Low blood pressure (hypotension)

Low pressure: how to live with it?

We understand how dangerous pressure is, and whether it is necessary to urgently «lift up».

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What is reduced pressure, whether it is dangerous and how to turn it into normal – tells Women readers’Shealth Therapist and Cardiologist Clinic «dawn» Oksana Dickur.

What is it generally – low pressure?

Blood pressure – This is the force with which the blood pressure on the walls of the arteries. At the moment when the heart is reduced, the pressure is the highest – It is called the upper, or systolic. In the interval between the heart blows, the pressure in the vessels falls – It is called lower, or diastolic.

Normal blood pressure is in the range of 90/60 to 120/80 mm Mercury Post. Numbers 90 and 120 denote systolic, and 60 and 80 – Diastolic pressure. If the indicators are less than 90/60, the pressure is considered reduced. This condition is called hypotension.

Low pressure – it is dangerous?

Many – most often thin women – live with hypotension for years and feel great. Doctors believe that these people are lucky: they are less likely to suffer from cardiovascular diseases.

However, if the pressure suddenly falls below the usual level, unpleasant symptoms may appear:

  • fuzzy vision;
  • dizziness;
  • fainting;
  • nausea or vomiting;
  • drowsiness;
  • The feeling of weakness.

As a rule, at a young age, the risk for health is not related to the reduced pressure itself, but for the reasons, due to which it falls. Exception – fainting. «This is the most disturbing symptom, because it often leads to injuries and accidents, – says Oksana Dickur, therapist, cardiologist clinic «dawn». – If hypotension is accompanied by a loss of consciousness, you must refer to the doctor».

But for the elderly, the decline in blood pressure can be really dangerous. Moreover, the drop in diastolic pressure is more dangerous than the reduction of systolic.

«This can lead to a deterioration in the blood supply to the kidneys and brain, increase the risk of developing stroke and renal failure», – explains Oksana Dikur.

Because of what hypotension occurs?

If you dramatically change body position

Quickly stand up or, for example, get dry in bed. This is called orthostatic hypotension. When a person takes a vertical position, blood under the action of gravity rushes to the legs and the abdomen area, and the pressure in the vessels falls. In order to raise blood out of the legs and normalize the pressure, the vegetative nervous system willing to the heart rate and narrows the vessels.

Healthy people do not experience unpleasant sensations, since this mechanism works very quickly. But in some cases the vegetative nervous system gives a failure. As a result, the pressure drops, the blood does not have time to rise out of the legs, the brain lacks oxygen, and symptoms of hypotension appear. It happens, for example, in pregnant women, people with some diseases like diabetes and every fifth elderly person.

Sometimes such sensations arise from healthy people, for example, because of the heat, and there is nothing terrible. But if the head is spinning every time the posture is changed, you need to consult a doctor.

If eating

After eating, the blood sticks to the gastrointestinal tract, and that the pressure does not fall too hard, the vegetative nervous system narrows the vessels and enhances the heart rate of heart cuts. However, about a third of the elderly, it does not cope with such a load. This condition is called postprandial hypotension. If this happens – Need help doctor.

If you grow too quickly

As it is not difficult to guess, the problem most often happens in children and adolescents: because of the rapid growth in the work of the vegetative nervous system there is a failure. As a result, when changing the posture or when tilt, symptoms like dizziness and fainting appear. This is called a neuro-mediated hypotension. Children will usually develop the problem, and hypotension passes by itself.

But sometimes neuro-mediated hypotension – Sign of serious neurological diseases. In this case, a person needs help a doctor.

If sick

Pressure may fall in people with dehydration, those who have transferred shock, in diabetics, patients with arrhythmia and heart failure. In this situation, doctors seek to cure or take control of the disease, which leads to hypotension.

If you take some medicines

Sometimes hypotension – This is a side effect of anti-leaving drugs, diuretics, painkillers or pressure pills. In order to solve the problem, a doctor, as a rule, is enough to adjust the dose of medication.

And if it is a vegetative dystonia?

Vegeta dystonia – non-existent diagnosis that is like to put on the territory of the former USSR. If the doctor is trying to write off the low pressure on the VDC, it is worth finding another specialist who will find out why you actually do.

How to turn downward pressure into normal?

If the pressure is constantly below the norm, but you feel good, do nothing. If you are bothering nausea, dizziness or fainting, you need to consult a doctor.

It will not work out independently: low pressure may be a symptom of a variety of diseases, and to find out the true cause, you need to pass the tests and pass the survey. It is very important because the treatment method depends on the diagnosis.

But there are general recommendations that should be observed in hypotension:

Give up psychoactive substances

Alcohol, tobacco and smoking mixtures, which are used, for example, in hookahs, can reduce pressure. In addition, the influence on the vessels sometimes render drugs that the patient was prescribed completely with other purposes. Therefore, if you take medicines or dietary supplements, you need to inform you to inform the doctor.

Eat enough liquid and salt

In the summer, a person quickly loses water and minerals. Adequate amount of water significantly reduces the risk of developing hypotension.

Avoid situations that provoke hypotension

Pressure may fall due to stress, strong stress or fright, and if you stand for a long time, sharply get up or eat very tightly.

At the first symptoms of hypotension sit down or lie down

Get up only if it became better.

Wear compression linen

This recommendation concerns only pregnant women. Pick up the appropriate option will help the attending physician.

Perform simple exercises

With hypotension useful:

  • Sit in pose «leg on foot»;
  • strain the muscles of the hands, squeezing and sprinkling the fists;
  • work with manual expander.

In general, the physical activity increases blood return to the heart and increases blood pressure levels. Therefore, regular aerobic loads and light strength training reduce the likelihood of hypotension.

Drink coffee, strong tea or cocoa

Drinks with caffeine give good, though, unfortunately, the short-term effect.

Do not self-medicate

The decision to prescribe drugs or treatment methods should receive only a doctor after a full-time consultation. However, it should be borne in mind that the effectiveness of beta-adrenoblockers and steroid hormones, which in our country are often used to treat hypotension, has not currently proven.

Posted by Dr.Pressurs in Low blood pressure (hypotension)

Lower pressure: why it is important and how to keep under control?

Lower pressure: why it is important and how to keep under control

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The most famous heart study has been going on for more than 70 years and has been observing the third generation of Framingham residents. It proves that high systolic blood pressure is a sure sign of a future heart attack or stroke. But is that second digit on the blood pressure monitor so insignificant?

In 2019, more than one million adults were studied and it was found that a high “Bottom” blood pressure also contributes to the prognosis for cardiovascular catastrophe. It turned out that a second digit above 80 mmHg increases the risk of heart attack and stroke over the next eight years almost as much as high “Upper” blood pressure readings.

Recall what each index is responsible for. Systolic pressure – This is the force with which oxygenated blood is pushed out of the heart and through the body. Diastolic – This is the pressure of the blood against the walls of the blood vessels at the moment when the heart fills up and rests between beats.

Pressure norms were revised in 2017, and today numbers above 119/79 are already considered the beginning of hypertension. It turns out that the ideal blood pressure is between 90/60 and 120/80.

While systolic blood pressure increases with age, diastolic blood pressure usually rises before the age of 50 and then has the opposite effect. “Upper” blood pressure rises during emotional distress, sports, or after coffee and a cigarette. The heart starts beating more frequently and spurting blood – so at the moment of systole, the first digit on the blood pressure monitor rises.

As long as your blood vessels remain healthy and elastic, your blood pressure stays within the normal range between heartbeats. Once the capillaries become stiff and narrow, there is little room for blood. It strengthens the vessels on the walls, even as it flows quietly as the heart relaxes – so the diastolic rate rises.

A single rise in blood pressure in response to stress or physical exertion is not considered a disease. But if the values above the norm are held for several weeks, it is time to sound the alarm. Hypertension can occur either separately, only systolic or only diastolic, or simultaneously by two indicators.

The condition is especially dangerous when the difference between the upper and lower blood pressure becomes minimal. This is called pulse pressure, and normally it is about 35-50 mmHg. For example, when your blood pressure is 120/80, your pulse rate will be 40 (120 minus 80). In some situations, the pressure during heart contraction approaches the values at the moment of relaxation. For example, when fluid accumulates in the chest and the heart does not have enough “acceleration” for the pump to work at full force. Blood does not flow to distant areas and there is a risk of brain damage due to oxygen deprivation.

Accumulation of fluid in the pericardium is an extraordinary event. However, approaching “Lower” pressure to “Upper” pressure can include isolated diastolic hypertension. Sometimes it is due to kidney or thyroid involvement, but in most cases the cause cannot be identified. It is certainly known that high diastolic pressure with normal systolic pressure is more common in young people under 40-45 years of age, especially if they are overweight.

Fortunately, elevated “lower” blood pressure alone is not as strongly associated with the risk of cardiovascular outcomes as it is with total or isolated systolic hypertension. The bad news is that after high “Lower” numbers for 10 years, the “Upper” blood pressure almost certainly rises as well.

Pills, isolated hypertension, don’t always help. Medication lowers both the upper and lower numbers, and a blood pressure that is too low, less than 90/60, threatens the same oxygen trust. The good news is that as long as there are no other problems than high numbers on the blood pressure monitor, non-drug therapy can save the day. It includes diet and 150 minutes a week of moderate cardio exercise.

Any hypertension can run without symptoms and be an accidental finding at the next examination. That there are no changes in the heart, kidneys and retina, and, therefore, it is possible to cast high blood pressure without pills, will only tell the doctor. For this purpose, urine and blood tests are taken, an ultrasound of the heart, an ECG and an examination of the eye fundus are carried out. Even if the doctor decides that you can not do without medication, remember that it is better to live actively “on pills” than to be proud of them in the absence of a trainer in the cardiac intensive care unit.

Posted by Dr.Pressurs in Low blood pressure (hypotension)