Health
Related: About this forumSilent Killer: High Blood Pressure Increases Your Risk of Stroke & Dementia, How To Control It: NPR
Got Hypertension/High Blood Pressure? 🧡 NPR, Sept. 7, 2025.
By age 40, more than half of Americans have high blood pressure, but many are unaware of it.
Hypertension has long been known as the silent killer. When it's left untreated it can be deadly. And it's considered a silent threat since most people have no symptoms. You can't feel the pressure in your blood vessels increasing. New recommendations from the American Heart Association aim for early treatment, including lifestyle changes and medications, once systolic blood pressure rises above 130/80 mm Hg, (which stands for millimeters of mercury, a measure of pressure).
Experts say it's clear that the sooner you take action, the more you can protect yourself. Hypertension is a leading cause of heart disease, which is the #1 cause of death of both men and women in the U.S. High blood pressure also increases the risk of kidney disease and dementia. And, research shows that hypertension can lead to damage in small blood vessels in the brain, which is linked to cognitive decline.
"There's a really enormous preventive health opportunity in treating hypertension earlier," says Dr. Jordana Cohen, a nephrologist and hypertension specialist at the University of Pennsylvania. She says millions of adults in the U.S. could benefit from medications and lifestyle changes. "If you catch it early, and treat it early, you can end up with many more years of healthy life expectancy," Cohen says, pointing to a reduced risk of heart attacks, strokes, kidney damage and dementia.
The new guidelines point to decades old advice about the benefits of a low-sodium diet, which can be challenging to follow, given more than half the calories consumed in the U.S. come from ultra-processed foods, which tend to be high in salt. The new guidelines also emphasize lifestyle strategies including exercise, limiting alcohol consumption, and stress reduction in the form of meditation, yoga, or deep breathing. For people with systolic blood pressure (the upper number) in the 130s, the recommendation is to start with these diet and lifestyle-related changes, then move to medication if blood pressure doesn't improve...
More,
https://www.npr.org/sections/shots-health-news/2025/09/07/nx-s1-5532108/the-silent-killer-increases-your-risk-of-stroke-and-dementia-heres-how-to-control-it

markodochartaigh
(3,900 posts)is also a risk factor for hypertension.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10253532/
appalachiablue
(43,571 posts)[NIH Abstract, excerpt]
.. Night shift work has been found to be associated with a higher risk of cardiovascular and cerebrovascular disease.
One of the underlying mechanisms seems to be that shift work promotes hypertension, but results have been variable. This cross-sectional study was carried out in a group of internists with the aim of performing a paired analysis of 24 h blood pressure in the same physicians working a day shift and then a night shift, and a paired analysis of clock gene expression after a night of rest and a night of work.
Each participant wore an ambulatory blood pressure monitor (ABPM) twice. The first time was for a 24 h period that included a 12 h day shift (08.0020.00) and a night of rest. The second time was for a 30 h period that included a day of rest, a night shift (20.0008.00), and a subsequent period of rest (08.0014.00). Subjects underwent fasting blood sampling twice: after the night of rest and after the night shift.
Night shift work significantly increased night systolic blood pressure (SBP), night diastolic blood pressure (DBP), and heart rate (HR) and decreased their respective nocturnal decline. Clock gene expression increased after the night shift. There was a direct association between night blood pressure and clock gene expression.
Night shifts lead to an increase in blood pressure, non-dipping status, and circadian rhythm misalignment. Blood pressure is associated with clock genes and circadian rhythm misalignement...
https://pmc.ncbi.nlm.nih.gov/articles/PMC10253532/
synni
(544 posts)People are just too dense to pay attention to them.
I know when my BP is going up, because I get winded more easily during the day, and my pulse thuds in my ears when I try to sleep at night. There are other symptoms, too, like fatigue, seeing pulsing spots before your eyes, headaches, etc.
A big problem is that, when you do report hypertension to your doctor, he/she won't do anything about it. I've been telling my doc that my BP is high in spite of the meds, but she won't give me any new meds. I'm in the market for a new doctor, but so many of them are just as careless.
I've overhauled my diet the best I can, eating lots of fresh fruits/veggies, cutting out sugary snacks, etc., and I've lost 50 lbs. But until I reach my weight goals, I need medication to help lower my BP....
appalachiablue
(43,571 posts)and finding another doctor.
BaronChocula
(3,294 posts)I've had it at least since my teens. Was first treated when I went to the Dr. for headaches and my BP was 170 over something. That was in 1995. Have been on medications for years with nothing really getting it controlled. Doctor after doctor have recommended a lower sodium diet. I've been preparing most of my own food for years. It's not a sodium issue. It runs in the family. As of the beginning of 2025 I was on five meds. Over the years I've had this pill switched out for that. Some have unwanted side effects.
Have recently switched to care under a cardiologist who prescribed Spironolactone (a aldosterone antagonist) which I started in July. Took my BP a few minutes ago. it was 123/70 and that's on the high side of most of my current readings. I've already convinced the doc to eliminate one of the meds with side effects from my regimen and I'll continue to request reductions. As it is, I'm still on 5 meds.
An aldosterone antagonist may not be the trick for everyone and I'm cautious since many meds have looked favorable for a short time before numbers creep back up, but this is the most consistent success I've had in 30 years of treatment.
I was actually referred to this cardiologist to look into renal denervation, a procedure that reduces some nerve activity in the kidneys. It has led to success in many patients, but Anthem, my insurance denied coverage claiming the procedure is "investigational." No shock there. I can appeal it at a higher level, but in the meantime, the success of the Spironolactone is a bright spot.
appalachiablue
(43,571 posts)BaronChocula
(3,294 posts)In all these years of treatment I've been stunned that there's so little known about the causes and treatment for cases like mine. I've been otherwise healthy and all doctors have been able to do thus far was throw more meds into the mix. It's made me understand why some people on psych meds want to stop taking their prescriptions. Sometimes you just want to be normal without remedies that can cause some type of misery. I'm hoping for quick advancements in discovery as time goes on.
BigmanPigman
(53,691 posts)due to tRump stress. My doctor understands (he hates tRump, too) Can I sue tRump since he is responsible for this?
Everyone should file a class action lawsuit over anyone killed by Covid due to the fucking moron's 1st term.