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What is the best time to check blood pressure?

It is well past midnight; everyone has slept; excepting those few unblinking youngsters focused on the LCD screen; veterans in black, working on the wrong side of law on the streets; men in khaki with batons, looking out for veterans in black; the night riders!That’s the best time for recording blood pressure; and I am not joking.Last year, we have published one of the worlds largest database of ambulatory BP measurement (ABPM) trial involving 27,472 patients in India.Blood pressure is a variable parameter; it goes up when you are angry, stressed, hungry or fatigued; and you have all these when you visit your doctor in the hospital. The ‘white coat hypertension’ is no longer a myth but a textbook chapter, where the in-clinic BP is high with a normal BP at home.That brought in the concept of 24-hour ambulatory BP. An apparatus that records BP 24/7.Why do we measures BP? It is to predict a cardiovascular event in the future. Ambulatory BP data has clearly shown that of all the timings of BP recording (Day, 24-hour, night) the nighttime BP has the best predictability to warn us for a cardiac event. (Look at the graph - steepest is night BP)If you are measuring BP at home with a home BP monitor, the best way is to average multiple readings - Morning, noon and night, At least 2 readings each set. Record BP in sitting pose, with back supported, legs on the floor (not dangling). BP cuff over unclothed arm. No coffee, tea within 30 minutes prior to the record. Not within an hour of major meals.If any doubt, ask your doctor about need for an ambulatory BP. It is widely available, and not prohibitively expensive.Get one fixed, go home and sleep.Provided you don’t belong to those night riders we talked about.

What causes high blood pressure (hypertension)?

Higher blood pressure is a frequent condition where the longterm force of the blood against your artery walls is high enough that it might eventually cause health problems, like cardiovascular disease.Blood pressure is determined either by the total amount of blood the heart pumps and the amount of resistance to the flow of blood in the arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure.CausesThe center is a muscle that pumps blood around the entire body.It pushes blood with lower oxygen levels supporting the lungs, which replenish oxygen provides.The heart then pumps oxygen-rich blood across your body to furnish the cells and muscles. This pumping action creates pressure.If an individual has high blood pressure, it usually means that the walls of these arteries are continuously under too much force.It is likely to split the causes of high blood pressure in two categories:Essential high blood pressure: This kind of elevated blood pressure does not have an established cause.Secondary hypertension: Another health condition is causing raised blood pressure.Even though essential high blood pressure does not have any recognizable cause, strong evidence links specific components to the possibility of developing this condition.The risk factors for secondary and essential high blood pressure include the following.Age: The chance of elevated blood pressure increases as a person becomes older as the blood vessels become less flexible.Genealogy and family history: People who have family members of hypertension have a significantly higher chance of developing it themselves.Cultural background: African American people have a greater chance of developing hypertension than other men and women. Hypertension also presents more severely in African-American people and is far less responsive to certain medications.Obesity and being overweight: those that are overweight or have obesity are more prone to develop elevated blood pressure.Some aspects of gender: generally, higher blood pressure is more common among adult men than mature ladies. But following the age of 55 years, a lady's relative risk of hypertension increasesPhysical inactivity: Lack of exercise and using a sedentary lifestyle enhance the danger of hypertension.Smoking: Tobacco ingestion causes blood vessels to narrow, leading to higher blood pressure. Smoking also reduces the blood flow content, therefore the heart pumps faster to compensate, resulting in a rise in blood pressure.Alcohol intake: Drinking excessive amounts of alcohol can dramatically raise blood pressure and increase the possibility of heart failure, stroke, stroke, and irregular heartbeat.Poor diet: Many healthcare professionals say that the diet high in sodium and fats leads to a high danger of hypertension. However, most dietitians stress that the dilemma may be the type of fat in place of the level.For more information read - hypertension

Will you die if you don't treat blood pressure?

Hypertension takes many years to kill, but it will kill. It is known as, The Silent Killer. No signs or symptoms are usually felt. It either slowly destroys your kidneys. Or it enlarges your heart making it less and less effective, until you are in Congestive Heart Failure, and can’t walk across a room without being exhausted. Eventually this will kill you too.This is NOT something you want to ignore (especially when it can be treated). If you’re struggling with blood pressure take a look at this: Blood Pressure Exercises VSL cbIf your blood pressure is dangerously low you will have symptoms perhaps lose consciousness and death if the low blood pressure isnt corrected. High blood pressure doesnt usually cause symptoms until it has caused a problem like kidney failure, stroke or heart attack. It usually takes years of high blood pressure(hypertension)to cause its problems. When high blood pressure is properly treated, the patients do virtually as well as those who always had normal blood pressure, if the treatment is started early in their course.

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