side of the left hand). Due to the complete blockage of the subclavian artery, the blood supply to the left hand was carried out according to an emergency scheme, bypassing through the brain – along the vertebral artery, that is, the brain was robbed.

With the help of special instruments, to minimize the risks of intervention, using only local anesthesia and access only through the vessels of the upper extremities (!), It was possible to pass the blocked area, expand it and install a balloon-expandable stent (Fig.3).

Adequate blood flow through the subclavian artery (and hence the blood supply to the left arm and the brain through it) was completely restored. By restoring the physiological direction of blood flow, the robbery of the brain was eliminated. With the control measurement of pressure – there is no more pressure difference between the hands.

The patient’s state of health has improved significantly.

Clinical case No. 3

A similar case.A patient with complaints of weakness in the left hand, aggravated by physical activity, chilliness of the fingers of the left hand, episodes of dizziness, headaches. The difference in systolic pressure between the arms is 40 mm. The angiogram shows subocclusion (critical stenosis) of the left subclavian artery in the initial segment (Fig. 1 – angiography before the intervention). Due to the complete blockage of the subclavian artery, the blood supply to the left hand was carried out according to an emergency scheme, bypassing through the brain – along the vertebral artery, that is, the brain was robbed.

With the help of special instruments, to minimize the risks of intervention, using only local anesthesia and access only through the radial artery (on the wrist) of the right upper extremity, it was possible to pass the blocked area, expand it and install a self-expanding stent.

Adequate blood flow through the subclavian artery (and hence the blood supply to the left arm and the brain through it) was completely restored. By restoring the physiological direction of blood flow, the robbery of the brain was eliminated.With control pressure measurement, there is no more pressure difference between the hands.

The patient’s well-being has improved significantly.

The given clinical cases are the result of examination and successful treatment of patients in the MC “Medservice”, by specialists with extensive experience in this area at the most modern angiographic complex Philips Allura Xper FD20 (Netherlands). This device with a new digital imaging system has a unique technology to suppress noise and artifacts, which makes it possible to significantly increase the clarity of the image without increasing radiation exposure and to see the thinnest vascular structures and stents.The latest generation X-ray tube minimizes radiation exposure to the patient.

Questions related to angiographic and X-ray endovascular interventions at Medservice LLC, you can ask:
Tel .: +7 (3476) 39-52-38
Email. mail: [email protected]
Ivanov Andrey Gennadievich (Head of the Department of X-ray Surgical Methods of Diagnostics and Treatment, doctor of the highest category, specializing in X-ray endovascular diagnostics and treatment)

Know the numbers of your blood pressure “KGBUZ” Taimyr MRB “

May 17 was proclaimed as the World Day Against Arterial Hypertension, under the motto “Know the numbers of your blood pressure!”

In Taimyr, as in the whole Krasnoyarsk Territory, there is an annual increase in the incidence of arterial hypertension. To date, 3561378 cases of hypertension in the adult population have been registered, in 68% of the disease is accompanied by damage to the heart and kidneys.

The proportion of cases of hypertension in people of working age is 40.8%, while those with heart and kidney damage in working age is 63.8%.

Arterial hypertension is a disease characterized by increased tone of blood vessels, thickening of the vascular wall and impaired blood supply to organs and tissues of the body.

In Russia, arterial hypertension is widespread; this disease occurs in 30% of the adult population and in 3-12% of children and adolescents.

This disease is called the “silent killer” because many people get sick without knowing it. There are cases when a person has never experienced a headache, and the disease is detected already by formidable complications – cerebral stroke or myocardial infarction.

If there are patients with arterial hypertension in the family, cases of strokes, myocardial infarctions – this significantly increases the risk of developing the disease.That is why every person needs to know their blood pressure level.

Arterial blood pressure is the force with which the blood flow presses on the arteries, through which blood vessels move from the heart to organs and tissues.

The value of blood pressure depends on the force with which the heart ejects blood into the vessels, the amount of blood pushed into the vessels, on the elasticity of the vessels, on the content and concentration of various components in the blood, etc.

You need to know that the normal blood pressure for one person is not always normal for the other.

After birth, the level of blood pressure increases and reaches optimal values ​​for each person at the age of 14-16. Most often, blood pressure is 100/60, 120/80. In the future, an increase in blood pressure occurs after 50-70 years in cases of atherosclerosis. In recent years, an increase in blood pressure occurs in people of a younger age of 20-40 years old, and sometimes even earlier, at 14-18 years old, which is most often due to hypertension.

Arterial hypertension is a periodic or persistent increase in blood pressure. With hypertension, adverse changes occur in the body, such as narrowing and loss of elasticity of microvessels, blurred vision, impaired heart rate, more often upward (tachycardia). As a result of the increased load on the heart, the muscle mass of the left ventricle increases, while its blood supply deteriorates. Atherosclerosis of the aorta, cerebral vessels, heart, etc. also rapidly develops.And the increased load on the kidneys changes the vessels of the kidneys, which leads to a deterioration in their function.

Epidemiological studies carried out on the territory of Siberia in the Far North showed a high prevalence of arterial hypertension (blood pressure level 140/90 mm Hg) at the age of 20 to 59 years in 52% of men and 38.6% of women.

The most frequent complaints of high blood pressure are headaches, dizziness, flashing “flies” before the eyes, poor sleep, frequent waking up, insomnia, irritability, blurred vision, pain in the heart, fatigue, depression of mood.A connection between severe headache and changes in meteorological conditions is often noted.

The course of the disease can be different. At first, episodic rises in blood pressure are observed, but if treatment is not carried out, then the pressure will rise more and more often and eventually become steadily increased.

Selective damage to organs and body systems is characteristic of arterial hypertension. Such organs – “targets” for arterial hypertension are: heart, kidneys, brain, vessels, in particular, the vessels of the fundus.

Subjective symptoms in case of damage to organs of “targets”

– Brain – headache, dizziness, nausea, vomiting, flashing before the eyes of “flies”

– Heart – palpitations, shortness of breath, pain in the heart

– Kidneys – frequent urination at night

– Peripheral vessels – coldness of the extremities, pain in the calf muscles of the legs when walking (intermittent claudication)

– Vessels of the fundus – visual impairment, flashing “flies” in front of the eyes.