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Do older adults benefit from blood pressure treatment?

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.

A look at health screenings

Men are less likely than women to get regular exams and tests, especially when they are younger. But as they age, routine screenings are essential. There are certain tests most men should have at some point, including ones for colon cancer, high blood pressure, hepatitis C, diabetes, and HIV. Other tests men should consider if they are at high risk for specific ailments, such as abdominal aortic aneurysm, hepatitis B, and lung cancer.

Coffee and your blood pressure

A recent study alleviates concerns about coffee's role in heart disease and stroke and makes observations about coffee's physiological effects.

Exercise may heal the heart as well as prevent future problems

Exercise may help to reverse some types of heart damage. Not only can workouts prevent heart problems, but it may help to improve conditions that may raise risk for cardiovascular events. A 2021 study, for example, showed that a yearlong exercise program helped improve heart health in people who were at increased risk for heart failure.

Is there such a thing as a silent stroke?

It is possible to experience a stroke without symptoms. Addressing cardiovascular risk factors can help lower the risk.

Treating low vitamin D levels may help people live longer

Treating people who have low levels of vitamin D with supplements may reduce their risk for heart attacks and death from any cause.

Seasonal changes and blood pressure

Some people with borderline high blood pressure have higher readings during winter, even high enough to need medicine to control it. In spring or summer, they might be able to reduce the dose or stop taking the medication. Losing excess weight and cutting back on salt also can help.

Don't fail your heart health

The most common type of heart failure in older adults is heart failure with preserved ejection fraction. This is caused by the heart's left ventricle not being able to relax, which means less blood enters the chamber, so less gets pumped out. Prevention and treatments continue to evolve, but include controlling blood pressure, addressing weight gain with exercise and diet, not smoking, and curbing alcohol intake.

Switching to a salt substitute may reduce stroke risk

Swapping regular table salt (sodium chloride) with a salt substitute containing some potassium chloride may lower the risk of strokes and related heart problems.

What to do when your blood pressure won’t go down

Doctors recommend several strategies to lower resistant hypertension. One strategy is discontinuing medications that may be contributing to high blood pressure, such as nonsteroidal anti-inflammatory drugs (NSAIDs), decongestants, certain antidepressants, and corticosteroids. Another strategy is treating underlying conditions that can boost blood pressure, such as sleep apnea. Other ways to lower stubbornly high blood pressure include getting lots of aerobic exercise, eating a plant-based diet that’s low in salt, getting at least seven hours of sleep per night, limiting alcohol, avoiding smoking, and maintaining a healthy weight.

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