Medicine for treating blood pressure

In the past decade, a large number of blood pressure-lowering drugs have been developed. The perfect tablet should be completely effective, simple to take and entirely free of adverse effects. Modern drugs have not quite attained this ideal but represent a considerable advance on the earlier preparations available in were unpleasant to take. the 1950’s … Read more

Is exercise harmful?

Physical exercise takes one of two forms: dynamic exercise such as running or cycling and isometric exercise such as heavy lifting or sustained handgrip. Carrying a heavy suitcase is a typical example of isometric exercise. Most blood pressure-lowering drugs are ineffective in preventing the rise of blood pressure during isometric exercise. Dynamic exercise is safe … Read more

Should I avoid stress?

Anxiety and vigorous mental or physical effort can raise blood pressure to quite a major degree. Although at first sight this might seem dangerous yet it is a normal response of the circulation. “fight or flight” which probably helped our forebears to survive. Healthy blood vessels can cope with such changes in pressure without any … Read more

What difference does treatment make?

From research over the last 30 years it is evident that blood pressure-lowering drugs are effective in preventing strokes, heart failure and kidney failure due to high blood pressure. In the small proportion of patients with very high pressures and symptoms of headache, blurring of vision and breathlessness, treatment produces rapid relief of symptoms. However, … Read more

Do I need special tests?

High blood pressure can be effectively treated. It is important, however for patients to be examined by a doctor before treatment is begun. On occasions, this may reveal a cause for high blood pressure or suggest special tests to find such a cause. More important it helps to detect any harmful results of high blood … Read more

The Pill and Pregnancy

Some oral contraceptives (“the pill”) increase blood pressure in a small proportion of women. For this reason, measurements of blood pressure I should be made at regular intervals. Although some contraceptive tablets have little influence on pressure, it is usually preferable for patients with high blood pressure to practise other methods of birth control. Advice … Read more

What causes high blood pressure?

In over nine patients out of ten with high blood pressure no underlying disease can be found. The term “essential hypertension” is sometimes used in this case. This absence of a cause is not as surprising as might appear at first sight. Blood pressure, like height or weight, is the result of many influences. Just … Read more