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About High Blood Pressure

High blood pressure, or hypertension, is a condition that has no symptoms you can see or feel. Having your blood pressure checked is the only way to know if it is high.

Yet, untreated hypertension can result in serious illnesses, such as coronary artery disease, heart attack, stroke and kidney failure, according to the American Heart Association (AHA).

Diet and lifestyle changes may be enough to control mildly elevated blood pressure. But your doctor may prescribe blood pressure medication and lifestyle changes if your blood pressure is moderately to severely high.

The AHA says the following lifestyle choices can help reduce your blood pressure.

Don't smoke

Inhaling cigarette smoke stimulates your heart, making it beat faster. It also narrows your blood vessels, causing your blood pressure to rise temporarily. Smoking, however, does not cause high blood pressure. The reason smoking is bad if you have high blood pressure is because both contribute to heart disease, meaning hardening of the arteries and heart attacks.

Maintain a healthy weight

Studies have found people who lose weight also lower their blood pressure. To lose weight safely, eat fewer foods high in fat and calories and increase your physical activity.

Exercise regularly

Regular aerobic exercise tones your heart, blood vessels and muscles and keeps your blood pressure low. Consult your doctor before beginning an exercise regimen if you have high blood pressure.

Learn to cope with stress

Stress may temporarily raise blood pressure, but it is not a cause of chronic high blood pressure. Meditate, listen to stress-management tapes or do relaxation exercises daily.

Drink moderately

If you drink alcohol, do so only in moderation. Heavy, regular consumption of alcohol can increase blood pressure dramatically. Experts recommend no more than two drinks a day for a man and one drink a day for a woman.

Healthy eating and limit your salt intake

The DASH diet or Dietary Approaches to Stopping Hypertension is an effective eating plan proven to lower blood pressure. It doesn't require special foods, instead recommends a certain number of servings from a variety of food groups which include vegetables, fruits, fat-free or low-fat milk, whole grains, fish, poultry, beans, seeds, and nuts. It also calls for limiting sugar, fats, and red meat. Reducing salt (sodium) intake to 2,300 milligrams (about 1 teaspoon of table salt) or 1,500 milligrams (two-thirds teaspoon of table salt) daily. Following the DASH diet and keeping salt intake to 1,500 milligrams per day has shown the biggest benefit for blood pressure reduction in people with high blood pressure. The DASH eating plan combined with other lifestyle measures can help lower blood pressure. To learn more about DASH, talk with your health care provider.

Take your medicine

Follow these guidelines if your doctor prescribes blood pressure medication:

  • Take all your medication as prescribed.

  • Take your pills at the same time each day.

  • Never skip your pills because you have side effects or don't believe your blood pressure is high. Call your doctor to discuss your concerns.

  • Refill your prescription before it runs out.

  • Don't stop taking your medication because your blood pressure tests normal. It's normal because you're taking the medication.

Publication Source: Vitality magazine
Online Source: American Heart Association http://www.americanheart.org/presenter.jhtml?identifier=1200013
Online Source: American Heart Association http://www.americanheart.org/presenter.jhtml?identifier=2673
Online Source: American Heart Association http://www.americanheart.org/presenter.jhtml?identifier=4750
Online Source: American Heart Association http://www.americanheart.org/print_presenter.jhtml?identifier=3004847
Online Source: USDA http://www.csrees.usda.gov/nea/food/pdfs/hhs_facts_sodium.pdf
Online Source: National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health/dci/Diseases/Hbp/HBP_WhatIs.html
Online Source: American Heart Association http://www.americanheart.org/presenter.jhtml?identifier=2114
Online Source: National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/hbp/index.html
Online Source: National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/dash_brief.pdf
Online Editor: Flanagan, Donna
Online Editor: Louise Akin RN BSN
Online Editor: Sinovic, Dianna
Online Medical Reviewer: Akin, Louise RN, BSN
Online Medical Reviewer: Brown, Carolyn RN, MN, CCRN, CNS
Online Medical Reviewer: Ferguson, Monica O. M.D.
Online Medical Reviewer: Godsey, Cynthia M.S., M.S.N., APRN
Online Medical Reviewer: Joanne Foody, MD, FACC, FAHA
Online Medical Reviewer: Lambert, J.G. M.D.
Date Last Reviewed: 1/19/2010
Date Last Modified: 3/10/2010
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