Controlling Your Blood Pressure Archive

Some research has suggested that older people who take blood pressure medications may be prone to falls, perhaps because the drugs make them dizzy or lightheaded when they stand up. But a new study in the May 2015 Hypertension found no increased risk of falls in people taking blood pressure drugs.

For the study, nearly 600 people with chronic high blood pressure reported their falls to researchers via mail-in postcards and phone calls. Almost half of the participants, whose average age was 78, reported one or more falls during the yearlong study. Neither standard nor high doses of blood pressure drugs were linked to falls. In fact, people who took two commonly prescribed types of blood pressure medications—ACE inhibitors and calcium-channel blockers—had a lower rate of falling compared with people not taking those drugs. Given the known benefits of treating high blood pressure in older people, the authors say, withholding blood pressure medication for fear of causing a fall may not make sense.

Controlling blood pressure and blood sugar will help both your heart and your kidneys.

On the surface, it's difficult to see how coronary artery disease and kidney damage might be related. But on the cellular level, the two conditions often go hand in hand. A closer look reveals the key. Underlying both conditions are two powerful risk factors: high blood pressure and diabetes, each of which damages the heart and kidneys independently.

People with high blood pressure could benefit from a B vitamin known as folate if they are not getting enough from their diets, according to a study in The Journal of the American Medical Association (JAMA).

The study included more than 20,000 adults in China with high blood pressure who had never had a stroke or heart attack. Participants who took folate supplements along with a blood pressure medication had fewer strokes over the four-and-one-half-year trial than those who only took the medication.

A fainting spell can be inconsequential, or it can signal a serious health issue. It's important to learn why you faint.

Q. I just got diagnosed with diabetes and my doctor said I am at risk for heart disease. Why?

A. Diabetes is considered to be an extremely strong risk factor for heart disease. One reason is that people with diabetes are also more likely to have other conditions that raise their odds of heart disease, such as obesity, high blood pressure, or elevated LDL cholesterol. Also, those factors seem to have more of a detrimental effect on people who have diabetes compared with those who don't.

The dangers of hypertension are well documented, but low blood pressure levels can cause problems, too.

It may boost the effect of your current medication.

It appears that people with high blood pressure who take folate along with the blood pressure medicine enalapril (Vasotec) may be less likely to have a stroke than people who take enalapril alone.

High blood pressure is one of the many health risks associated with not getting enough sleep, which is often caused by insomnia, or difficulty falling or staying asleep. Although often considered a nighttime problem, some people with insomnia may be in a state of "hyperarousal" that also makes it hard for them to nod off during the day. Now, new research suggests that people with chronic insomnia who also have trouble napping face a higher risk of high blood pressure.

The study, in the March 2015 issue of Hypertension, included more than 200 people with chronic insomnia (defined as insomnia that lasts more than six months) and almost 100 normal sleepers. All underwent daytime nap tests, which measures how quickly a person falls asleep in a quiet environment during the day. People with chronic insomnia who took longer than 14 minutes to fall asleep during the nap studies had three times the risk of high blood pressure compared with normal sleepers, the researchers found. Treatments such as medications and biofeedback to help dampen hyperarousal may be best for people with this type of insomnia, they suggest, although more research is needed.