Glad to be helpful. If the nephrologist says all the tests were negative, that sounds reassuring and might mean your doctors could try different types of BP medication with you. Generally, three types of medication are considered equally acceptable for first-line treatment of high blood pressure: thiazide-type diuretics, ACE inhibitors or angiotensin receptor blockers (these two are related), or calcium channel blockers such as amlodipine.
Hypertension can be effectively treated with lifestyle modifications, medications, and natural remedies. Most people with hypertension experience improvement with prescription treatment such as diuretics, ACE inhibitors, beta-blockers, or other options, and some may require more than one prescription medication to reach optimal blood pressure. If your hypertension has a medical cause (secondary hypertension), you may also need treatment for medical issues that are contributing to your high blood pressure.
In addition to these methods being effective, other lifestyle changes and diet adjustments may also be useful in lower blood pressure. One study explains that losing weight can have a significant positive impact on patients that have been diagnosed with hypertension. Even small reductions in bodyweight amongst those individuals who are both obese and hypertensive can yield life-saving benefits. Dietary changes can also help. In particular, the patient should aim to lower their daily intake of sodium, which causes an elevation in blood pressure. The patient should also focus on obtaining more calcium, potassium and other minerals that are useful in balancing blood pressure levels. Fiber, fruits and a lot of vegetables should also be an essential part of the patient’s daily diet.
“I always recommend that people find something that they enjoy doing to stay in shape. For example, line dancing, walking outside, and riding a bike are all good ways to get active,” says Scott Parker, a health and fitness trainer and a national spokesperson for #GoRedGetFit — an online fitness challenge for women hosted by the AHA and Macy’s. “It’s also important to find other people you like doing the activity with, because that helps you stick with it.”
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
3. Quit soda. One 12-ounce can of soda contains about 40 grams of fructose, one of the leading high blood pressure risk factors in North America. Consuming 74 or more grams of fructose per day increases your risk of high blood pressure by 77 percent. For people accustomed to drinking a can or two of soda daily, cutting the pop can have a dramatic effect on blood pressure, even eliminating the problem altogether.

4. Cut down on processed food. Just about all processed foods contain huge amounts of fructose, particularly fruit drinks or any fruit-flavored products. Fructose is hidden all over the supermarket, even in the most unlikely places: processed meats, breads, pasta sauces and dressings. Fast food chains love fructose. The only thing they love more is vegetable oil.
All medications come with a risk of side effects, so why take them if you don’t have to? According to the U.S. Centers for Disease Control and Prevention, about seven out of 10 U.S. adults with high blood pressure use medications to treat their condition. But what many people don’t realize is that you can help control your blood pressure naturally by changing a few daily habits.
The right tunes can help bring your blood pressure down, according to Italian research. Researchers asked 29 adults who were already taking BP medication to listen to soothing classical, Celtic, or Indian music for 30 minutes daily while breathing slowly. When they followed up with the subjects six months later, their blood pressure had dropped by an average of 4 mmHg.
One of the top causes for heart disease is high blood pressure. High blood pressure is one condition which might not show any symptoms for a really long time. This is the most dangerous aspect about high blood pressure, given the number of diseases that it can cause. However, you must know that a few lifestyle changes can be really helpful in keeping your blood pressure under control. With a little discipline, you can achieve healthy blood pressure. In this article, we talk about some effective remedies which can help in lowering your blood pressure quickly. Keep reading...
Español: bajar la presión arterial rápidamente, Italiano: Far Abbassare Velocemente la Pressione del Sangue, Português: Baixar a Pressão Rapidamente, 中文: 快速降血压, Français: faire baisser la tension artérielle rapidement, Русский: быстро понизить артериальное давление, Deutsch: Schnell den Blutdruck senken, Bahasa Indonesia: Cepat Menurunkan Tekanan Darah, Čeština: Jak rychle snížit krevní tlak, Nederlands: Snel je bloeddruk verlagen, 日本語: 速やかに血圧を下げる, हिन्दी: रक्तचाप कम करें, العربية: خفض ضغط الدم بسرعة, Tiếng Việt: Hạ Huyết áp Một cách Nhanh chóng, 한국어: 빠르게 혈압 내리는 법, ไทย: ลดความดันโลหิตแบบเร่งด่วน, Türkçe: Tansiyon Hızla Nasıl Düşürülür
It sounds to me like the cardiologist is in the process of trying to figure out what is the right dose of BP meds for her at this time, given the current state of her heart. Re the nurse’s recommendation, you may want to call back and make sure they realize that your mother’s SBP is only around 110, even off all BP meds. Ask them what they think her goal BP should be.

Pickering TG, et al. Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension. 2005 Jan;45(1):142-61.
4. Reduce intake of caffeine: In case you constantly need stimulants like tea or coffee to get you through the day, you definitely need to check your health. Moreover, caffeine can cause short-term spike on your blood pressure. Read here to know how many cups of tea or coffee you should have in a day in order to keep your blood pressure under control.
While you shouldn't shrug off the change, there's also no need to panic. "Obviously, nothing happened overnight inside a woman's body or to her health with the release of the guidelines," says Dr. Naomi Fisher, director of hypertension service and hypertension innovation at the Brigham and Women's Hospital Division of Endocrinology, Diabetes, and Hypertension, and associate professor of medicine at Harvard Medical School.
My mother had a massive cardiac event 19years ago. She is currently 79y and has 25% function of her heart. Up until 6 months ago was doing great. Then she started getting very tired and could hardly get out of bed.turns out her bp medication was making her hypotensive. The cardiologist put her on a new medication but took her off all bp mendications for 2 days. I had her take her bp twice a day for those two days and her bp was 111/62or less in am and evening. She also on day two felt great and was able to be back to normal ADL. She took the new medication in the evening before bedtime and woke up with a be of 83/54. Scared me to death. She felt terrible all day. I told her to not take it again. I have been since monitoring her bp twice daily and she is averaging 110/64. She had one morning at 154/83 when she was scared about some thing with a family member but later that evening it was again at 112/68. She has an apt. With cardiologist in 9 days. Should i have her cont. to stay off if we monitor daily and we do not see a spike in bp. I called her dr. After first week and the message from nurse, since doctor would not talk to me, was to take half of her enalipril. I said ok and still am afraid to let her take it. Am i wrong is there another reason for her to take this medication that causes the hyopensiveness?
The American Heart Association considers 120/80 to be a normal blood pressure reading. Unless you have been diagnosed with high blood pressure you may not realize anything is wrong so it is important to get tested each time you see your doctor, or more frequently if you have a family history of hypertension. Often, hypertension has no obvious symptoms, but it could be quietly causing damage and threatening your health. This condition overworks the heart and damages the walls of the blood vessels. If left untreated, it can lead to tears, ruptures, or increased plaque build-up in your heart, which increases your risk for heart failure, heart attack or stroke.

My BP since in my 30’s has been 135/75. I am 72 and last June it was averaging 160/70. I joined WW and lost 35 lbs but my home readings (BP monitor checked with doctor’s) 150-160/65-70. However, at doctors office it went from 170-145/75. I am planning to home monitor twice per day this next week. Another concern, my doctor is not concerned enough to put me on a hypertension pill. Isn’t 140 and above alarming? Health wise, my other health readings are all normal or below…..cholesterol, diabetes, plaque in arteries, etc.
2) Cayenne pepper. Arguably one of the fastest foods to lower blood pressure, cayenne pepper is a powerful vasodilator, which means it helps expand blood vessels and improve blood flow. This effect naturally lowers blood pressure levels by increasing the rate at which blood flows throughout the circulatory system, which in turn takes some of the pressure off arterial walls.
Chronic hypertension causes the arteries throughout a patient’s body to become damaged and can lead to additional complications that may yield fatal consequences, especially when left untreated. One study noted that there is a significant increase in the risk for coronary artery disease and stroke amongst people who have elevated or high blood pressure. The study also noted that developing this condition at a younger age seems to hold an opportunity for more risks.
Eat berries. Berries have many health benefits, and one of them is improving blood pressure and reducing other heart disease risks. Berries, like strawberries, raspberries, blackberries, and blueberries, have lots of polyphenols, which are great for your heart. They’re also really tasty. So, load up on the berries for better blood pressure. If you don’t like eating them all the time, try adding them to a smoothie made with low-fat or fat-free yogurt without added sugar. Throw in some ice, banana, and low-fat milk for a heart-healthy treat.

Don’t get too excited. Turns out that dark chocolate (at least 50% to 70% cocoa) can give you a boost of a plant compound called flavanol. As with garlic, this antioxidant can raise your nitric oxide levels and widen blood vessels. That can make your blood pressure drop a notch. It goes without saying that a little bit of chocolate is all you need.
Kiwis are another fruit that positively impacts blood pressure. Some researchers studied how the fruit fares compared to apples. They found that eating three kiwis a day over eight weeks reduced blood pressure in people with slightly high blood pressure more so than eating one apple per day during the same time. A daily serving of kiwi was also found to reduce blood pressure in people with only mildly elevated levels. Kiwis are also an excellent source of vitamin C which can also also improve blood pressure. 

In Sweden, blood pressure is often wrongly measured at clinics with the subjects lying down. The differences tend to be small, however: when seated, the systolic blood pressure registers a little lower, and the diastolic a little higher. Trying this on myself, I noted readings of 116/73 averaged over several seated measurements and an average of 119/72 lying down.
4. Cut down on processed food. Just about all processed foods contain huge amounts of fructose, particularly fruit drinks or any fruit-flavored products. Fructose is hidden all over the supermarket, even in the most unlikely places: processed meats, breads, pasta sauces and dressings. Fast food chains love fructose. The only thing they love more is vegetable oil.
Lowering high blood pressure is as easy as one, two, tea: Adults with mildly high blood pressure who sipped three cups of hibiscus tea daily lowered their systolic BP by seven points in six weeks, found Tufts University researchers. The phytochemicals in hibiscus are probably responsible for the large reduction in high blood pressure, the study authors say.
Sprinkling ground flaxseed over your meals can make a big impact on your blood pressure readings. In a 2013 study published in the journal Hypertension, participants with high blood pressure and peripheral artery disease ate 30 grams (about an ounce) of milled flaxseed daily. After six months, their systolic blood pressure (the top number) went down by 15 mm Hg, on average, and their diastolic blood pressure (the bottom number) dropped by 7 mm Hg.
Arteries are naturally flexible and smooth, which allows blood to easily move throughout the body. High blood pressure creates extra force against the artery walls, which damages the lining of the arteries. As they become narrower and harder, this restricts blood flow, and when blood flow is lowered, the heart has to work harder to pump it through the body, which only makes the problem worse. 

As simple as it sounds, breathing is an effective technique to lower blood pressure. Slow breathing and meditative practices such as yoga can help decrease the stress hormones that elevate renin — a kidney enzyme that raises blood pressure. "Sit in a comfortable chair with armrests. Your body should be as relaxed as possible. Place one hand on a part of your chest or preferably your abdomen. Watch your hand rise and fall with each breath...feel the breath as it moves into your abdomen,” Dr. John M. Kennedy, a cardiologist in Los Angeles, Calif., and author of the book The Heart Health Bible told Medical Daily in an email.  This should be repeated seven times and can become a daily habit by doing deep breathing 10 minutes in the morning.
3) Coconut water. Rich in potassium, electrolytes, and other important nutrients, coconut water has been shown to help significantly lower blood pressure levels in most of the people that drink it. A recent study published in the West Indian Medical Journal found that drinking coconut water helped 71 percent of participants achieve a significant reduction in systolic pressure, and 29 percent of participants achieve a significant reduction in diastolic pressure. The results were even more amplified when participants drank both coconut water and mauby, a tropical drink made from buckthorn tree bark.
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“Beware of the American Heart Association’s (AHA) 'Salty Six' — six popular foods that can add high levels of sodium to your diet,” says Rachel Johnson, PhD, a professor of nutrition at the University of Vermont in Burlington and the former chair of the AHA’s nutrition committee. The Salty Six include breads and rolls, cold cuts and cured meats, sandwiches, pizza, soup, and chicken.

Many factors can cause your blood pressure to rise, and each factor may or may not require medication. Many people make lifestyle changes that lower their blood pressure without medication; especially for pre-hypertension and stage 1 of hypertension. Also, each time you take your blood pressure, make sure you are still and calm, sitting with both feet on the floor, arm supported on a flat surface, and you are measuring at the same time everyday. You can also take multiple readings in one sitting, but wait one minute between each reading. These steps will ensure you are providing your healthcare provider with the most accurate blood pressure reading!
The calculated difference between the systolic and diastolic pressures is also of interest. If the difference is large (e.g. 170/85), it could be the sign of stiff arteries – often caused by heart disease. This means the blood vessels can’t dilate enough when the heart sends out a pulse, which forces the blood pressure to increase. (The walls can’t expand, so the pressure rises when the heart tries to pump the blood through.)
Dear Dr. Kernisan, you don’t know how thrilled I am to hear back from you!! There seems to be so little kindness these days that I so appreciate your caring response. I have had little success finding information about malignant hypertension. You mentioned following up was a lot of work, but it has been so consuming for me due to my fear, but also trying for a decent quality of life with as few side effects as possible, that my daughter says I need to find something else to do. (I have no other family left)…Besides a very stressful job, and caregiving for my mother who lived to be 97, I have always done volunteer work, so am really ready to get back to being productive…As far as my malignant spikes, I have asked every doctor and no one has an answer as to why it suddenly developed. That is one reason it is so scary. The nephrologist says he guesses it was from years of chronic stress. All the tests (kidney and carotid artery) were negative. I do a ton of research and am so glad to have found your site!! I found you through a link in a Washington Post article by Janice Neumann on August 17 “New Blood Pressure Guidelines Can Cause Problems for the Elderly”… I did not find a way to contact her. I have had no luck finding similar patients but need to learn social media skills. Thank you again so much!!!! I will be a faithful follower from now on!!! Best Regards, Kathy
It goes without saying that when you don’t sleep well, you don’t feel well, and your body just doesn’t work well. In fact, research has shown for decades that a strong link between insomnia and hypertension exists. Reevaluating your daytime decisions or nighttime routines leading up to bedtime can help you find what works best for you in getting a good night’s rest.
Explore the articles below to learn more about blood pressure control and healthy living, and to start developing your own personal guide to lowering blood pressure. Even better, book a health vacation at Pritikin, recently described by The New York Times as the “granddaddy of health-based wellness spas.” Make a personal investment in what matters most – a longer life, a better life.

There are more worrisome facts about medications, notes Dr. Fruge.  Drug treatment frequently has annoying and sometimes dangerous side effects, and never cures the disease.  All too often, blood pressure problems grow progressively worse despite the use of medications.  That’s deeply troubling because hypertension is a major risk factor for heart attacks, strokes, heart failure, cardiac arrhythmia, and premature death.
Hypertension: Usually defined as BP> 140/90, assuming the readings are taken in a doctor’s office. (There is a slightly lower cut-off if the readings are taken at home.) If only the systolic BP is high, this is called “isolated systolic hypertension.” This type of hypertension is very common in older adults, as aging is associated with both increases in systolic BP and decreases in diastolic BP.
Coconut water finds itself high on the list of home remedies for high blood pressure. One of the causes for high blood pressure is an imbalance of electrolytes in the blood. Because coconut water contains an adequate supply of minerals and salts, it can help counter this imbalance. Modern researchers say the potassium content in coconut water plays a huge role in lowering blood pressure. Both potassium chloride (seen in supplements) and potassium citrate (seen in foods) can help lower blood pressure. Potassium helps balance out the level of sodium in your blood and keeps your body functioning properly.
In today’s time, when stress walks along, practicing poor eating habits combined with a sedentary lifestyle only add to the wellness issues. We prioritize our work, responsibilities and daily chores, and these things gradually tyrannize our life. Amidst pressure and hectic schedule, our health is something that suffers a lot. Stress and tension pave way for many ailments and to start with, high BP is the most common by far.
A cold glass of milk offers a solid serving of both calcium and vitamin D, nutrients that work as a team to help lower blood pressure by 3 to 10 percent, according to Bauer’s website. Those numbers may not sound impressive, but they could translate to a 15 percent reduction in heart disease risk, she adds. Other research suggests that people with low levels of calcium are at greater risk of high blood pressure. Don’t miss these 18 other natural remedies for high blood pressure.
Get moving at least a little bit every day, with a standard recommendation of 30-60 minutes a day, 3-5 times a week. Get your heart pumping at a moderate intensity for a few times a week, and mix it up with some strength training. Because life happens, on the days when you can’t fit it in, try to build more activity into your day by parking further away, taking the stairs instead of the elevator, or even just doing a quick sprint or two up and down the block. Every little bit helps.
Thank you so much for your highly informative article on hypertension for seniors–the best one that I have read. Presently, my wife, age 78, weight 98 lbs., height 4′ 11″, has been on a 4 m Atacand (brand name) per day for close to ten years now. Healthwise, I was concerned about its side effects on her. Pricewise, it is a very, very costly drug and our plan now requires her to pay a newly required deductible of $350 before reaching a new copay that has also become more expensive as well. She does not smoke or drink. Her family doctor has suggested that she switches to a generic brand Atacand but she prefers not to risk with its poorer bioavailability. Is such a preference valid? Are there any benefits in a generic that would outweigh its bioavailability constraint? Is there any alternative brand name drug that would offer her a good transition? Thank you kindly again for sharing the above highly informative, useful, and rare article regarding hypertension for seniors. I’d look forward to your reply with great appreciation–if I may.
Our bodies react to tension by releasing stress hormones like cortisol and adrenaline into the blood. These hormones can raise your heart rate and constrict blood vessels, causing your blood pressure to spike. But slow breathing and meditative practices such as qigong, yoga, and tai chi can help keep stress hormones—and your blood pressure—in check, Williams says. (And if you haven't heard, health benefits of meditation include reduced inflammation, natural pain relief, and more.) Start with five minutes in the morning and five minutes at night and build up from there. The breathing exercise above is designed to help you fall asleep fast.
If you have hypertension, ask your doctor if OSA could be behind it. (In addition to loud snoring, common symptoms include excessive daytime tiredness and early morning headaches.) Getting your sleep apnea under control could be helpful for improving your blood pressure, says Robert Greenfield, MD, Medical Director of Non-Invasive Cardiology & Cardiac Rehabilitation at MemorialCare Heart & Vascular Institute at Orange Coast Medical Center in Fountain Valley, CA.
It sounds to me like the cardiologist is in the process of trying to figure out what is the right dose of BP meds for her at this time, given the current state of her heart. Re the nurse’s recommendation, you may want to call back and make sure they realize that your mother’s SBP is only around 110, even off all BP meds. Ask them what they think her goal BP should be.
8. Take less stress: If you want to stay healthy, take less stress. Every individual faces some kind of difficulty in their life. What matters is the attitude you have towards these difficulties. If you constantly take stress or tension, you are likely to have blood pressure problems. Being chronically stressed puts your body in constant fight-or-flight mode. This could lead to faster heart rate and constricted blood vessels. Listen to good music, do yoga, meditate. These are some effective ways to control your stress and also keep your blood pressure under control.
Español: bajar la presión arterial rápidamente, Italiano: Far Abbassare Velocemente la Pressione del Sangue, Português: Baixar a Pressão Rapidamente, 中文: 快速降血压, Français: faire baisser la tension artérielle rapidement, Русский: быстро понизить артериальное давление, Deutsch: Schnell den Blutdruck senken, Bahasa Indonesia: Cepat Menurunkan Tekanan Darah, Čeština: Jak rychle snížit krevní tlak, Nederlands: Snel je bloeddruk verlagen, 日本語: 速やかに血圧を下げる, हिन्दी: रक्तचाप कम करें, العربية: خفض ضغط الدم بسرعة, Tiếng Việt: Hạ Huyết áp Một cách Nhanh chóng, 한국어: 빠르게 혈압 내리는 법, ไทย: ลดความดันโลหิตแบบเร่งด่วน, Türkçe: Tansiyon Hızla Nasıl Düşürülür
Dairy or soy—it’s your choice. Replacing some of the refined carbohydrates in your diet with foods high in soy or milk protein (like tofu or low-fat dairy) can bring down systolic blood pressure if you have hypertension or prehypertension, findings suggest. "Some patients get inflammation from refined carbohydrates, which will increase blood pressure," says Matthew J. Budoff, MD, FACC, Professor of Medicine at the David Geffen School of Medicine and Director of Cardiac CT at the Division of Cardiology at the Harbor-UCLA Medical Center.
Reduce your fat and sugar intake: Maintaining a healthy weight for your body type helps keep blood pressure under control. It has been proven that losing excess weight can drastically lower blood pressure values. When obesity and hypertension are coupled together, it can lead to some dangerous long-term health effects that could eventually be fatal in the long run. It is estimated that about 36.5 Americans are obese, with the consumption of excessive amounts of sugar being the main culprit. It is important to make weight loss a priority when treating your high blood pressure.
There are many good options when it comes to such medication. Examples are ACE (angiotensin-converting-enzyme) inhibitors or AII-blockers (angiotensin II receptor blockers) such as Enalapril or Losartan. If this kind of medication doesn’t give the desired effect, you might have to add other medication such as so-called calcium antagonists (e.g. Felodipin) or a mild diuretic (can be found as a combined pill with Enalapril and Losartan).
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