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High Blood Pressure Medicine

Prevalence of High Blood Pressure

Saturday, November 25, 2006

By Michael Russell

Tip! Age - it is common for high blood pressure to increase with age. Therefore older people are more at risk of high blood pressure than those who are younger.

There is no evidence that average blood pressure in the whole of the general population has risen over the seventy or so years over which measurements are available. There is some indirect evidence that it may be lowered and may still be falling quite independently of medical treatment. Whatever the definition of high blood pressure used, the proportion of people with high blood pressure is directly related to average pressure throughout the population.

Standardized and accurate measurements of blood pressure for large representative populations have only been available since the 1950s in the United Kingdom, Scandinavia and the United States and more recently for other countries. There is some evidence from countries whose general diet has shifted from very high to much lower salt intakes - specifically Japan, Belgium and Portugal - that average blood pressure in the general population has fallen, probably for this reason. These reductions in salt intake reflect shifts in methods of food preservation from the traditional methods of salting, pickling and smoking to the modern methods of refrigeration and rapid transport of fresh food. As these changes have occurred in most economically developed countries, average blood pressure has probably fallen everywhere, compared with average levels in the 19th century.

Tip! Diet - a diet high in fat and sugar can cause blood pressure to rise. The healthier the diet, the less risk there is of high blood pressure and of blood pressure related disease.

Research in the USA has always shown higher average blood pressures in poorer people. Although research in this country in the 1950s and 1960s failed to show any systematic difference between social groups, this seemed to have changed by the 1980s, with higher average blood pressure in poorer populations throughout the UK. These differences in average blood pressures are not too large, but differences in other risk factors for heart disease show the same trend. Although there is some evidence that coronary heart disease became common after World War I and that it started among rich people, ever since the 1950s it has more and more become a disease for poorer people. This is partly because of the difference in smoking habits, but some of the changes to the pattern may now be caused by these variations in average blood pressure and perhaps by access to accurate diagnosis and effective treatment.

Tip! Depression, though not directly related to high blood pressure, is often one of the consequences when hypertension begins to affect the body's organs and the health issues become more complicated.

It should be noted that blood pressure also varies between races and different sorts of societies, but why it does is not an easy question to answer. A number of different factors have been considered. High blood pressure is a serious problem throughout black Africa and black people in North America have much higher blood pressure and stroke problems than Caucasians. However, the differences between black and white North Americans disappear if differences in income are taken into consideration. In the 1960s and 1970s, comparisons between British citizens of Afro-Caribbean and European descent showed no differences, but more recent studies have begun to show the same differences an in the USA.

These differences are evident in the social aspect, rather than racial and social differences in average blood pressure seem to depend mainly on income differences. When North American incomes were much more polarized than British incomes, social differences in the average blood pressure were much higher in the USA than in the UK, but there is evidence that as these societies converge, social differences in average blood pressure are becoming similar in the two countries.

Tip! Family history - a history of high blood pressure in your family can put you into a high risk group of having high blood pressure. It is common for high blood pressure to be passed down from generation to generation.

Recent changes in the national health care system contract for general practitioners should have led to most people with high blood pressure being identified, although it is much more doubtful whether most of these are followed up with effective treatment. If all general practice teams developed cardiovascular follow-up clinics for high blood pressure on the same lines as the best have already done and all their patients were treated to the level of quality attained in large clinical trials, an additional 15% of fatal strokes would be prevented and probably 5% of coronary heart disease.

How To Cure High Blood Pressure. The Cure of High Blood Pressure without Drugs and their Harmful Side Effects.

Michael Russell
Your Independent guide to Blood Pressure

5:18 AM


Not sure if I'm asking this in the right place, but I can use some answers from someone other my doctor. He treated me for a year with Norvasc and Lisinopril (while on an anti-depressant which made me put on weight). Neither BP med did anything. The only reason I finally stopped the Linsinopril was because I developed angioedema. It was my doc who prescribed the Lis that never mentioned that side effect to me, and I mentioned it quite a few times. Anyway, I went to my allergist with a huge lip and pics of what's been going on and immediately he took me off the Lisin.

He told me to make sure that my doc did not prescribe a beta blocker or ace inhibitor. We then went to Norvasc and clonidine. Side effects weren't great, and apparently the dose of clonidine 3 mg. 2x a day was too high because my pressure would drop to about 95/66 for an hour or so after it kicked in. It also knocked me out.

So he went to 1 mg. 2 x a day which did nothing. We then went to 2mg am and pm, and 1 mg. during the day. Again, it did nothing. So we switched to 2 mg. 3 x's a day, which started to work for a while, except during the night, and it's not working so well anymore. I was becoming very anxious, and last weekend he prescribed Ativan, which worked for a few days, and now I'm right back where I was.

The week before the Ativan he prescribed HYDRALAZINE 50MG, which after one dose I thought I was going to die. My heart was ripping through my chest. It was like a bad drug trip, and it didn't even lower my pressure at all. So that was the end of the Hydralazine. Back to clonidine.

Wednesday. when I woke up my pressure was 122/84. AMAZING. It's usually much higher since the clonidine is a short lived med, and I've stopped the Norvasc which does nothing. It was a decent day. My biggest problem is controlling the dystolic. That's always on the high side.

Yesterday....my pressure was on the high side all day with the meds. After the afternoon dose, 90 mins. later, my pressure was at 156/99. It's like the meds were working at all.

This morning when I woke up, it was 181/102, 164/108. It's never been that high before. And now, 2 hours after taking the meds, 129/89.

I've spoken to my doc, and I don't think we're getting anywhere. One remark he made was some people would be happy to have my BP. I watch my salt intake, and if I do use any, I use sea salt. I am a caffeine drinker, but I don't see a change in pressure after drinking it. I'm about 15/20 lbs. overweight, and working on that. My when my pressure is high, I'm afraid to work out. I also have lots of fiber.

Is it possible to become resistant to meds? I was getting Botox shots in my neck for a neuro. condition, and after the second time, I built up antibodies to that.

Sorry to have rambled, but I'm at a loss, and feeling anxious, confused and depressed. I just want to be able to control my pressure so it stays within a normal range 24/7. Is that possible?

Thanks for listening to me rant.
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