• 2 months ago

    help don't know what to do about my blood pressure

    BEEN AWARE OF HIGH BLOOD PRESSURE FOR ABOUT 3 1/2 WEEKS STRICT DASH DIET BEEN ON LISINSOPRIL 20MG TOOK IT FOR A WEEK AND 1/2 BUT THE SIDE AFFECTS WERE REALLY SCARY SO I QUIT TAKING IT ABOUT A WEEK AND A HALF AGO, OVER THE LAST 4-50 DAYS MY BLOOD PRESSURE HAS STARTED TO COME BACK UP 150-160 OVER 97-110 HOW LONG CAN I AFFORD TO GIVE THE LIFESTYLE CHANGES TO SEE IF IT BRINGS IT DOWN BUT I KNOW THAT IF IT DOESNT COME DOWN I NEED SOMETHING I GUESS THE ANXIETY AND SLEEPLESNESS ARE GETTING TO ME

Responses

  • 2 months ago

    RE: help don't know what to do about my blood pressure

    Hi:

    " How long can I afford to give the lifesty;e changes to see if it brings it down"

    Please discuss this specific matter with your doctor(s).

    About Blood Pressure

    The complex human body is usually able to keep blood pressure (BP) within safe/acceptable limits, but sometimes changes in lifestyle, health, stressful situations, anxiety, side effects from prescription drugs, or changes in metabolism, make this difficult. This can cause the BP to become consistently higher or lower than normal, or spike up and then drop down.

    Compensatory mechanisms that control BP involves changing the diameter of veins and small arteries (arterioles), the amount of blood pumped out from the heart per minute (cardiac output), and the volume of blood in the vessels.

    Normal resting BP in adults is under 120/80 with 115/75 or 110/70 considered as being optimal/ideal. Prehypertension is defined as systolic of 120-139 mmHg and diastolic of 80-89 mmHg. Stage 1 is systolic of 140 to 159 and diastolic of 90 to 99. Stage II is systolic of 160 to 179 and diastolic of 100 to 109. Stage III is systolic greater than 180 and diastolic greater than 110. Stage IV is systolic of 210 and greater, and diastolic of 120 and greater.

    Sometimes, high BP can suddenly become a "hypertensive crisis", which is described as when diastolic is greater than 120, and there are signs or symptoms of damage to the brain, heart, kidneys or other organs. If/when applicable, quick-acting drugs can be administered in the ER setting to reduce BP.

    Noteworthy, temporary increases or high spikes in BP, which was at one time was thought as being relatively harmless, can in fact be deleterious (may/can even cause a hypertensive brain attack) in some individuals, especially in those who already have hypertension or weakened arteries in the brain.

    Health dangers from BP vary among different age groups and depending on whether systolic, diastolic, or both, is elevated. Isolated diastolic hypertension, isolated systolic hypertension and diastolic/systolic hypertension, increases the risk of cardiovascular disease, cerebrovascular disease, renovascular disease.

    High systolic BP appears as a significant indicator for heart complications, including death, in all ages, but especially in middle-aged and older adults.

    High diastolic BP is a strong predictor of heart attack and brain attack in young adults and in those of any age with essential hypertension, high BP from unknown causes, which occurs in the great majority of cases.

    Pulse pressure is also important, which is the difference between systolic (heart's pumping phase) and diastolic (heart's resting phase). Usually, the resting (in sitting position) pulse pressure in healthy individuals is 40 mmHg, give or take a little. A consistantly narrow (say 20 or 25 mmHg or less) or wide (say 60 or 65 or more) pulse pressure is not good.

    Take care,

    CardioStar*

    WebMD member (since 8/99)

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  • 2 months ago

    RE: help don't know what to do about my blood pressure

    Hey, I want to encourage you that if you stick to the DASH Diet, or (Plant -Based like me) and work with your cardiologist on that medication plan,
    (I too am on lisinopril now for 2 years), I know that the bigger impact IN THE LONG RUN is the behavior and habits, hence my emphasis on the plant based lifestyle (not a diet anymore). Amazing how some of those empty feelings I first felt from less "Normal American Foods" to more natural foods have now turned into better energy mentally and physically.
    My discovery of BP impact on health came 2 years ago when I had increased wt gain and found to have heart failure (from A-fib). So I had to get sodium under control. Hence my Plant-based diet/lifestyle.
    Good luck and let's get out there and walk not only for the exercise but sometimes just to meditate and look forward to better days. They will come, if you create the little bit of time for experiencing them.
    Relax :)
    Greg