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.
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.
Some research on watermelon extract and high blood pressure suggests the amino acid citrulline found in the fruit may help manage high blood pressure. One study found those who took watermelon extract showed reduced blood pressure specifically in the ankles and arm arteries. Other studies on mice also show watermelon’s positive effect. Although more research is needed to determine the specifics, eating fruit like watermelon isn’t going to hurt.
5) Turmeric. Modern science is just barely hitting the tip of the iceberg concerning the superfood capacity of turmeric, also commonly known as curcumin. But one of the herb's already known benefits concerns its abilities to significantly decrease inflammation throughout the body, which is a primary cause of high cholesterol and even high blood pressure. By actively reducing inflammation, turmeric helps improve cardiovascular function and maintain healthy blood flow.
A diet that’s low in fat and carbohydrates can improve artery function, according to a 2012 study by Johns Hopkins researchers. After six months, those on the low-carb diet had lost more weight, and at a faster pace. But in both groups, when weight was lost—and especially when belly fat shrank—the arteries were able to expand better, allowing blood to travel more freely. The study shows that you don’t have to cut out all dietary fat to shrink belly fat. For heart health, simply losing weight and exercising seems to be key. 
“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. 

How low should you go? Aim to keep your sodium intake below 1,500 mg for healthy blood pressure, recommends the American Heart Association. That’s about half of what most Americans consume per day. Going easy on the saltshaker can help, but you’ll make a bigger impact by watching the sodium count in packaged or processed foods, Obarzanek says. (Pay extra attention to bread and rolls, pizza, soup, cold cuts, poultry, and sandwiches, which tend to pack the most salt.) Then try these other simple ways to slash your salt intake.
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.

Elevating your feet will not lower blood pressure and will actually increase the blood pressure reading when your feet are higher than your heart. On the other hand, if you are doing activities to relieve stress such as yoga (which often elevates your legs, such as legs-up-the-wall pose), then over the long run, these stress reducing activities may help to decrease your blood pressure (but it is not the act of elevating the legs that is lowering the blood pressure it is the stress relieving activity).


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.
Garlic: Garlic has long been thought to reduce hypertension. Studies show that garlic extract can lower blood pressure, although the optimal dose, frequency, and form are not well established. Garlic may produce this effect by acting directly on the kidneys to eliminate excess salt. It is considered a safe spice to consume, although it can cause some stomach upset. 
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?

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. 

How low should you go? Aim to keep your sodium intake below 1,500 mg for healthy blood pressure, recommends the American Heart Association. That’s about half of what most Americans consume per day. Going easy on the saltshaker can help, but you’ll make a bigger impact by watching the sodium count in packaged or processed foods, Obarzanek says. (Pay extra attention to bread and rolls, pizza, soup, cold cuts, poultry, and sandwiches, which tend to pack the most salt.) Then try these other simple ways to slash your salt intake.
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.
Today's episode of the OPP we feature guest Joe Scola, who is the founder of Wise Ape Tea. They specialize in Adaptogenic teas, which regulate stress for your body. We get into some HEAVY Tea Topics like the weirdest blend of tea, the historic origins of tea, and discuss how adding in CBDs affects tea. Wise Ape also partners with many organizations, and for each tea sale they donate a chunk of the proceeds to these organizations which is awesome! Each tea is partnered with a specific charitable organization so go out there, buy your favorite tea, and contribute to a great cause! Two birds with one stone!
Editor’s Note: Considerable controversy exists about whether fat or cholesterol are, per se, drivers of atherosclerosis. They are implicated in some studies, while others indicate that quality of fat, and placement in a wider dietary pattern, may be more significant to ultimate impact. What seems clear, however, is that a diet high in animal products, sugar, and processed foods is often a recipe for high blood pressure and heart disease.
Developed thousands of years ago in India, Ayurveda is the sister philosophy of yoga, the medication form of it. The therapies and treatments work after the identification of an individual’s Dosha- Vata, Pitta, and Kapha. Dosha imbalance is the foremost reason for any health issues and hypertension is the result of the imbalance of the two doshas- Vata and Pitta.
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).
Is there anything garlic can’t do? The vegetable is praised in natural medicine and is linked to lowering cholesterol and high blood pressure, too, according to Healthline. This natural antibiotic has the active ingredient allicin to thank for its health benefits. Plus, more research shows eating garlic alters how blood vessels dilate, resulting in blood pressure changes as well.
I just found this site while reading the Washington Post article, and I so hope there is some help for me. I will be 71 in a couple of weeks. I am a congenital heart survivor, having surgical repair by Dr. Cooley in 1960 at the age of 12. I learned a few years ago that I have a “showering” of micro hemorrhages in my brain from the heart lung machine not being “neuroprotective”… That news was shocking and traumatizing. As a child I expected to die. Both my young brothers died of other congenital illnesses. At any rate that apparently puts me at higher than normal stroke risk.
Bananas are one great source of potassium, but there are other tasty ways to get your fill. Potatoes actually pack more potassium than the yellow fruit (and you might be surprised to learn there are plenty of other health benefits of potatoes, too). Sweet potatoes, tomatoes, orange juice, kidney beans, peas, cantaloupe, honeydew, and dried fruits like prunes or raisins are other good sources. In all, you should aim to get 2,000 to 4,000 mg of potassium a day, Van Horn recommends.

Visit the zoo: Viewing and being around animals can be very therapeutic, having a positive effect on blood pressure levels. A study in Japan found that when people visited a zoo, their systolic blood pressure dropped by six percent and their diastolic blood pressure dropped by eight percent. It is thought that observing animals simulated the parasympathetic nervous system, which reduces blood pressure to help counteract stress-induced adrenaline spikes.
Eat a heart-healthy diet. Eating a well-balanced diet with lots of fruits, vegetables, whole grains, nuts, and seeds that is also low in sodium, saturated fat, added sugar, and cholesterol is important for your heart. There is a diet specifically geared toward lowering blood pressure. It’s called the DASH diet, which stands for dietary approaches to stop hypertension. Talk to your doctor or make an appointment with a dietitian if you need help making changes to your diet.

Blood pressure fluctuates throughout the day, so measuring it in the morning might yield a different number than, say, the afternoon. Conditions like stress and lack of sleep can also fluctuate blood pressure. Visiting your doctor might feel nerve-wracking, which can elevate your blood pressure and create a condition called white coat hypertension.
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. Read here to know some effective ways to control your blood pressure.  By: DoctorNDTV  Updated: Oct 24, 2018 09:26 IST 4-Min Read  SHARES High blood pressure can be controlled by maintaining a healthy lifestyle
If you’re interested in working with a personal trainer but are concerned about the cost, Parker notes that trainers don’t have to be expensive. Some trainers offer group sessions that are cheaper than individual training sessions. College students getting degrees in kinesiology, the study of human movement or physical activity, also train people at reduced cost. 

This cruciferous veggie is a good source of the blood pressure-regulating minerals magnesium, calcium, and potassium. In fact, high amounts of those three minerals is a telltale sign of many foods to lower blood pressure. Previous research in animals has found that a diet high in broccoli sprouts may help reduce blood pressure, cardiovascular disease, and stroke. Broccoli sprouts are high in compounds that may help reduce damage to arteries, which may play a role in high blood pressure.
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.
10. Increase intake of potassium: Potassium is important to keep blood pressure under control as it helps the body to get rid of sodium. Including more fresh and whole foods in your diet can contribute to healthy levels of potassium in your body. Foods rich in potassium include bananas, beans, nuts and seeds, tuna, salmon, dairy products and green leafy veggies are rich sources of potassium.

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.


You and your doctor should set a goal for getting closer to 140/90 mmHg. To start the conversation, bring this health tracker for diabetes to your next visit. A lot of what you'll do to lower blood pressure is the same as the "Six tips to help lower blood pressure" above. Have your blood pressure checked at each doctor's visit. Take medicine as prescribed. Eliminate tobacco. Exercise. Eat well.
When was the last time you thought about your blood pressure? If you're like most people, it probably hasn't been since your doctor mentioned it during your last checkup. But high blood pressure (hypertension) is a serious condition that can lead to life-threatening problems, like heart attack and stroke. The good news is that you can lower your risk of hypertension with lifestyle changes.
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
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).
A lack of vitamin D is common in developed countries and can cause a range of health problems. But this simple and inexpensive supplement may reduce the risk of cardiovascular disease. Taking around 4000IU of a high-quality D3 supplement daily can also support bone health, lower blood pressure, boost your mood and reduce fatigue – and these are just a few of its many health benefits.
Again, foods that lower blood pressure are usually high in potassium and similar nutrients. Famously rich in blood pressure-lowering potassium, one banana contains about 420 milligrams, or 11 percent of the 4,700 milligrams the American Heart Association recommends people consume daily. Surprisingly, however, many veggies are actually higher in potassium than these popular fruits. A cup of Swiss chard boasts 960 milligrams, a cup of cooked white beans has nearly 1,200 milligrams, and a whole avocado has 975 milligrams.
7. Visit your chiropractor. A special chiropractic adjustment could significantly lower high blood pressure, a placebo-controlled study suggests. “This procedure has the effect of not one, but two blood–pressure medications given in combination,” study leader George Bakris, MD, told WebMD. Your chiropractor can create an effective protocol that helps normalize blood pressure without medication or other invasive procedures.
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.

But the dark chocolate should be 60 to 70 percent cacao. A review of studies on dark chocolate has found that eating one to two squares of dark chocolate per day may help lower the risk of heart disease by lowering blood pressure and inflammation. The benefits are thought to come from the flavonoids present in chocolate with more cocoa solids. The flavonoids help dilate, or widen, your blood vessels (25).

The DASH (Dietary Approaches to Stop Hypertension) diet has been proven best for controlling blood pressure, according to the American Heart Association.  People who follow the diet eat 2,000 calories a day of fruits, vegetables, low-fat dairy foods and whole grains. The diet is rich in potassium, magnesium and calcium, as well as protein and fiber, and low in sodium. Foods on the diet are low in saturated fat, total fat, and cholesterol.


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.
We've got a bit of a different podcast today for you Guys & Gals, but it's still a goodie, and jam packed with exciting information. The Chief Scientist at the Institute of Noetic Sciences, Dr. Dean Radin, joins us to discuss his expertise on real magic and how can it optimize performance for everyone. Dr. Radin is the author of many books, but his newest, titled Real Magic, delves into the worlds of telepathy and psychokinesis; which he explains may not solely be powers of the imagination. Enjoy!

4) Raw cacao. Rich in flavonoids and other anti-inflammatory nutrients, raw cacao is another food-based weapon against hypertension that you will want to keep readily stocked in your health arsenal. Not only do the flavonoids in cacao function as adaptogens to help the body better deal with stress, which is a common cause of hypertension, but they also help regulate stress hormone levels throughout the body, which play a critical role in blood pressure regulation.
There are many popular medical myths about high blood pressure. For example, many physicians believe that high blood pressure is an “inevitable consequence of aging;” that the “only viable treatment option for high blood pressure patients is medication”; that high blood pressure patients must take their medications “for the rest of their lives”; and, worst of all, that high blood pressure medications are “safe and effective.”
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).
Swearing off cigarettes is probably the single best thing you can do for your heart. It’s good for your health in general, too. Not only does smoke hurt you over the long term, but your blood pressure goes up every time you have a cigarette. Lower your blood pressure and prolong your life by quitting. If you need help getting started, talk to your doctor.
Eating nutritious foods that are packed full of vitamins and antioxidants is a great way of lowering your blood pressure and keeping it down for good. Raw vegetables and fresh fruits are vital to a healthy diet and play a key part in controlling your blood pressure. Spinach, tomatoes and garlic are all good choices for keeping blood pressure down. [1]

The sweet serves up flavanols that help lower blood pressure by relaxing blood vessels and boosting blood flow. On average, regular dark chocolate consumption could help lower your systolic blood pressure (the top number) by 5 points and your diastolic blood pressure (the bottom number) by almost 3 points, suggests an Australian analysis. How dark are we talking? Experts haven't been able to determine an ideal percentage of cocoa, says Vivian Mo, MD, Clinical Associate Professor of Medicine at the Keck School of Medicine of the University of Southern California. But the higher you go, the more benefits you'll get.


The conventional solution to this growing health epidemic is to simply take more blood pressure medications like angiotensin-receptor blockers, which have been scientifically linked to causing cancer and other serious health problems. But the alternative route, which should really just be called the common-sense route, is to eat more foods and herbs that naturally lower blood pressure without causing any harmful side effects.
Re BP: as noted in the article above, several expert groups recommend treating adults aged 60+ to a goal of SBP less than 150. So if you find that your SBP is often in the 150s or higher, then it would be reasonable to consider a medication to lower BP, especially since it sounds like you’ve been trying lifestyle treatments but your BP is still not low enough.
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.
5. Take apple cider vinegar. In addition to lowering blood pressure almost overnight, apple cider vinegar has a myriad of fringe benefits. Apple cider vinegar helps with indigestion, especially if you suffer from diarrhea. It also soothes sore throats, cures hiccups instantly, and lowers cholesterol. Most importantly, it helps with weight loss by improving metabolism and reducing water retention -- and a healthy weight is key to normalizing blood pressure.

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.)
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.
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There are many popular medical myths about high blood pressure. For example, many physicians believe that high blood pressure is an “inevitable consequence of aging;” that the “only viable treatment option for high blood pressure patients is medication”; that high blood pressure patients must take their medications “for the rest of their lives”; and, worst of all, that high blood pressure medications are “safe and effective.”
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.
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? 

A 2013 study published in “Hypertension” concluded that flaxseed lowers blood pressure in hypertensive patients. It is a great home remedy for high blood pressure. More than 100 patients diagnosed with peripheral artery disease, a condition associated with high blood pressure, were assigned to a flaxseed group or a placebo group. The former ate 30 grams of flaxseed every day for 6 months.
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.

Mildly or moderately elevated blood pressure will rarely give obvious symptoms (a light headache might occur sometimes). A very high blood pressure can give severe headaches, fatigue and nausea. High blood pressure is the result of an increased amount of liquid and salt in the blood, and also of the blood vessel walls being thicker and harder than normal.


High blood pressure over an extended period can lead to potentially dangerous complications. This can cause damage to organs, leading to microalbuminuria, cognitive dysfunction, and left-ventricular hypertrophy, as noted by one study. Additionally, the risk of renal failure, dementia and suffering a heart attack also dramatically increases in the population with elevated blood pressure levels.
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.) 

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. 
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.
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.
I totally agree with you that we should not rely on medication for high blood pressure. End of the day, high blood pressure is a symptom that our body requires immediate attention. The kidneys work extremely hard to send out the “signal” to us and what we did is to pop a high blood pressure pill to suppress the signal. With this medication, our body has to work even harder to send us another signal. No wonder over the long run people who are suffering from high blood pressure needs an additional pill for deteriorating kidneys. Our body is fully capable of healing itself without us realizing it. I strongly encourage high blood pressure sufferers to listen to this and say goodbye to high blood pressure once and for all:
Eat potassium- and magnesium-rich foods. Potassium can help regulate your heart rate and can reduce the effect that sodium has on your blood pressure. Foods like bananas, melons, oranges, apricots, avocados, dairy, leafy green vegetables, tomatoes, potatoes, sweet potatoes, tuna, salmon, beans, nuts, and seeds have lots of potassium.  Magnesium is thought to help blood vessels relax, making it easier for blood to pass through. Foods rich in magnesium include vegetables, dairy, chicken, legumes, and whole grains. It’s better to get vitamins and minerals from food, and a heart-healthy diet like the one we described above is a good way to ensure you get plenty of nutrients. However, you may want to talk to your doctor about whether taking certain supplements might help your blood pressure.
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).

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]


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.

A 2013 review on yoga and blood pressure found an average blood pressure decrease of 3.62 mm Hg diastolic and 4.17 mm Hg systolic when compared to those who didn’t exercise. Studies of yoga practices that included breath control, postures, and meditation were nearly twice as effective as yoga practices that didn’t include all three of these elements (24).
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!

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.
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).
One of the easiest ways to manage your blood pressure is simply making healthy life choices such as eating low-sodium diet, committing to a regular exercise routine, and avoiding (excessive) alcohol. Smoking is one of the worst things that you can do to your cardiovascular system, and it’s important that you take steps to quit as soon as possible to avoid hypertension, even if you don’t yet suffer from it yet. 
Eating nutritious foods that are packed full of vitamins and antioxidants is a great way of lowering your blood pressure and keeping it down for good. Raw vegetables and fresh fruits are vital to a healthy diet and play a key part in controlling your blood pressure. Spinach, tomatoes and garlic are all good choices for keeping blood pressure down. [1] 

There are many popular medical myths about high blood pressure. For example, many physicians believe that high blood pressure is an “inevitable consequence of aging;” that the “only viable treatment option for high blood pressure patients is medication”; that high blood pressure patients must take their medications “for the rest of their lives”; and, worst of all, that high blood pressure medications are “safe and effective.”
Some years ago I was put on medication for elevated blood pressure, as my mother before me. I took my medication and checked my values “religiously”… All of a sudden last October I developed malignant hypertension. I was hospitalized 3 times in 3 days with values over 220, then the hospital sent me to a nephrologist. He started running tests which were all normal. The hospital put me on Clonidine but the nephrologist did not add anything while running tests. In November I had to be hospitalized again. That time the ER doctor said they were not going to release me back to the same situation and added Amlodipine Besylate. My blood pressure has been normal with one brief spike since. Problem now are medication side effects: edema of feet and legs, hearing loss from fluid retention, bloating and constipation and generally not feeling well. I had always worked full time but finally retired this March. I am very disappointed to think that after working so hard for so may years I am going to feel like this in retirement due to side effects. I have talked to my nephrologist, especially a few weeks ago when I developed hearing loss from fluid retention and found that all the side effects are cumulative. He sent me an email saying we will stop the Clonidine and Amlodipine with no adjustments or anything in their place!! My pharmacist has tried to be helpful but can’t change anything. He says Amlodipine is one of the worst meds for side effects and many patients have to stop it for something else. The nephrologist does not seem to have done any research on side effects in order to suggest alternative medications, or to offer adjustments. He seems kind and listens, but offers nothing. In fact all of my medications for this condition were prescribed at the hospital. We have few geriatric doctors in this area, and no geriatric cardiologists. My regular cardiologist who just prescribed my standard meds cancelled my appointment when I developed the spikes. I already knew he was not up to challenges…I see an adult congenital cardiologist every so often even though he tells me I don’t need him as my congenital repair and heart are fine. There are not a lot of nephrologists here, but I think there is a better one in the same group so I doubt he will see me. I am really in a dilemma because I certainly cannot risk spikes, but would hope to feel better and not risk side effects such as fluid retention causing worse problems. It has also elevated my blood glucose which I watch and control through diet and exercise. The medication had my blood pressure running as low as the low 80s over low 50s, obviously too low, which is when the edema developed and I was lethargic. Now values are good. I have found little information on malignant hypertension and had never heard of it. I will greatly appreciate any suggestions. Thank you! PS I do not have a primary care doctor because so many here will not take Medicare and the “good” ones are not taking new patients or retiring. I have been looking for some time. My neurologist even had me send records to his good friend, an internal medicine specialist and they called and said he couldn’t help me….I had endocarditis at age 5 and have some medical PTSD. Sorry to write a novel, but I am thrilled there may be some help for me!
6. Cultivate stress management. You don’t need a meta-analysis of cohort studies to prove stress can raise blood pressure, but they exist. You can’t eliminate stress, but you can minimize its impact. Research shows yoga and meditation create effective strategies to manage stress and blood pressure. If those aren’t your thing, consider other stress-relieving tactics including deep breathing or practicing mindfulness.
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.

For instance, in the ground-breaking SPRINT trial of intensive BP lowering in older adults, the researchers checked BP by having participants first rest quietly in a room for five minutes. Then an automatic monitor checked BP three times in a row, with a one-minute interval between each check. The average of these three readings was then used to assess BP and make changes to hypertension medications, if necessary.
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