High Blood Pressure Treatment (cont.)
John P. Cunha, DO, FACOEP
John P. Cunha, DO, FACOEP
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
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It is beneficial to add potassium to the diet. Studies show that people who consume more potassium have lower blood pressures. Good sources of potassium include:
Along with lowering salt in the diet, a balanced eating plan that also reduces cholesterol intake and fatty foods is recommended. The TLC Diet (Therapeutic Lifestyle Changes) often is recommended to lower blood cholesterol.
Some supplements, such as garlic and flaxseed have been shown in studies to lower blood pressure. Some small-scale studies have shown Coenzyme Q10 (CoQ10) may lower blood pressure, but further studies are needed. Garlic may react with some prescription medications such as blood thinners, so consult a physician before taking any supplements. Other home remedies, such as calcium, magnesium, and fish oil have been shown in studies to lower blood pressure, but patients should consult with their physician before taking any supplements.
Being overweight can increase the risk for high blood pressure. Obesity is common among hypertensive patients, and its prevalence, especially in aging patients, can contribute to hypertension in several ways. In obese people the heart has to pump more blood to supply the excess tissue. The increased cardiac output can then raise the blood pressure. In addition, obese hypertensive individuals have a greater stiffness (resistance) in their peripheral arteries throughout the body. Insulin resistance and the metabolic syndrome, which are associated with hypertension, also occur more frequently in the obese. Finally, obesity may be associated with a tendency for the kidneys to retain salt. Weight loss may help reverse obesity-related problems and may lower blood pressure. Losing as little as 10 to 20 pounds can help lower blood pressure and the risk of heart disease.
The American Journal of Clinical Nutrition reported in 2005 that waist size, a measure of central body obesity, was a better predictor of a person's blood pressure than body mass index (BMI), a measure of overall obesity. Men should strive for a waist size of 35 inches or under and women 33 inches or under.
Some very obese people have a syndrome called sleep apnea, which is characterized by periodic interruption of normal breathing during sleep. Sleep apnea may contribute to the development of hypertension in this subgroup of obese individuals. Repeated episodes of apnea cause a lack of oxygen (hypoxia), causing the adrenal gland to release adrenaline and related substances which cause a rise in the blood pressure.
Reviewed by Jay W. Marks, MD on 10/11/2012
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High Blood Pressure Treatment - Smoking Question: Are you a smoker or former smoker undergoing treatment for high blood pressure? After diagnosis, did you quit smoking?
High Blood Pressure Treatment - Alcohol Question: Do you have hypertension and also drink alcohol? Have you cut back since receiving a diagnosis?
High Blood Pressure Treatment - Coffee and Caffeine Question: In what ways do coffee and other caffeinated beverages affect your blood pressure?
High Blood Pressure Treatment - Medications Question: What medications and other types of treatment do you receive for hypertension?
High Blood Pressure Treatment - Diet Question: Did you add or eliminate certain foods from your diet to control your high blood pressure? Did it help?
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High Blood Pressure Treatment - Alternative Medicine Question: Describe any alternative or complementary medicine you use to treat your high blood pressure.
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