Archive for the ‘Blood Pressure FAQ’ Category

Why is it important to lower blood pressure?

Monday, June 15th, 2009

According to the American Heart Association, high blood pressure is the number 1 modifiable risk factor for stroke and approximately 21.3.% of people with hypertension do not know they have the condition. It can lead to a plethora of health problems such as heart attack, stroke, vascular dementia, angina, heart failure, kidney failure, peripheral arterial disease, aneurysm and it can even make blood vessels in the eyes burst or bleed.
High blood pressure facts:

  • In 2005, high blood pressure was reported as a primary or contributing cause of death for 319,000 Americans.
  • It is estimated that nearly 1 in every 3 Americans has high blood pressure and that nearly one billion people are affected worldwide.
  • Approximately 90% of middle-age adults are expected to develop high blood pressure during their lifetime.
  • It is estimated that a 2mmHg decrease in systolic blood pressure in the population would result in a 6% reduction in mortality from stroke, 4% from coronary heart disease and a 3% decrease in overall mortality.

In patients with high blood pressure, the heart often has to work extra hard to produce adequate blood flow and this increase in stress on the heart can cause it to enlarge over time. The added pressure on the artery walls can also cause damage to the endothelium making it easier for plaque and cholesterol to build up and narrow the artery. High blood pressure is especially dangerous because most of the time is has no symptoms, earning it the nickname of “The Silent Killer”.
» More: Why is it important to lower blood pressure?

What exactly is high blood pressure?

Monday, April 6th, 2009

Blood pressure is a measure of the force with which blood pushes against artery walls. Systolic blood pressure (the top number) refers specifically to the pressure when the heart beats and pushes blood through the heart and into the arteries. The pressure between heartbeats, when the heart is at rest, is called the diastolic pressure (the bottom number). According to the JNC7 “normal” blood pressure for an adult is 120 systolic and 80 diastolic or 120/80 mmHg.

High blood pressure, also known as hypertension, occurs when arteries have contracted making it more difficult for blood to flow, which puts extra stress on the heart and places excessive pressure on the artery walls usually causing damage to the endothelium (the lining in the arteries). The danger lies in the extra stress on the heart, often causing the heart to enlarge over time, and the increased likelihood for narrowed, stiff blood vessels that are easily blocked. There are a variety of known reasons for why the arteries contract, although there are instances in which there is no explanation found.

Relaxation to Lower Blood Pressure- Does it Work?

Wednesday, March 25th, 2009

With high blood pressure estimated to reach nearly one in every three adults, and considered responsible for 13% of deaths worldwide, efforts to find effective treatments have intensified. In recent years, relaxation techniques have received attention as a way to lower blood pressure naturally; however, in light of recent analysis it appears that the scientific research to defend these methods as a long term treatment is marginal at best.

In the first online issue of 2009, The Cochrane Library published a review titled “Relaxation therapies for the management of primary hypertension in adults”. A team of 7 specialists meticulously reviewed related studies and discovered 25, which included close to 1,200 participants, met their inclusion criteria. The studies covered a range of relaxation techniques, such as breathing exercises, biofeedback and yoga.

The analysis revealed a small, though statistically significant, drop in blood pressure of around 5/3 mmHg; however, the analysts expressed concerns that the poor quality trials and comparisons with non-intervention controls artificially inflated the reduction in blood pressure. Interestingly, when you compared the deductions from relaxation therapies to sham therapies, the difference between the two is insignificant. More importantly, the trials were not long enough to determine if relaxation helped ward off death, heart attack or stroke.

The researchers concluded that, “In view of the poor methodological quality of studies included in the meta-analysis, it is difficult to draw any definitive conclusions about the efficacy or lack of efficacy of relaxation techniques for primary hypertension” and also, “Since there is no good evidence that relaxation therapies result in meaningful reductions in blood pressure, patients with mild to-moderate hypertension who prefer non-pharmacological interventions may wish to consider alternative strategies - such as diet, exercise, and restriction of intake of alcohol and salt - which result, on average, in small reductions in blood pressure”

Sources:
Dickinson HO, Beyer FR, Ford GA,Nicolson D, Campbell F, Cook JV,Mason J. Relaxation therapies
for the management of primary hypertension in adults. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD004935. DOI: 10.1002/14651858.CD004935.pub2. Retrieved 3/24/09 fromhttp://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD004935/pdf_standard_fs.html.

Heart Attack Warning Signs: Different for Men and Women

Wednesday, January 28th, 2009

It has generally been assumed that heart attack symptoms are the same for both men and women, but a study published in the Journal of the American Heart Association seems to indicate that women experience heart attacks, specifically chest pain, differently than men.

The study revealed that fewer than 30% of the 515 women in the study had chest pain or discomfort prior to their heart attack and 43% said they had no chest pain during the attack. When women did report chest pain words such as aching, tightness or pressure were more commonly used than pain. The most common symptoms reported were unusual fatigue (70.6%), sleep disturbance (47.8%) and shortness of breath (42.1%) as much as a month before the attack. The entire report can be found here.

Did You Know? Hypertension and Cardiovascular Disease

Tuesday, January 13th, 2009

The Facts

  • 2,400 Americans die every day from heart attack and stroke every year (more)
  • More than 1 in every three Americans has one or more types of cardiovascular disease (more)
  • Heart disease is the number one killer among women in the US (more)
  • Nearly 1 in every 200 death was because of adverse drug side effects in 2005 (more)
  • There is no cure for high blood pressure, only treatments
  • There are no symptoms of high blood pressure

Hypertension related research shows…

  • Those with a history of heart disease were 40% less likely to laugh than those without the disease (more)
  • One third of people who slept less than 5 hours per night have calcified arteries (more)
  • Women who drink one regular caffeinated cola drink a day increased their risk of hypertension by 9-13%, 2-3 drinks by 11-24% and more than 4 cans of cola a day by 28-44% (more)
  • Living within 100 meters of a major road added six months of calcification in the arteries (more)
  • Attending church at least once a week increases your chances of living longer by 35% (more)
  • Happily married couple’s blood pressure was lower by an average of 4 points when compared to stable single’s and unhappily married couple’s blood pressure was the worst (more)

5 FAQ’s about High Blood Pressure and Hypertension

Monday, December 15th, 2008

Known as the “silent killer” high blood pressure plays a major role in overall cardiovascular health. According to the American Heart Association, people with high blood pressure die an average of 5 years earlier than those with normal blood pressure. » More: 5 FAQ’s about High Blood Pressure and Hypertension

Does smoking or tobacco use cause high blood pressure?

Thursday, September 25th, 2008

While smoking does seem to temporarily raise blood pressure, a direct long term connection has yet to be found. However, smoking and tobacco do damage blood vessels and arteries which causes them to contract. These narrower passageways do contribute to high blood pressure and hypertension. » More: Does smoking or tobacco use cause high blood pressure?

Does coffee or caffeine raise blood pressure?

Thursday, September 25th, 2008

Many studies have been conducted to explain the relationship between coffee, caffeine and hypertension. They are largely in agreement that caffeine does slightly raise blood pressure in the short run and that over time individuals who consume large quantities of coffee are more likely be diagnosed with hypertension. » More: Does coffee or caffeine raise blood pressure?

Can high blood pressure cause headaches?

Wednesday, September 24th, 2008

While it may seem natural to assume that high blood pressure would cause headaches, studies have actually proven that the reverse may be true! The relationship between headaches and high blood pressure is certainly counter intuitive for many people.

A recent study, which used data from two large epidemiologic studies, found information affirming that individuals with high systolic blood pressure actually have less of a chance of getting nonmigrainous headaches or migraines. For patients taking hypertension medication this relationship was not as obvious.

It would appear that the arterial stiffness related to having high blood pressure causes certain behavior in the baroreflex arch, which leads to hypertension-associated hypalgesia, may actually stop pain from being transmitted at the spinal and supraspinal levels.

The study is titled “High pulse pressure protects against headache” andcan be found in the journal Neurology 2008;70:1329-1336 or online.

Does Alcohol Affect Blood Pressure?

Friday, September 19th, 2008

With people looking to lower blood pressure through diet and without medications, the question, “does alcohol affect blood pressure” begs to be answered. In an effort to do just that, a group of medical professionals in 2001 conducted an in depth study of alcohol and hypertension. » More: Does Alcohol Affect Blood Pressure?