Blood Pressure Archive

Up to 10% of people with high blood pressure have secondary hypertension, which is caused by another condition or disease. The most common of these involve problems with the adrenal glands (hyperaldosteronism), or the arteries supplying the kidneys (renal artery stenosis). People most likely to have secondary hypertension include those with resistant hypertension who use three or more medications to manage their blood pressure, and people who develop hypertension before age 30.

Heart attacks occur when a blocked coronary artery prevents blood flow to part of the heart. Cardiac arrest is caused by an electrical misfire that causes the heart to abruptly stop beating.

The FDA will allow companies to make certain health claims regarding the consumption of magnesium and a reduced risk of high blood pressure. But the evidence for the link is inconclusive and inconsistent.

For people in their 80s and beyond, the advice for preventing and treating heart disease is similar to that for young people, especially with respect to staying physically active. But octogenarians may need to adjust their medication regimens. Low-dose aspirin is not recommended after age 70, and doses of anti-clotting medications may need to be reduced. Some people may also need to dial back their blood pressure medications if they experience side effects such as dizziness.

High blood pressure not only can raise risk for a heart attack, but also can affect the brain. Keeping blood pressure normal can make brain injury from stroke less likely to happen and perhaps slow the natural decline in cognitive function. Just like with the heart, the best way to protect the brain from high blood pressure is to lower blood pressure if it's high and keep it as close to a normal level as possible.

Almost 20% of people with hypertension may be taking medications that raise blood pressure, most often pain relievers such as ibuprofen (Advil) and naproxen (Aleve). Other classes, such as certain antidepressants, may also increase blood pressure.

Many people experience dizziness, or a feeling of being woozy or lightheaded, from time to time. In most instances it's triggered by a minor underlying problem, such as dehydration, a medication, or blood pressure fluctuations. Only rarely is dizziness caused by something more serious, such as a heart rhythm disturbance or stroke. However, even if dizziness isn't caused by something serious, it can lead to a dangerous fall, so it's important to prevent these episodes when possible. People should get emergency help for dizziness that is long-lasting, severe, or accompanied by other symptoms, such as difficulty walking or numbness.

A study published online Aug. 26, 2021, by The Lancet found that blood pressure treatment protects against heart attacks, strokes, and other major cardiovascular disease problems in people up to age 85 and possibly older. For people younger than 75, the study confirmed that people taking blood pressure medicines had 10% to 20% fewer cardiovascular disease problems. For people 75 to 84, there still was a 10% reduction. For people older than 85, the results were mixed, but there still appeared to be a benefit from blood pressure treatment.

Nitrates are added to processed meats (such as bacon, ham, and deli meats) and are found naturally in leafy green vegetables (such as spinach and kale). But it's not clear how crucial these molecules are compared with other components of those foods, as dietary nitrate levels don't appear to affect heart disease risk. However, nitrate-based drugs are used to treat angina, a common symptom of coronary artery disease.

Moderate-to-vigorous exercise appears to be the best way to boost cardiorespiratory fitness (CRF), which quantifies how well the heart and lungs supply oxygen to the muscles during physical activity. Higher CRF during midlife is linked to a lower risk of conditions closely tied to heart disease (including early signs of atherosclerosis, high blood pressure, and diabetes) later in life.