What does a 107/59 blood pressure mean? What should you do if you have 107/59 blood pressure? Discover easy home remedies and frequently asked questions about 107/59 blood pressure.

Understanding 107/59 Blood Pressure

A blood pressure of 107/59 indicates that you are experiencing low blood pressure, also known as hypotension. This medical condition arises when the blood pressure readings fall below 90/60. The ideal blood pressure range is between 90/60 and 120/80, so a reading of 107/59 is considered low.

Low blood pressure means that the pressure exerted by the blood flowing through the vessels is lower than expected. This can lead to the heart not being able to pump blood effectively to all parts of the body, resulting in various health complications.

What to Do if You Have 107/59 Blood Pressure

If you have measured your blood pressure at home and it is 107/59, it is highly recommended to have it checked by a healthcare professional. A trained doctor can clinically assess your condition and confirm whether the low reading is accurate. There can be instances where the home reading may be incorrect due to various factors, such as errors in measurement, device damage, or a temporary physical or mental state.

The doctor will monitor your blood pressure over the course of 7-30 days to confirm the accuracy of the low reading and determine the appropriate treatment plan. They may also consider factors like white coat hypertension or masked hypertension, where the blood pressure readings may differ in a clinical setting compared to home measurements.

Lifestyle Changes to Improve Low Blood Pressure

Making reasonable changes to your lifestyle can have a significant impact on improving low blood pressure. Some of the recommended changes include:

• Consulting a physiotherapist to develop a suitable exercise plan
• Incorporating healthy dietary habits, focusing on foods that can help raise blood pressure
• Managing stress and addressing any underlying mental health conditions that may contribute to hypotension

Medications for Low Blood Pressure

If lifestyle changes alone are not enough to manage your low blood pressure, your healthcare provider may prescribe medications. Some common medications used to treat hypotension include:

1. Fludrocortisone: A synthetic adrenal corticosteroid that helps retain sodium and water in the body, thereby increasing blood volume and pressure.
2. Midodrine: A vasoconstrictor that helps narrow the blood vessels and increase blood pressure.
3. Droxidopa: A medication that is converted to norepinephrine in the body, leading to increased blood pressure.

Potential Complications of Low Blood Pressure

Untreated low blood pressure can lead to various health complications, including:

• Heart attack
• Cardiac arrest
• Heart valve disorders
• Bradycardia (slow heart rate)
• Hormonal imbalances

Therefore, it is crucial to seek medical attention and follow the recommended treatment plan to restore your blood pressure to a healthy range and prevent these complications.

Stress and Low Blood Pressure

Interestingly, stress can also be a contributing factor to low blood pressure in some individuals. The human body’s reaction to different situations can vary, and not necessarily lead to hypertension (high blood pressure). In some cases, stress and anxiety can trigger hypotension as well. This is why it is important to address the root cause of your low blood pressure, rather than attempting self-treatment.

Dietary Supplements for Low Blood Pressure

While a balanced diet is the primary source for supplementing your body, the adulteration of modern food products and the prevalence of processed foods can make it challenging to get all the necessary nutrients. In such cases, dietary supplements may be helpful in managing low blood pressure. Some supplements that may be beneficial include:

• Electrolytes (sodium, potassium, magnesium)
• Adaptogenic herbs (such as ginseng, ashwagandha)
• Omega-3 fatty acids
• Vitamin B12

It is important to consult with a healthcare professional before starting any new supplement regimen, as they can provide personalized recommendations based on your individual needs and medical history.

Blood Pressure 107/59: What Does It Indicate?

A blood pressure of 107/59 indicates that you are having a LOW BLOOD PRESSURE which can be an immediate health crisis if the levels are too low.

This article tells you:

• What does a 107/59 blood pressure mean?
• What should you do if you have 107/59 blood pressure?
• Some easy to do home remedies and supplementations.
• Frequently asked question that will answer many of your queries regarding your 107/59 blood pressure.

The blood pressure value of 107/59 specifies the fact that the individual in question is suffering from low blood pressure or hypotension.

This is the medical condition that arises when the value of readings for the blood pressure of a person is less than [90/60].

The ideal blood pressure for an individual is between [90/60] and [120/80]. But for any reason, if the blood pressure falls below the specified readings, then the person can be said to be suffering from hypotension.

The medical condition of hypotension means that the pressure exercised by the blood flowing through the vessels over those is lower than the expected value.

And the same can be said in terms of the heart pumping blood to all the parts of the body. Low BP indicates that the heart is not able to pump blood to all the body parts to the extent that has been termed as necessary. And therefore, more complicated medical problems arise because of Low BP.

The effects or symptoms of these problems are not visible in the overall health of an individual. But these do certainly affect the individual in more ways than just one.

Here is a set-by-step procedure to follow when you figure out you have a blood pressure of 107/59.

If your blood is 107/59 and you have checked the same in your home setup, it is highly recommended to get it checked at your doctor’s office.

A trained professional has to clinically assess your condition and confirm that your 107/59 is, in fact, clinically valid.

There are instances when your reading at home setup might give you a reading which is incorrectly reported. It could be because of an error in reading it, damage to your device, your physical or mental condition on that particular day, etc.

Therefore, a doctor has to assess it over the course of 7 – 30 days periodically before he/she can confirm the accurate stage of your blood pressure.

In some cases, a patient might report wrong blood pressure in a hospital setup, called white coat hypertension. Here the patient may show higher blood pressure than their actual because of the anxiety inside a hospital environment.

In contrast, some patients may have masked hypertension in which the person may show lower blood pressure at clinical setup, but at home, they may have higher blood pressure.

All these conditions are linked to physiology and psychology and, therefore, better to be validated by a doctor.

Even the small changes that you make in your life can lead to having a really impressive effect on your overall health. And, the same can be said regarding the problem of low blood pressure.

If you choose to make reasonable changes in your lifestyle, you can improve your blood pressure to a significant level.

Here are some of the changes that you can bring into your lifestyle to improve your health and your blood pressure level:

You do not need to hesitate from consulting with a physiotherapist about the problems that you are having. Through a relationship of mutual trust, you will be able to get a prescription that will be best suited for your body and overall health.

Following are the prescribed medicines that are greatly helpful for people suffering from low blood pressure.

There are significant changes that you can see in your health if you were to eat healthily every day. And particularly in the case of hypotension, you should know what to eat and what not to.

Some of the comorbidities associated with low blood pressure include heart attack, cardiac arrest, heart valve disorder, bradycardia, and hormonal imbalance.

When you have 107/59, the above-mentioned comorbidities may follow; if correctly, medical attention is not sought.

Therefore, it is highly recommended to treat your hypotension, get it back to a normal level of 120/80 and maintain it.

Even stress is linked to hypotension in some patients. Since the human body reacts differently to different situations, not necessarily depression and anxiety lead to hypertension, but hypotension too. 

This is why it is important to get medical attention rather than treating yourself so that the root cause will be rectified and corrected.

Sometimes managing blood pressure is all about supplementing your body with the right diet. Food is undoubtedly the best primary source to supplement your body.

However, in the current scenarios, we all know how much adultered our foodstuff is, and most of us are pushed towards processed foods to feed ourselves in this fast-paced world.

All these food are high in sugar and sodium and doesn’t contain any vital nutrients that are important for a healthy heart.

This is where some of the nutraceutical-based blood pressure supplements come in handy. These products combine all critical nutrients your heart craves, thereby assisting the better function of your cardiovascular system.

Generally, these supplements are a concoction of herbs, plant-based products, dairy products, and some animal products. They are 100% organic and natural and don’t contain any harmful chemicals.

If you are hearing about these segments of products for the first time,  to start with, you may blindly go for Blood Pressure Support from Vita Balance Inc, Blood Pressure Optimizer from HFL, or Corsanum, marketed by PLT Group.

The only one thing to keep in mind is that choose the best supplement that promote healthy blood pressure, because when it comes to the heart, there is no taking of risk!

Low Blood Pressure or hypotension is not a problem to be made light of. If done so, it will only lead to more complications shortly. Rather than disregarding this problem, consulting with a professional physiotherapist will do you no harm.

Together, you can come up with the best solutions for you, especially when your blood pressure reading is 107/59.

FAQ (Frequently Asked Questions)

1. What is the blood pressure, and what are the normal values?

Blood pressure is the pressure that is exerted by the blood flowing through arteries over those. Alongside that, this is the efficiency with which the blood is pumped by the heart to all the parts of the body through the circulatory system.

The normal values for blood pressure are between [90/60] and [120/80]. If a person has a blood pressure equivalent to this much, then it means that the blood will be flowing through the arteries relatively easily.

2. What is considered to be high blood pressure?

Blood pressure over the value of [130/80] is considered high blood pressure. This signifies that high pressure is being exerted by the blood flowing through the vessels over those.

And therefore, it is difficult for the human heart to be able to pump blood to all the parts of the body rather efficiently. This is a problem that can arise when the size of the vessels is contracted compared to the original size.

3. What is considered to be low blood pressure?

A blood pressure lesser than the value of [90/60] is termed low blood pressure. This type of value means that low pressure is put forward by the blood over the vessels that are carrying it. It can also be taken as a measure that, the blood is not able to reach all the parts of the body.

Or, the heart is not capable of circulating blood to all the parts of the body in an effective way. This problem in blood pressure is mainly the effect of dehydration and pregnancy.

4. What are hypertension and hypotension? Are they both the same as high and low blood pressure?

Hypertension is the condition that emerges when a person is having high blood pressure. Because of contraction in vessels, the blood can not flow through the vessels efficiently, and therefore, high pressure is exerted over the blood vessels, this particular condition is high blood pressure, also referred to as hypertension.

Hypotension is the condition that comes into effect when the blood pressure of a person is lower compared to the ideal value of blood pressure. This means that the heart is unable to pump blood through the blood vessels to all the body parts. This type of situation when observed is called low blood pressure, or hypotension.

5. What will happen to your general health when you have high blood pressure?

High blood pressure puts you at an imminent risk of arteries rupture because of the high pressure applied over those by the circulating blood. This can, in turn, affect the circulation of blood to all the parts of the body, and your heart itself. And, the latter part can lead you to some serious heart diseases. The high pressure applied over the heart walls can put you close to the risk of heart attack and heart failure.

6. What causes high blood pressure and low blood pressure?

The medical conditions of high blood pressure and low blood pressure are both effects of the lifestyle that we lead. This means that if we adapt to a lifestyle that is in line with our body and overall physical fitness, then we will have ideal blood pressure.

But, if our lifestyle is deviated from what we had started, some medical conditions can arise. High blood pressure and low blood pressure are some of those problems.

7. What are the risks of having high blood pressure?

The most serious risk that is faced by an individual that is suffering from high blood pressure is the risk of heart attack, heart failure, or some chronic disease related to the heart.

Moreover, there are also the additional risks of strokes, vision loss, diabetes, kidney failure, unresponsiveness to external stimuli, chronic chest pain, artery damage, and vascular dementia.

8. What can I do to lower my blood pressure?

To lower your blood pressure, the foremost step should be to limit the intake of sodium salts. Then, it will be good for you to opt for a healthy lifestyle; eat healthy meals and exercise daily. Try to maintain your weight to healthy proportions. Limit the intake of alcohol and caffeine-related beverages, and quit smoking.

Also, you need to have an adequate amount of rest every day and keep your stress and anxiety in proper check. If you continue to face high blood pressure problems even after making these changes in your lifestyle, it will be good for you to consult with a physiotherapist to discuss your blood pressure medications.

9. What are the risks of having low blood pressure?

The harmful effects that are associated with low blood pressure are not as prominent as what is associated with high blood pressure, but they can serve to be just as much harmful in the long run. Low blood pressure can lead to lightheadedness, dizziness, and confusion for a prolonged period.

This is a condition that can make you weak physically as well as mentally. Low blood pressure leads to a depletion in the effectiveness of motor senses, and the subject is likely to faint from time to time. This condition can also lead to blurred vision and can damage peripheral nerves over a long time.

10. What can I do to increase my blood pressure?

Increase the usage of table salts in your diet, and drink plenty of water. Limit your intake of alcohol as it is a dehydrating agent. Increase your diet by taking small meals multiple times with low carbs. Exercise daily and try to take up a lifestyle that will be good for your health and physical well-being.

Try to maintain a body weight that will be good as per your physical stature and age. Avoid changing positions abruptly, and wear compression stockings to improve blood flow in the legs. Also, consult a physiotherapist regarding your medications for low blood pressure.

11. Can smoking and alcohol affect my blood pressure?

Smoking and alcohol have an active impact on the blood pressure levels of an individual. These can lead to an effective change in the size of arteries that carry blood to all the parts of the body.

Heavy intake of alcohol can increase blood pressure in individuals to a significantly high level and this can even lead to long-term blood pressure issues in the individual. On the other hand, smoking is as bad as it can be. It leads to the contraction of blood vessels, which increases the pressure of blood over the heart walls. This puts you at risk of heart disease.

12. How to correctly check my blood pressure at home?

If you want to check your blood pressure at home, you can use portable blood pressure monitors to do so. These are highly adaptable and can help provide you with your blood pressure levels closest to accurate.

But if you are seeking precision in the readings, then it will be good if you were to follow certain measures. For once, avoid intake of caffeine and alcohol before taking the reading. And, have a proper rest of nearly 10 minutes before measuring your blood pressure.

13. Why is it important to visit a doctor to confirm high/low blood pressure?

It is important to visit a doctor regarding blood pressure for the sake of the precision of the outcome or the result of the readings. Moreover, in a proper medical facility and care of professionals, you will be able to get guidance about how to keep your blood pressure in check if it is not per your ideal blood pressure.

Also, you can get a consultation regarding the changes that you will need to make in your lifestyle to bring your blood pressure back in check.

14. Should you be worried about high blood pressure during pregnancy?

High blood pressure during the latter half of the pregnancy is not that rare of an occurrence. However, it is not something to make light of either. If not treated properly, or significant steps are not taken regarding it, this high blood pressure may pose danger to the health of the parent as well as the baby.

This type of high blood pressure or hypertension is called gestational hypertension, and it is not long-lasting. It goes away after the delivery of the baby.

15. What are some of the symptoms to watch out for in high blood pressure?

The symptoms of high blood pressure are not something that can be ignored readily. These symptoms include severe headache, anxiety attacks, shortness of breath, nosebleeds, blood spots in the eyes, intense fatigue, blurred or distorted vision, and vomiting or nausea. These symptoms are not something to be taken lightly.

High blood pressure is not an incurable problem, but measures are needed to be taken against it in the due time. So, don’t make light of the symptoms and consult a physiotherapist regarding these.

16. What foods should you eat to lower blood pressure?

To lower blood pressure eat a diet that is rich in minerals like calcium, magnesium and potassium.

Besides this, it is good to take short meals that are low in curbs. Instead of deep-fried products, it will be good if you were to incline towards a diet that is mainly consisting of vegetables like spinach, broccoli, and other leafy green vegetables.

Consume lots of low-fat poultry and dairy products. These will help enable a healthy diet for you and help you lean towards a healthy lifestyle.

17. What are the best herbs and spices for high blood pressure?

Many known herbs and spices are proven to have a significant effect on high blood pressure. Significantly, basil, parsley, Chinese cat’s claw, celery seeds, Brahmi, thyme, garlic, and ginger are the herbs that are most commonly made use of by people that are suffering from high blood pressure. Along with these, cardamom, cloves, ajwain, green oat, and flaxseeds are the spices that help manage high blood pressure.

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107/59 blood pressure – is it good or bad?

Home > Resources > Blood pressure lookup > 107/59

Maintaining a healthy blood pressure throughout your life is one of the most important things you can do for long-term health and longevity. Whether you’re looking up a blood pressure of 107/59 for yourself or a loved one or simply out of your own curiosity, you’re taking the right steps by being informed and empowering yourself or someone else to be their own best advocate.

According to the American Heart Association, a blood pressure reading of 107/59 would be considered
hypotension, or low blood pressure. Low blood pressure, or hypotension, is defined by a systolic reading (the top number) of less than 90 or a diastolic reading (the bottom number) of less than 60. Low blood pressure generally isn’t considered an issue unless it causes symptoms (such as dizziness, light-headedness, or fainting) or unless it drops suddenly.

Okay, now you know how to classify a blood pressure of 107/59, but now what do you do with that information? Read on to learn more or look up another blood pressure reading.

What is a good blood pressure reading?

According to the American Heart Association, a normal blood pressure reading is lower than 120/80. While there is no specific number for low blood pressure, most experts say blood pressure is too low when it causes symptoms or drops suddenly. In general, though, low blood pressure can be considered anything under 90/60.

More information about a blood pressure reading of 107/59

A blood pressure reading of 107/59 is pronounced “107 over 59.” You may also see it written colloquially as 107/59 bp.

In a blood pressure reading of 107/59, 107 is called the systolic number and 59 is called the diastolic number. Systolic refers to the part of the cardiac cycle in which the heart contracts and pumps blood from the chambers into the arteries, and diastolic refers to the part of the cardiac cycle in which the heart relaxes and allows the chambers to fill with blood. You may also hear the systolic and diastolic numbers referred to as the top number and the bottom number.

Systolic and diastolic readings are measured in mmHg, which is a unit of pressure equal to the pressure that can support a column of mercury 1 millimeter high. Hg is the chemical symbol for mercury. For a blood pressure reading of 107/59, you would pronounce it “107 over 59 millimeters of mercury.”

How do you measure blood pressure?

In a doctor’s office, blood pressure is traditionally taken manually by a doctor or nurse with a sphygmomanometer. A sphygmomanometer is a medical instrument with an inflatable cuff and pressure meter or dial. The sphygmomanometer is placed snugly around the upper arm and is inflated by hand, and the doctor or nurse listens to the brachial artery with a stethoscope as they gradually reduce the pressure of the cuff. When the whooshing sound of blood is first heard through the stethoscope, the doctor or nurse makes note of the reading on the pressure meter. This indicates the systolic blood pressure reading. When the sound disappears, the reading on the pressure meter indicates the diastolic pressure reading.

Blood pressure can also be taken at home using a number of a digital devices. They typically consist of an inflatable cuff and digital display and simply work by placing the cuff around the upper arm and pressing a button, after which the cuff inflatess, deflates, and displays a reading. The most popular blood pressure machines for home use are made by Omron, Beurer, and Paramed, amongst many others.

One thing to keep in mind is that blood pressure can vary by time of day and activity level, so if you’re taking it at home it’s important to check it around the same time each day and rest for a few minutes ahead of time to limit as many variables as possible. It can also be affected by eating.

Blood pressure tends to rise in the hours before waking and then drop in the afternoon and evening before dropping to its lowest point while sleeping, so one popular recommendation is to check it just after waking up and just before bed to identify trends in how it varies from morning until night. Because of this, you might find that if your blood pressure is 107/59 in the morning, it might be lower before bed, and vice versa. Of course, these are just general rules of thumb and may vary by the individual.

Relevant HSA expenses

If you have an HSA as part of your health insurance plan, you’ll be pleased to find that blood pressure monitors, blood pressure cuffs, and wrist blood pressure monitors are all eligible, including smart blood pressure monitors like the offerings from Qardio and Withings.

How the heck do you pronounce sphygmomanometer?

Sphygmomanometer is pronounced sfig-moh-muh-‘nah-mi-ter. Easy!

Explore blood pressure readings similar to 107/59

The following table shows related blood pressure readings because sometimes just one number can make all the difference.

Please note that if a field is blank, it’s not an accident—it simply means a record doesn’t exist for that particular blood pressure. This could be because going forward or backward would create a blood pressure reading that wouldn’t make sense, or because that blood pressure simply doesn’t exist in our records.

Sources

• Understanding blood pressure readings – American Heart Association
• High blood pressure – Mayo Clinic
• Get the most out of home blood pressure monitoring – Mayo Clinic
• Blood pressure – Wikipedia
• How to pronounce sphygmomanometer – Dictionary. com

Disclaimer

The information on this page is intended to be an educational reference and is not to be taken as medical advice. If you think you’re having a hypertensive or hypotensive emergency, or if you’re having any kind of medical emergency, please call 911 immediately.

Hypertension and cancer

05/28/2021

In recent years, due to the development of modern methods of treating oncological diseases, the number of patients who are successfully treated or cured is increasing, and the life expectancy of oncological patients is also increasing. At the same time, this leads to an increase in cardiovascular diseases, which develop both during and after cancer treatment.

According to statistics, the incidence of cardiovascular disease in cancer patients who have previously received any type of anticancer therapy is significantly higher than in non-cancer patients.

Cancer and cardiovascular disease share common risk factors: smoking, diabetes, obesity. Against the background of oncological disease, kidney disease, arterial hypertension, which also indirectly, through kidney disease, can lead to the development or progression of already existing cardiovascular diseases, may appear.

Diseases characterized by high blood pressure

Diseases characterized by high blood pressure are divided into two groups:

1. Essential or primary hypertension (hypertension) is a common comorbidity in cancer patients. Primary arterial hypertension is a multifactorial disease that often does not have a single common cause of occurrence and the mechanism of its development is a violation of the regulation of blood pressure.
2. Secondary (symptomatic) arterial hypertension. They may be due to anticancer therapy or cancer – primary kidney cancer, kidney metastases. They can also develop in paraneoplastic syndromes, when a tumor releases certain vasoactive substances into the systemic circulation that affect the tone and diameter of the lumen of blood vessels, especially arteries, which in turn causes an increase in blood pressure.

There are various neuroendocrine tumors that also release vasoactive catecholamines into the blood, which increase blood pressure.

In adrenocortical cancer, the tumor produces vasoactive glucocorticosteroids and aldosterone.

In general, arterial hypertension is the most numerous group of complications. It accounts for 1/3 of all cardiovascular complications in patients receiving anticancer treatment. There is also evidence that arterial hypertension can occur in more than 70% of patients with primary kidney cancer.

Anticancer treatments that cause high blood pressure

1. Vascular endothelial growth factor (anti-VEGF) or tyrosine kinase inhibitors, which are used in particular in the treatment of kidney cancer. This is a widely used group of drugs, and indications for the use of these drugs are constantly expanding.
2. Cyclophosphamide , cisplatin, vinblastine, gemcitabine.
3. Radiotherapy. Cases of arterial hypertension are described during irradiation of the abdominal region, when stenosis of the renal arteries develops and blood pressure rises. When the head and neck area is irradiated, failure of baroreflexes may occur, which also causes an increase in blood pressure.
4. Drugs that are not antineoplastic but are used as concomitant therapy and may increase blood pressure: erythropoietins, non-steroidal anti-inflammatory drugs, glucocorticosteroids and calcineurin inhibitors.

All of these treatments, both in combination and separately, can cause arterial hypertension and destabilize existing primary hypertension.

The most common cause of hypertension is tyrosine kinase inhibitors or vascular endothelial growth factor inhibitors.

The mechanism of arterial hypertension occurrence in this case consists of the following processes: substances that widen and narrow the arteries, causing an imbalance.

The density of the capillary network is decreasing.

Arterial hypertension, which is associated with the use of tyrosine kinase inhibitors, is a fairly common complication, and for some drugs it can reach almost 70%, that is, many patients face this complication.

What should I do before starting therapy with VEGE inhibitors?

1. History taking. It is necessary to describe what cardiovascular diseases are present, and what methods of anticancer treatment have been used previously.
2. Performing a physical examination with measurement of blood pressure and body mass index. If there is a suspicion of “white coat hypertension”, when the patient’s blood pressure rises at the doctor’s office, then it is recommended to use the so-called out-of-office methods of measuring blood pressure: this is daily monitoring or self-monitoring of blood pressure by the patient at home.
3. Conducting electrocardiography, echocardiography.
4. Biochemical blood test with determination of creatinine clearance, lipid spectrum, glucose, potassium, sodium.
5. Complete blood count.
6. If chronic renal failure is suspected, an ultrasound examination of the kidneys and a test for microalbuminuria should be performed.

Based on the results of these baseline tests, the physician will determine the patient’s risk profile.

• In the low-risk group, monitoring of risk factors and the course of existing cardiovascular diseases is recommended.
• The intermediate risk group requires more frequent monitoring of cardiovascular risk factors. The doctor may consider the appointment of a consultation with a cardiologist or a cardio-oncologist who knows the specifics of managing patients of an oncological profile.
• High or very high risk group must consult a cardiologist or cardio-oncologist before starting anticancer treatment

How often should blood pressure be monitored during therapy with vascular endothelial growth factor inhibitors?

Current understanding is that blood pressure should be monitored daily during the first cycle of therapy. If at the end of the first cycle of therapy the pressure remains at the target level, then the measurement can be carried out every 2-3 weeks. It is important to bear in mind that changes in antihypertensive drug therapy are best made between cycles of anticancer therapy.

How to measure blood pressure correctly?

Measurement of blood pressure is the main indicator that is important for the correct selection of therapy and its change.

• Blood pressure should be measured while seated, in a quiet, comfortable environment after five minutes of rest.
• It is recommended to measure blood pressure at intervals of 1-2 minutes. If the first two measurements do not differ by more than 10 mm from each other, then a third measurement must be taken and the true value will be the average of the last two measurements.
• If the patient has cardiac arrhythmias (atrial fibrillation, various supraventricular arrhythmias, etc.), it is recommended to use a manual sphygmomanometer. Because most automatic blood pressure monitors are not validated for patients with arrhythmias.
• It is important to choose the right cuff. Most patients fit the standard cuff. But if the circumference of the patient’s shoulder is more than 35 cm, then it is recommended to use a large cuff. If the patient is thin, then a small cuff should be used.
• The cuff should be positioned at the level of the heart.
• When measuring blood pressure using a manual sphygmomanometer, it is necessary to focus on phases 1 and 5 of the Korotkoff sounds, that is, this is what we hear with a phonendoscope when we measure blood pressure.

What are the target blood pressure levels?

Blood pressure measurement targets differ depending on which measurement method is used.

Office blood pressure (which is measured at the doctor’s office) – the boundary of hypertension is the level of more than 140 and 90 mm Hg. Art. If 24-hour blood pressure monitoring is used, then during the day the gradation is 135 and 85 mm Hg. Art., at night – 120 and 70 mm Hg. Art. If blood pressure is measured by the patient himself at home, then the target level here is 135 and 85 mm Hg. Art.

At what blood pressure level should treatment for hypertension be started?

There are many classifications of degrees of arterial hypertension, various gradations, but there is one level below which it is recommended to maintain blood pressure – it is less than 140 and 90 mm Hg. Art. It is necessary to strive for such indicators.

Therapeutic tactics for arterial hypertension

Therapeutic tactics for arterial hypertension consists of two blocks:

1. Taking medications that lower blood pressure.
2. Modification of risk factors, i.e. daily actions that can affect these factors: diet, salt restriction, increased physical activity, normalization of weight, smoking cessation. It must be understood that there are risk factors that cannot be modified – this is age and heredity.

There are two goals to achieve by lowering blood pressure:

1. Reducing cardiovascular risk. Numerous population-based studies have shown that an increase in blood pressure for every 5-10 mm Hg. Art. leads to a fold increase in the likelihood of major cardiovascular events such as myocardial infarction, stroke, heart failure, or sudden cardiovascular death. Therefore, the target levels of blood pressure must be achieved in order for the patient to avoid these significant cardiovascular diseases in the future.
2. Preservation of the possibility of effective anticancer therapy. The doctor, for his part, must make every effort to ensure that the patient does not interrupt antitumor therapy due to increased blood pressure.

Goal is less than 140 and 90 mmHg, ideally less than 120 and 80 mmHg if achievable.

What drugs are used to treat arterial hypertension induced by vascular endothelial growth factors?

First-line angiotensin-converting enzyme inhibitors. These are fairly common drugs – enelapril, lisinopril, ramipril, perindopril, fosinopril. These are type 2 angiotensin receptor blockers – valsartan, losartan, telmisartan. Calcium antagonists – amplodipine, felodipine, diuretics and beta-blockers.

Hypertension drug strategy

Combination therapy should be used at the start of treatment. First-line drugs are combinations of an angiotensin-converting enzyme inhibitor or an angiotensin-type 2 receptor blocker with calcium channel blockers.

If this combination therapy does not achieve a satisfactory level of blood pressure, it is recommended to switch to the addition of diuretics. If such therapy is not successful, then it is recommended to add spironolactone or try other diuretics, it is also possible to use alpha-blockers, beta-blockers.

When should vascular endothelial growth factor inhibitor therapy be discontinued?

First of all, with the development of uncontrolled arterial hypertension. If, through optimal drug therapy in various combinations and in optimal therapeutic doses, it is not possible to achieve blood pressure of less than 180 and 110 mm Hg. and complicated arterial hypertension develops, that is, there are signs of acute heart failure, acute coronary syndrome, cerebral symptoms, then arterial hypertension, regardless of the level of blood pressure, is regarded as complicated. And in such cases, by obligatory agreement with the attending oncologist, it is possible to reduce the dose or suspend antitumor therapy for a certain period. It is necessary to immediately contact a cardiologist, internist or cardio-oncologist to strengthen existing antihypertensive therapy or revise it. And as soon as the level of blood pressure allows, you can resume taking anticancer therapy.

It is important to remember that blood pressure levels of 180 and 110 mm Hg. is the upper limit at which the use of anticancer therapy is possible.

Patients sometimes wonder if antihypertensive therapy reduces the effectiveness of anticancer therapy. To date, there is no evidence to support this.

Conclusion

Cancer patients are at higher risk of developing hypertension.

Arterial hypertension leads to an increased risk of developing serious cardiovascular diseases: heart attack, stroke, heart failure.

Blood pressure monitoring is important.

The choice of antihypertensive drugs should be made taking into account the individual characteristics of the patient and ongoing anticancer treatment.

See also: Features of vaccination of cancer patients: recommendations for children and adults

References

1. Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2018;71:e127–248.
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Author’s publication:
Kozyavin Nikita Aleksandrovich
Head of the Consultative and Diagnostic Center, oncologist, cardiologist, functional diagnostics doctor

Seven states will allocate €107.5 million for the purchase of air defense for Ukraine

06/15/2023 at 01:59

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The press service of the Lithuanian Ministry of Defense issued a statement, which refers to the allocation of funds for the purchase of air defense for Ukraine.

It is specified that the amount of aid allocated to Kyiv will amount to 107.5 million euros. It will be formed at the expense of the seven states that make up the so-called International Fund for Ukraine. This coalition includes the UK, Denmark, Iceland, Lithuania, Norway, the Netherlands and Sweden.

“The purchase of air defense equipment for Ukraine is the first of five expected support packages under the Fund’s second round of procurement,” the document says.

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Authors:

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  Inessa Buslaeva

Ministry of Defense
Ukraine
Lithuania

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