Cold-water fish. Increasing serum measurements of DHA/EPA, markers of fish intake, are related to lower blood pressure (12, 13, 14). However, steer clear of most fish oil supplements and instead have patients obtain beneficial nutrients from whole foods whenever possible. A recent analysis showed that the three top-selling fish oils in the United States contained oxidized lipids that may be causing more harm than good (15). Beyond DHA and EPA, fish also have selenium, zinc, iron, and a highly absorbable protein that also may reduce blood pressure (16). Aim for cold-water fatty fish three times a week.
Your blood pressure is said to be “high” when either your systolic blood pressure is 140 or above, or your diastolic blood pressure is 90 or above, or both. So if your blood pressure is found to be 142/88 (systolic = 142, diastolic = 88), you are diagnosed as having high blood pressure, according to current definitions. The same would be true if your blood pressure was found to be 135/92, or 152/95. In each case, either the systolic is high, or the diastolic is high, or both. Any of these findings result in a diagnosis of high blood pressure.
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Patients may be rushed and anxious when they’re in the doctor’s office, resulting in higher-than-normal blood pressure readings. Home monitors let patients measure and record blood pressure throughout the day for greater accuracy. Patients can keep a log of their numbers and bring the log and the monitor to their doctor’s appointment to check for accuracy.
The connection between caffeine consumption and high blood pressure is not well understood, but there is ample evidence to indicate that if you have hypertension, coffee and other caffeinated drinks and foods can ex­acerbate your condition. Caffeine is a drug, and while it's entirely legal and widely consumed, it can have a powerful effect on your individual physiology. If you want to eliminate caffeine from your diet, try to do it gradually over a period of days or even weeks in order to avoid withdrawal symptoms like headaches.

For example, eating a healthy diet rich in fruit, vegetables, whole grains, and healthy fats can limit dense low-density lipoprotein (LDL) deposits along the artery that contribute to high blood pressure. Limiting intake of processed foods can lower sodium intake and total cholesterol. This, in addition to exercise, can also help lead to weight loss. Research indicates that losing as little as nine pounds can have substantial impacts on blood pressure.
The reasons for this astonishing success are not yet entirely understood. Certainly, two of the major causes of high blood pressure are being addressed: excessive dietary salt is completely eliminated, and it is likely that some patients experience some reversal of the atherosclerosis process. However, Dr. Campbell has suggested that additional mechanisms may be partly responsible for fasting’s remarkable effects, such as the rapid reduction of a phenomenon known as “insulin resistance.”

Low levels of vitamin D—which the body gets from fortified foods, supplements, or the skin’s exposure to sunlight—have been linked to high blood pressure. But most research has found that taking supplements doesn't seem to help. Dr. Bisognano says the jury’s still out on how the two are linked. “I have found that people with extremely low vitamin D levels can have high blood pressure that’s more difficult to treat,” he says, “but I can’t be sure whether that’s the driving issue.”

You can lower your systolic blood pressure (the top number) by switching to the DASH diet. The DASH diet is based on 2,000 calories a day. It's rich in fruits, vegetables, and low-fat dairy products. It's also low in saturated fat, cholesterol, and total fat. According to studies, adopting a DASH diet can reduce systolic blood pressure by eight to 14 points. The goal is to keep you blood pressure goal is less than 120/80.  
A few years ago, the federal government revised its high blood pressure guidelines after research showed that even slightly elevated blood pressure starts damaging the arteries and increasing the risk of a heart attack, stroke and kidney failure. The new guidelines specify the blood pressure numbers that indicate when a person is considered “hypertensive,” as well as a new category for “prehypertensive” people who are at risk for developing high blood pressure. The new category is a red flag to spur Americans to make the kinds of lifestyle changes that you are interested in. The idea is to prevent the upward creep of blood pressure that tends to happen with age.
“This does not mean I want them exercising so hard that they pass out, but I want them to be challenged, even if it means taking a break if they have to,” he said. “For some people, that may mean nothing more than a gentle walk with periodic breaks, but as the weeks go on they need to challenge themselves to get rid of those breaks, little by little.”
Being diagnosed with high blood pressure can be scary, especially if your doctor is recommending medication to keep your hypertension under control. Medication can be quite expensive. Not to mention possible side effects such as dizziness, nausea or vomiting, and erection problems. However, it is not your only option in the fight against high blood pressure.
Reduce sodium in your diet. One easy way to reduce your sodium intake is to limit or avoid processed foods, such lunch meats, hot dogs, bacon, frozen dinners, canned vegetables with added salt, and that sort of thing. Most packaged convenience foods, like macaroni and cheese, soups, side dishes, pizzas, and other multi-ingredient foods have a lot of added sodium. Start reading labels and pay attention to the sodium content. You should aim for 1500mg or less every day.
Cardamom is a seasoning that comes from India and is often used in South Asian cuisine. A small study of 20 people investigating the health effects of cardamom found that participants with high blood pressure saw significant reductions in their blood pressure readings after taking 1.5 grams of cardamom powder twice a day for 12 weeks. You can include cardamom seeds or powder in spice rubs, soups and stews, and even baked goods for a special flavor and a possible positive health benefit. 

Stress can cause blood pressure to rise, both short- and long-term. So finding something that helps you relax can be an important part of preventing or reducing hypertension. What that something is, exactly, is up to you—but research suggests that yoga, meditation, spending time with pets, laughing, and even having sex (!) may be good choices. “Just like with exercise, you have to choose something that you enjoy and that you can do consistently as part of your daily lifestyle,” says Dr. Bisognano. 


Conventional allopathic medicines and lifestyle modifications still remain the backbone of hypertension management. What about alternative treatments, though? Well,in 2013, the American Heart Association came out with an official statement addressing this issue, published in the journal Hypertension. The statement runs about 59 pages, but I will try to summarize this statement's conclusion's addressing the efficacy of approaches like acupuncture, yoga, meditation, etc in treating high blood pressure. Please note that these conclusions apply only to treatment of high blood pressure, and not to other health/psychological benefits that may be derived from doing these activities.
Reduce sodium in your diet. One easy way to reduce your sodium intake is to limit or avoid processed foods, such lunch meats, hot dogs, bacon, frozen dinners, canned vegetables with added salt, and that sort of thing. Most packaged convenience foods, like macaroni and cheese, soups, side dishes, pizzas, and other multi-ingredient foods have a lot of added sodium. Start reading labels and pay attention to the sodium content. You should aim for 1500mg or less every day.
Consider once again the analogy of the garden hose. If you turn on the water “harder,” there is more pressure in the hose. Excessive salt in the diet can result in excessive fluid volume in the blood, which results in elevated blood pressure. This cause, too, is reversible, as a plant-based diet of whole, natural foods, devoid of added salt, is naturally low in sodium chloride.
If you’re already suffering from high blood pressure, eating garlic regularly can reduce your blood pressure by about 20 points, or 10 to 15 percent. When garlic is crushed it releases allicin, which decreases blood pressure and acts as a natural anti-inflammatory. Make sure you let your garlic sit for about 15 minutes after chopping or crushing, to allow the allicin to release. Cook on a low temperature to get the maximum benefit, as a high temperature will kill many of garlic’s healing properties.
Eating a diet rich in whole grains, fruits, vegetables and low-fat dairy products (such as the DASH diet) while cutting back on foods that are high in saturated fat and cholesterol can significantly lower your blood pressure. One way to stick to a healthy diet is to write down everything you eat. Keeping a diary for even just a week can make people aware of their true eating habits.
WebMD states the goal of lowering blood pressure immediately during a hypertensive emergency is to prevent further organ damage. Doctors may perform eye exams in a hypertensive emergency to monitor possible organ damage. Blood and urine samples are also taken. Symptoms of a hypertensive emergency include headache, blurred vision, seizure, increasing chest pain, increasing shortness of breath and fluid buildup in tissues.
But weightlifting can also have long-term benefits to blood pressure that outweigh the risk of a temporary spike for most people. And it can improve other aspects of cardiovascular health that can help to reduce overall cardiovascular risk. The Department of Health and Human Services recommends incorporating strength training exercises of all the major muscle groups into a fitness routine at least two times a week.
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