As blood pressure tends to vary somewhat from day to day, it’s recommended to only diagnose someone with high blood pressure if they have given a repeatedly high reading. If the average of either of the readings (either the systolic or diastolic) is higher than the norm, it will be considered an elevated blood pressure. That is, an average of 150/85 or 135/100 over readings on several occassions will be considered too high.
Eat dark chocolate. Dark chocolate and cocoa powder are both full of heart-healthy plant compounds called flavonoids. Flavonoids are good for you because they cause your blood vessels to dilate, which can help lower blood pressure. Just make sure your chocolate doesn’t have too much sugar. Choose chocolate that is at least 70 percent dark for best results. You can buy individually wrapped chocolate pieces that are the perfect size. Eat one or two a day and enjoy the delicious heart-protective effects.
Did you know high blood pressure affects nearly half of all Americans? When left untreated, it can cause serious problems. High blood pressure (or hypertension) makes the heart work too hard to pump blood around your body. That can increase your risk of other health problems such as heart failure, heart attack or stroke. It can also cause kidney failure and vision issues.
Speaking of BP meds that effect potassium, my potassium is usually around 3.3 which is below the threshold. My doctor thinks this is due to the diuretic chlorthalidone and recommends a supplement like KLOR. I also take lisinopril and amlodipine. I have no symptoms of hypoglycemia and have put off taking the supplement. Perhaps switching to a potassium sparing diuretic would be the way to go, but I tolerate my current meds very well. I am a very active 75 year old man. Thank you so much for your good work with this blog.

Oatmeal is one of a few semi-processed foods that lower blood pressure. That’s because getting the right amounts of dietary fiber and whole grains is vital to maintaining normal blood pressure, and oatmeal is a tasty source of both. Classic studies have proven that eating oatmeal can lower systolic and diastolic blood pressure. Plus, the fiber can help you maintain a healthy body weight and prevent obesity, a risk factor for high blood pressure. These are the 10 silent signs you could have low blood pressure.
Certain groups of people—the elderly, African Americans, and those with a family history of high blood pressure—are more likely than others to have blood pressure that's particularly salt-sensitive. But because there's no way to tell whether any one individual is at risk, everyone should consume less sodium, says Eva Obarzanek, PhD, a research nutritionist at the National Heart, Lung, and Blood Institute.
What is considered low depends a bit on the person, their medical history, and the particular circumstances. It is also important to compare a person’s blood pressure to his or her “usual blood pressure.” A SBP of 102 is different in a young woman who usually has SBP 100-105, compared to an older person who has historically registered SBPs of 130-150.
According to the American College of Cardiology and the American Heart Association, the goal of blood pressure treatment is to attain a blood pressure reading that's less than 130/80 mmHg systolic and less than 80mmHg diastolic. In general, if you have hypertension, it is likely that you will need to be treated for the duration of your life to maintain this target blood pressure. 
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Another important step is to lose weight and maintain a healthy weight. Being overweight elevates your risk for high blood pressure and many other diseases and conditions. Losing just 5 percent of your body weight can have a significant positive impact on your blood pressure. Studies have shown that the combination of exercising and losing weight improves blood pressure numbers even more than either one alone. It may seem daunting to lose weight, but it is possible. Talk to your doctor about how other people have done it. And consider seeing a weight loss counselor too. You can do this! And after only a few pounds of healthy weight loss, you should start seeing your blood pressure numbers drop.
Taking a few moments to concentrate on breathing deeply can be a great help. Meditation and yoga are other great activities to reduce stress. We recommend Yoga Burn, by Zoe Bray Cotton for an amazing at-home yoga workout.  In the long term, creating a routine that including one or more of these stress reduction techniques will be important to keep your blood pressure down in normal levels. [2]
People with high blood pressure who drank about eight ounces of beetroot juice experienced a decrease in blood pressure of about 10 mm Hg, according to a study published in April 2013 in the American Heart Association journal Hypertension. The magic ingredient? Nitrate, which turns into nitric oxide, a gas that widens blood vessels and aids blood flow. A glass a day could help keep blood pressure at a lower, healthier level. Here are 31 things you can do right now to avoid high blood pressure.
People who cooked with a blend of the two oils (available at health food stores) saw a drop in blood pressure almost comparable with the decrease that results from taking medication, according to research from the American Heart Association’s Scientific Sessions. Researchers believe the effect is due to the oils’ fatty acids and antioxidants such as sesamin, sesamol, sesamolin, and oryzanol.
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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.)
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.
A SBP above 140 is not “alarming” per se, but historically this has been the cutoff separating “high” blood pressure from normal or “bordeline” blood pressure. Many doctors do still believe that older adults should be encouraged to get their SBP below 140, and in the SPRINT blood pressure trial, one group of participants actually aimed to get their SBP below 120.
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.
First, keep in mind that drugs have limited success. Most studies on diuretics and other blood pressure-lowering drugs suggest they lower the risk of cardiovascular events among those with blood pressure between 140/90 and 159/99 by 15 to 20%.3 The problem is, with this range of blood pressure, the risk of cardiovascular-related deaths has increased by 300 to 400% compared to people with normal blood pressure.

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.


Studying men with hypertension who came to Pritikin, scientists at UCLA found that within three weeks, the men had significantly healthier levels of blood pressure. In fact, those who arrived at Pritikin taking hypertension drugs left Pritikin two to three weeks later no longer needing their medications, or with their dosages significantly reduced.1
Oatmeal is one of a few semi-processed foods that lower blood pressure. That’s because getting the right amounts of dietary fiber and whole grains is vital to maintaining normal blood pressure, and oatmeal is a tasty source of both. Classic studies have proven that eating oatmeal can lower systolic and diastolic blood pressure. Plus, the fiber can help you maintain a healthy body weight and prevent obesity, a risk factor for high blood pressure. These are the 10 silent signs you could have low blood pressure.
You didn’t mention that almost all blood pressure meds cause blood sugar to rise which is a real problem if you are pre-diabetic and trying hard to keep your numbers down so that you won’t have to take diabetic meds. My husband’s BP meds make him feel bad and make his blood sugar rise. If he stops the BP meds he feels great but his BP goes up. Happens on each BP med he’s taken.
Exercise is the soulmate to eating right. You’re more likely to lose weight if you exercise and follow a healthy diet. Official recommendations call for at least half an hour of exercise most days of the week. The effects can be dramatic: Blood pressure drops of 4 to 9 points. Remember that exercise isn’t just going to the gym. It can be gardening, washing your car, or housework. But things that get your heart rate up -- aerobic activities -- like walking, dancing, jogging, riding your bike, and swimming are best for your heart.
I am a 55 year old woman who was diagnosed with hbp about 5 years ago. I also have degenerative arthritis in my hips, in particular,and have had to keep up with strength training exercises over the past 20 years to ward off the pain. When first diagnosed with hpb, my doctor put me on Benicar. It helped immediately but I also began to experience some severe muscle and joint pain in my hips and legs. She switched me to Valsartan and the pain abided for about 2 months. Then came back again. Fast forward to last fall when I had a left hip replacement. Recovery was slow, especially for my age. I kept stumping the PT as to why my muscle tension was so tight. Finally, after I started working out at the gym, my pain resided. Counter intuitive, I know. Now I am scheduled to have a right hip replacement in November 2018 and am experiencing intermittent excruciating pain in my quads and tibia. I’ve been reading about an uncommon side effect of bp meds being muscle and joint pain. I’m wondering how much the bp meds are contributing to my pain. Would it be unreasonable to try switching bp meds every 3/4 months? Thank you for any advice you can provide.

Regular check-ups on blood pressure levels are advised for both young and old. Recognizing the presence of hypertension early can help a patient treat the problem more effectively, bring their blood pressure levels into a healthier range, and avoid damage to their organs and fatal complications. There are a number of options that can be used to lower blood pressure. While certain medications do possess the ability to yield positive results in hypertension patients, natural and alternative remedies hold fewer risks for side-effects.


Raw almonds: Consuming a handful of raw almonds can make a significant difference in your blood pressure. Almonds are considered a key component of the DASH diet—dietary approaches to stop hypertension diet—as they are rich in monounsaturated fats scientifically proven to lower cholesterol, reduce arterial inflammation, and lower blood pressure. It is important to note that almonds are high in fat and calories, but when eaten as part of a healthy lifestyle, they may actually promote weight loss and muscle growth.
If you are dissatisfied with your current nephrologist, you need to either persistently and politely keep asking for more help and more of what you need (e.g. more explanations), or you need to try a different nephrologist. I’m sorry as doing this is a lot of work, but unfortunately, it does sound like you need to work closely with a health professional.

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.


If you want to know how to lower blood pressure fast and safely, look no further. The good news is that there are things you can do immediately to bring your blood pressure down and get it closer to normal levels. By doing this you will reduce your risk of further health complications. Here are the best tips for bringing down your blood pressure quickly.
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.)
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.
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.
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.
Glad you’ve found the information here helpful. Sounds like you are being very thoughtful and proactive about maintaining your health. Wonderful that your Medicare plan is covering an exercise program with a trainer! It’s true that as one gets older, being more deliberate and purposeful about exercise and strength work becomes more important. good luck and take care!
Common painkillers (so-called non-steroidal anti-inflammatory drugs, NSAID), can increase your blood pressure by inhibiting the production of salt in your kidneys. This includes over-the-counter pills such as Ipren, Ibumetin, Ibuprofen, Diklofenak and Naproxen as well as the prescription drug Celebra. Painkillers with the active substance paracetamol are better for your blood pressure.
Dr. Palanismy notes that a particular form of stress reduction called Mindfulness-Based Stress Reduction has been proven in research studies to reduce blood pressure. This approach to stress reduction uses meditation, body awareness and movement such as yoga to help people better observe their experiences, instead of being completely immersed in them. This helps them take a step back in stressful situations.
This technique is known to surprisingly few health professionals, though it has proved valuable in the treatment of a wide variety of health problems. Recently, this powerful technique has been shown to be an extremely effective method for allowing the body to rapidly normalize high blood pressure more effectively than any other treatment reported in the scientific literature.

On any matter relating to your health or well-being, please check with an appropriate health professional. No statement herein is to be construed as a diagnosis, treatment, preventative, or cure for any disease, disorder or abnormal physical state. The statements herein have not been evaluated by the Foods and Drugs Administration or Health Canada. Dr. Marchione and the doctors on the Bel Marra Health Editorial Team are compensated by Bel Marra Health for their work in creating content, consulting along with formulating and endorsing products.
When added to a healthy diet, almonds can help influence lower blood pressure levels. In fact, almonds are included in the Dietary Approaches to Stop Hypertension — DASH — Diet. In the diet, almonds are included in the “nuts, seeds and legumes” group. The diet recommends eating four to five servings of this food group per week. With regard to almonds, one serving of almonds is just one-third cup. The healthy monounsaturated fat in almonds contributes to lower blood cholesterol levels and reduced arterial inflammation, which ultimately helps lower the pressure inside the arteries.
Those who received a placebo drink improved their reading by only 1 point. The phytochemicals in hibiscus are probably responsible for the large reduction in high blood pressure, say the study authors. Many herbal teas contain hibiscus; look for blends that list it near the top of the chart of ingredients for low blood pressure—this often indicates a higher concentration per serving.
A study published in the Journal of Bioscience, Biotechnology and Biochemistry looked at the effect that vinegar has on blood pressure if it is introduced to your diet. The results of the research showed that consumption of acetic acid (which is found in apple cider vinegar) caused a significant reduction in hypertension (high blood pressure). The research found that the acetic acid reduced blood pressure by lowering the renin activity. Renin is an enzyme which helps regulate blood pressure. I mix 1-2 tablespoons in a glass of warm water in the morning. I have found like I like Braggs ACV with the mother.
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. 
Unlike the smooth action of the hot tub pump, the human heart expands and contracts mightily each second or so, causing your blood pressure to be comparatively high one moment, and comparatively low in the next. That is why we need two measurements when checking your blood pressure: one at the moment when the pressure is highest (your systolic blood pressure), and one a moment later, when the pressure is lowest (your diastolic blood pressure).

1) Raw almonds. Eating just a handful of truly raw almonds every day can make a significant difference in keeping your blood pressure levels in check. A key component of the Dietary Approaches to Stop Hypertension Diet, also known as DASH, raw almonds are rich in monounsaturated fats, which have been scientifically proven to help lower blood cholesterol levels, reduce arterial inflammation, and ultimately lower blood pressure levels.

Well, it sounds like you started with one BP med in the angiotensin II receptor blocker (ARB) class, and then your doctor switched you to another drug in that same class. These drugs do affect potassium, which can affect muscle function but otherwise, I haven’t heard of them being particularly associated with joint pain, and I didn’t see much mention of this when I looked just now in my clinical reference (Uptodate.com).
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.

Lastly, regarding your own health concerns, if you are concerned about possible angina or any type of chest pain, I strongly urge you to bring this up with your usual doctor as soon as possible. This is the only next move that can be recommended. A health care provider needs to evaluate you in person in order to determine whether additional testing of your heart is necessary. Heart disease in women your age is not uncommon and can be very serious, so don’t delay.
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. 

As the body increases production of an enzyme called angiotensin I-converting enzyme, or “ACE”, blood pressure increases. Pharmaceutical drugs called ACE inhibitors work by blocking the formation of this enzyme, but they have multiple side effects. Garlic contains gamma-glutamylcysteine, a natural ACE inhibitor.  This chemical, in combination with the high allicin content, gives garlic its ability to dilate arteries, thereby lowering blood pressure. I usually take one clove of garlic and remove the skin, chew well and swallow. Yes nobody wants to be around me after. You can also buy in pill form.
About 80 million Americans over age 20, 1 in 3 adults, have high blood pressure, and many don’t even know they have it. Not treating high blood pressure is dangerous. High blood pressure increases the risk of heart attack and stroke. You can live a healthier life if you treat and manage it! There are many ways to do so, taking natural remedies is just one of them.

And I am 67 and am on HCTZ25mg (I retain a lot of water) and Losartan 75mg which causes leg cramps but I think I am experiencing angina – not always; it goes away after the initial pain – now I’m worried – yes I could lose weight but do not smoke(17yrs ago) or drink(used to then stopped now for a number of years). What’s are next move. Iam adopted so I can’t look to my Mom for any genetics…Thank you, Laurie

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.


Taking a few moments to concentrate on breathing deeply can be a great help. Meditation and yoga are other great activities to reduce stress. We recommend Yoga Burn, by Zoe Bray Cotton for an amazing at-home yoga workout.  In the long term, creating a routine that including one or more of these stress reduction techniques will be important to keep your blood pressure down in normal levels. [2]
Knowing how to lower blood pressure fast is very important. Uncontrolled high blood pressure can cause irreversible damage to internal organs and shorten your life. When starting anything new please consult your primary care physician. With natural ways to lower your blood pressure always check to see if they will interfere with any current medication, you are taking. You can speak with your local pharmacist.
According to the Centers for Disease Control and Prevention (CDC), an estimated 75 million Americans have high blood pressure. Many risk factors for high blood pressure are out of your control, such as age, family history, gender, and race. But there are also factors you can control, such as exercise and diet. A diet that can help control blood pressure is rich in potassium, magnesium, and fiber and lower in sodium.
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.
Elevated blood pressure refers to an increase in the pressure or tension applied to blood vessels. Blood pressure is measured by providing two different readings, including systolic blood pressure and diastolic pressure. Blood pressure levels that raise beyond 120/80 is considered elevated. At 130/80, a person is considered to be experiencing high blood pressure. High blood pressure is often classified into two stages. State 1 hypertension is diagnosed when blood pressure levels fall between 130-139/80-89. Stage 2 hypertension is diagnosed when a patient’s blood pressure becomes higher than 140/90.
Diabetics often have lower recommendations for blood pressure, the maximum normal value being seen as 130/80-85. However, it’s questionable whether it’s a good idea to medicate your blood pressure levels down to those values. Diabetics can probably stick to approximately the same upper limit as people with heart disease: 140/90 (according to new studies and expert comments, as well as the latest recommendations from the American Diabetes Association, ADA).

CoQ10 is a naturally occurring enzyme. It contains antioxidants that are good for maintaining cardiac health. CoQ10 has been shown to decrease blood pressure and reduces the thickening of the heart muscle (hypertrophy). There are no known side effects of CoQ10 since it naturally occurs in the body. According to the Mayo Clinic, for the treatment of hypertension, take 60-360 milligrams daily for 8-12 weeks.

Fish are a great source of lean protein. Fatty fish like mackerel and salmon are high in omega-3 fatty acids, which can lower blood pressure, reduce inflammation, and lower triglycerides. In addition to these fish sources, trout contains vitamin D. Foods rarely contain vitamin D, and this hormone-like vitamin has properties that can lower blood pressure.
1) Raw almonds. Eating just a handful of truly raw almonds every day can make a significant difference in keeping your blood pressure levels in check. A key component of the Dietary Approaches to Stop Hypertension Diet, also known as DASH, raw almonds are rich in monounsaturated fats, which have been scientifically proven to help lower blood cholesterol levels, reduce arterial inflammation, and ultimately lower blood pressure levels.

Your mother’s situation does sound worrisome, as you are describing falls and also some concerns with thinking. Her age of 96 is pretty old, so clinical research studies don’t provide much guidance on what is optimal blood pressure. Unless she has compelling medical reasons to aim for a SBP of 120, most geriatricians would probably reduce her BP meds and try to aim for a SBP in the 130s or 140s. So you may want to ask your mother’s doctor to discuss with you what is a suitable BP goal for her, and whether a reduction in BP meds might be reasonable.
pressure which was averaging 157 in doctors office.I bought Amron blood pressure monitor and check my readings in the morning within 30 minutes of getting up at 4.45 a.m. and the I go for my walk and run or just walk and weight training 5 days a week. My home readings average about 115/67 with heart rate averaging 55.Pl. note that I have been on Amlodopine 2.5 mg. taking it about an hour before going to bed.I also take Flowmax and Avodart for enlarged prostate.
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