Exercise. Some patients will cringe at the suggestion of exercise, because they envision a chronic cardio scenario like a mouse on a running wheel. Spread the good news: exercise of all kinds—endurance, dynamic resistance, HIIT, isometric resistance—has the potential to reduce blood pressure (38). Whatever exercise your patients will actually do on a regular basis is the best recipe for success. In patients with extreme hypertension, be cautious with exercises that may further increase blood pressure to an unsafe zone (39).
Consuming dark chocolate or cocoa products rich in flavanols was linked with some reduction in systolic or diastolic blood pressure among people with hypertension or pre-hypertension (but not normal blood pressure), according to a meta-analysis in BMC Medicine. Other research has shown that polyphenols (especially flavanols) in cocoa products are associated with the formation of nitric oxide, a substance that widens blood vessels and eases blood flow—and thereby lowers blood pressure. According to the researchers, future studies should investigate whether genetics plays a role.
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 stronger the heart, the more efficiently it can perform. Those who are physically active and exercise regularly are far more likely to maintain healthy blood pressure than those who do not. According to the American Heart Association, 40 minutes of moderate to vigorous activity three to four times per week is all it takes on average to help reduce high blood pressure.
Eighty million U.S. adults, or one in three, have hypertension (1). Another one in three have prehypertension, defined as blood pressure in the range of 120–139/80–89 mmHg. In addition to costing $48.6 billion annually, hypertension is a major risk factor for cardiovascular disease, congestive heart failure, chronic renal failure, and stroke (1). Even prehypertension increases the risk of death from CVD (2). Because of its severity, hypertension requires immediate treatment, but prescription drugs may not be the answer.
If you have been diagnosed with high blood pressure, your long-term health depends on keeping the condition under control. The changes above can all help reduce blood pressure levels to a healthy range and potentially allow you to avoid the need for medication. Still, this is a determination that can only be made by your physician. Speak with your doctor about your potential treatment options and which may be best for your particular situation.
If you have ever been in a hot tub with the “jets” on, you have observed a circulating system. When the pump is “on,” the water circulates from the hot tub, through pipes, into a pump, and then back to the hot tub. In this way, the water can be put through a filter to remove impurities and be re-utilized again and again. A hot tub with its pump “on” is a simple circulatory system. When the pump is “off,” the water stops circulating and stays wherever it is in the system.