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The Call-On-Doc Guide to Hypertension

Published on Mar 20, 2025 | 9:00 AM

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Nearly half of all Americans have high blood pressure,¹ making it one of the most widespread and serious health concerns today. High blood pressure, or hypertension, occurs when the force of blood against the artery walls remains too high over time, placing excessive strain on the heart and blood vessels.

Often referred to as the "silent killer," hypertension can develop without noticeable symptoms, yet it significantly raises the risk of heart disease, stroke, kidney damage, and other life-threatening complications.

Despite its dangers, hypertension is highly manageable with the right lifestyle changes and medical treatment. Understanding how blood pressure works, what causes hypertension, and how to monitor it can empower individuals to take control of their heart health and reduce their risk of complications.

What Is Hypertension?

Hypertension occurs when blood pressure remains consistently elevated beyond normal levels. Blood pressure is determined by two key factors: the amount of blood the heart pumps and the resistance within the arteries.

When the heart pumps more blood, it increases the force against the artery walls, leading to higher pressure.

Similarly, if the arteries become narrower or less flexible, they create more resistance, making it harder for blood to flow and causing blood pressure to rise.

There are two primary types of hypertension:²

  • Primary (essential) hypertension: The most common form, developing gradually over time due to lifestyle and genetic factors.
  • Secondary hypertension: Caused by an underlying condition such as kidney disease, hormonal disorders, or certain medications like non-steroidal anti-inflammatory drugs, decongestant cold medications, weight loss drugs, or birth control pills.³

While temporary spikes in blood pressure can occur due to stress or physical exertion, chronic hypertension requires medical attention to prevent serious health risks.

Understanding Blood Pressure

Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps. It is measured using two numbers: systolic pressure, which represents the force when the heart beats, and diastolic pressure, which measures the pressure when the heart rests between beats.

A normal blood pressure reading is below 120/80 mmHg, while a reading above 130/80 mmHg is considered high and increases the risk of heart disease and stroke.

Because hypertension often develops without noticeable symptoms, regular monitoring at home or with a doctor is crucial for early detection and management. If blood pressure ever reaches 180/120 mmHg or higher, immediate medical attention is necessary to prevent serious complications.²

Hypertension Symptoms

Hypertension Symptoms

In many cases, symptoms of hypertension are not noticeable. However, some individuals with high blood pressure may experience one or more of the following symptoms:⁴

  • Nosebleeds
  • Chest pain (angina)
  • Fatigue or confusion
  • Vision problems (e.g., blurred vision)
  • Irregular heartbeat or palpitations
  • Headaches (particularly in the morning)
  • Shortness of breath (especially during physical activity)

NOTE: These symptoms may be caused by conditions other than hypertension. Get your blood pressure tested so that your medical provider can determine whether you need high blood pressure treatment or another type of medical therapy.

Potential Complications of Hypertension

When left untreated, hypertension can lead to serious health complications, including:

  • Heart disease: High blood pressure forces the heart to work harder, increasing the risk of heart attacks, heart failure, and an enlarged heart.
  • Stroke: Hypertension can weaken or damage blood vessels in the brain, leading to a higher risk of stroke.
  • Kidney damage: The kidneys rely on healthy blood flow to function properly; high blood pressure can reduce kidney efficiency or lead to kidney failure.
  • Vision loss: Hypertension can damage the small blood vessels in the eyes, causing blurred vision or even permanent blindness.
  • Aneurysm: Prolonged high blood pressure can weaken artery walls, increasing the risk of a life-threatening aneurysm (a bulging or rupture of an artery).

Because hypertension can silently cause damage over time, early detection and management are key to reducing the risk of severe complications and maintaining overall health.

Risk Factors for Hypertension

Several hypertension risk factors increase the likelihood of developing high blood pressure, including:

  • Age: Blood pressure naturally rises as people get older.
  • Family history: A genetic predisposition can make hypertension more likely.
  • Poor diet: High salt intake, processed foods, and unhealthy fats contribute to elevated blood pressure.
  • Lack of physical activity: A sedentary lifestyle weakens the heart, making it harder to pump blood efficiently.
  • Obesity: Excess weight puts added strain on the heart and blood vessels.
  • Smoking and alcohol use: Smoking damages blood vessels, and excessive alcohol consumption can increase blood pressure over time.
  • Chronic conditions: Diseases like diabetes, kidney disease, and sleep apnea raise the risk of hypertension.

Stress: Long-term stress can lead to unhealthy habits like overeating and smoking, which contribute to high blood pressure.

Hypertension Treatment and Management

Hypertension Treatment and Management

Treatment for hypertension typically involves a combination of lifestyle changes and, in some cases, medication. Treatment aims to lower blood pressure to a healthy range and reduce the risk of complications.

Lifestyle Modifications

Making lifestyle changes is one of the most effective ways to manage hypertension. Following a DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes fruits, vegetables, whole grains, and low-fat dairy while limiting salt, red meat, and processed foods, can help lower blood pressure.

Regular exercise, such as 150 minutes of moderate activity per week like walking, cycling, or swimming, strengthens the heart and improves circulation.

Maintaining a healthy weight is also crucial, as even small weight loss can significantly reduce blood pressure.

Additionally, limiting alcohol and quitting smoking can prevent further damage to blood vessels, while practicing stress reduction techniques such as meditation, deep breathing, and mindfulness can support overall heart health.

Medications

If lifestyle changes are not enough, doctors may prescribe hypertension medications to help control hypertension. Common types include:

  • Amlodipine - A calcium channel blocker
  • Lisinopril - An angiotensin-converting enzyme (ACE) inhibitor
  • Losartan - An angiotensin II receptor blocker (ARB)
  • Hydrochlorothiazide - A thiazide diuretic
  • Metoprolol (Lopressor) - A beta-blocker
  • Enalapril - An ACE inhibitor
  • Valsartan - An angiotensin II receptor blocker (ARB)

Medication plans are tailored to each individual, and adherence to prescribed treatments is crucial for effective management.

Hypertension FAQs

Can stress cause hypertension?

Yes, chronic stress can contribute to high blood pressure by triggering unhealthy habits like overeating, smoking, or excessive alcohol use. However, stress alone is not a direct cause of long-term hypertension.

Are there any home remedies for hypertension?

While lifestyle changes like reducing salt intake, exercising regularly, and maintaining a healthy weight can help lower blood pressure, medication is often necessary for effective management. Always consult a doctor for proper treatment.

Is there a cure for high blood pressure?             

There is no known cure at the present time. It is generally a chronic condition that requires long-term management. However, following a personalized hypertension treatment plan can promote lower blood pressure levels and a decreased risk of complications. Lifestyle changes play a significant role in blood pressure management.

What foods contribute to hypertension?   

Consuming excessive amounts of fried foods, canned and processed foods, full-fat dairy products, alcohol, or salt-, sugar-, or sodium-rich foods can increase the chances of developing hypertension. Diets low in potassium are also associated with a higher risk of hypertension, as this mineral helps regulate blood pressure.

Get Treatment for Hypertension Online

Managing hypertension with the right medication is essential for reducing health risks and maintaining overall well-being. Call-On-Doc offers a fast, convenient way to get expert care for high blood pressure including prescriptions and prescription refills from the comfort of your home.

Our online doctors provide personalized online hypertension treatment options, ensuring you get the medication you need without the hassle of in-person visits. Take control of your health today with an easy, hassle-free online consultation.

Sources:

  1. CDC. High Blood Pressure Facts.
  2. MedlinePlus. High Blood Pressure.
  3. WebMD. Secondary Hypertension.
  4. World Health Organization. Hypertension.

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Wayne Hahne,

English graduate and Call-On-Doc’s medical resource guide, Wayne C. Hahne is an experienced and passionate medical education content expert. Through diligent research, provider interviews and utilizing the industry's leading resources for wellness information, it is Mr. Hahne’s personal mission to educate the general public on medical conditions with in-depth and easy-to-understand written guides.

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