Can I stop being hypertensive? Hello- in this video I will take down one of the urban legends- Once hypertensive, always hypertensive? Is it true?
Or, I am hypertensive, can I stop being hypertensive? And more than just answering, I'll give you tips to improve your blood pressure. So, even if you can't stop being hypertensive, these tips are very important.
Stay until the end, because the last tip may be the one that has the greatest impact on your pressure! It is worth checking! But first, give a thumbs up to the video, subscribe to the channel if you’re not subscribed, so you don’t miss our health tips, and activate the bell to receive notifications AND TELL ME ME down there- DO YOU HAVE HIGH BLOOD PRESSURE?
HOW MANY MEDS do you take? Where are you from ? Write below!
Come on. Can I stop being hypertensive? It is a question that will depend on the person.
If you are pre-hypertensive or mild hypertensive, probably you can stop being hypertensive. How? Changing your lifestyle.
Now, if your blood pressure is too high, take 3, 4 meds to control it, hardly. I will tell you what happened to me. When I turned 40, doing my check up, I realized that my blood pressure was altered.
As a cardiologist, I know that high blood pressure is extremely harmful to the whole body. High blood pressure is the main risk factor for cardiovascular diseases, such as heart attack and stroke. Just think about the plumbing in a house - If you increase the pressure on that pipe too much , you will start to see leaks in the splice, in the gloves and glues of the pipe, and you can even see cracks the pipe, right?
And where will it affect the most? In the kidneys - you may have kidney failure- go to hemodialysis… in the heart- it will start to form fatty plaques, the heart will become muscular - hypertrophic, in the medical term- because the heart is a muscle and the pressure is like a weight that the heart have to load. When you pull weights, what happens?
You grow muscle, your heart gets muscular, and it hurts. Another place is in the eye - in the retina . .
It can make you blind Another place is the brain, high blood pressure can cause brain aneurysm, stroke, dementia. And many, many places. So, hypertension is worrying; Knowing this, I started taking the medicine.
It worked, but a year later I had to increase the dose of my medicine to keep the pressure under control. And look, I thought it would be impossible for me to take off the medicine. I was taking MICARDIS 80mg, which is the maximum dose.
In 2020, with the pandemic, there were rumors that BRAs - which was the class of the drug I was taking - could increase covid mortality. And that made me move. 4 months later, I was without hbp medication, which I am still without today, 1 year later.
So, to answer clearly: can I stop being hypertensive? In some cases, yes! But I will leave a warning, here- even if the pressure is controlled, NEVER stop the medications on your own.
Blood pressure ressure 120x80, 110x70 are our goals. If your pressure, with medicine, is like that, fantastic! If your blood pressure starts to drop, go back to your doctor to change or adjust the pressure medication.
And now, I will give you the 6 tips for you to improve your blood pressure: and remember that all tips are important, but tip number 1 is the one that makes the most difference Tip number 6- do the DASH diet I've made a video , in 2017 on the dash diet, I'll leave the link up here. What is the dash diet? It is a standard diet designed to lower blood pressure without medications, by American researchers .
And it really works. The dash diet can lower your systolic pressure by about 8 to 14 points. Is that too much or too little?
More or less what a mild antihypertensive reduces. Tip number 5- Reduce salt and sugar. I know that on the internet there are a lot of people saying that salt is good for you.
But we have many studies showing the opposite. Even with mice - if we take mice without hypertension and give them a diet rich in salt, these mice become hypertensive - and worse, they never stop being hypertensive. Other studies showing that a high salt intake can cause neurogenic hypertension.
And it doesn’t work himalayan salt, pacific ocean salt or blue salt. Salt is salt. Excessive salt is bad, especially if you are already hypertensive.
There are people who are more or less sensitive to salt. We know that hypertensive blacks are almost 75% sensitive to salt. This means that if you do not lower your intake, that antihypertensive drug you are taking will not work the way we expected.
A 2011 meta-analysis of seven studies involving more than 6,000 people found strong evidence that cutting salt reduces the risk of heart attacks, strokes or death. So, Reduce salt! And reduce sugar too.
There are studies showing that sugar can be as or even more harmful than salt in hypertension. This suggests that reducing your total carbohydrate intake may be a great strategy. What does sugar causes?
It causes hyperinsulinemia, increases insulin resistence, lowers nitric oxide (which causes our arteries to dilate, increases uric acid, and excess uric acid inhibits nitric oxide. And too much sugar makes advanced glycation, AGEs, which harden the arteries. So, stay away from sugar and reduce simple carbohydrates.
My tip number 4 Sleep well! Insufficient sleep increases blood pressure. the poor quality of sleep and insomnia, are associated with increased blood pressure and vascular inflammation, even in the absence of inadequate sleep duration in women.
In addition, we know that obstructive sleep apnea is one of the causes of secondary hypertension . If you snore, wake up very tired or your partner realizes that you have breathing pauses at night, you have to look for a specialist to treat. Tip number 3- Reduce alcohol and tobacco.
Smoking causes an immediate increase in blood pressure. Nicotine stimulates the nervous system to release substances q uric diseases that can constrict blood vessels and contribute to hypertension. In addition, smoking also causes long-term damage to blood vessels, it ignites, therefore, in addition to the risk of hypertension, this habit further increases the chance of developing problems such as stroke, heart disease and heart attack.
It's alcohol - alcohol can interact with certain hypertension drugs by affecting the level of the drug in your body or increasing side effects. Drnking can raise blood pressure to levels that are harmful to your health. Having more than three drinks in one session temporarily raises your blood pressure, but excessive alcohol consumption can make you hypertensive in the long run.
So- reduce (or cut) alcohol and tobacco Tip number 2- Do aerobic exercise and, if you can, do HIIT I know it's not for everyone, first your cardiologist has to release it, but HIIT, High intensity interval training ( interval training, that weak-strong-weak-strong . . .
can improve pressure more than aerobic exercise. There is a Norwegian study that demonstrated this - take a look at this chart - especially in systolic pressure. But of course, aerobic exercise also works and if you’re sedentary, it ’s worth starting to exercise right away.
And tip number 1 for you wants to get out of hypertension, you have to lose weight! For every 10kg you lose, on average we reduce 16mm of systolic pressure and 10mm of diastolic pressure . So it’s not for everyone.
If you’re already thin, it won’t have the impact of weight loss. We see in patients who have had bariatric surgery and lost 30, 40kgs, being able to suspend 3 antihypertensive drugs , what it's a fantastic thing. I lost 12 kg, and that, together with HIIT, made me get rid of the antihypertensive, at least, for now.
Did you like it? And what will be the next video you’ll watch? I’ll leave 2 recommendations here = Our playlist on hypertension, which has many interesting videos And our video on fulminant infarction My name is André Wambier, and this is Cardiodf.
com. br Remember to subscribe. And until the next video.
