Damage Can Build Over Time
The excess strain and resulting damage from high blood pressure causes the coronary arteries serving the heart to slowly become narrowed from plaque a buildup of fat, cholesterol and other substances. This slow process is called atherosclerosis.
As arteries harden with plaque, blood clots are more likely to form. When an artery becomes blocked due to plaque buildup or a blood clot, the flow of blood through the heart muscle is interrupted, starving the muscle of oxygen and nutrients. The damage or death of part of the heart muscle that occurs as a result is a heart attack.
Watch what happens during a heart attack.
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Regular Blood Pressure Checks If Diagnosed With High Blood Pressure
If you are diagnosed with high blood pressure, your blood pressure will need to be closely monitored until it is brought under control.
After your blood pressure has been controlled, your GP or practice nurse will measure your blood pressure at agreed regular intervals .
It is important you attend these appointments to ensure your blood pressure is being maintained within an acceptable range.
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What Causes Heart Attacks
The most common cause of a heart attack is coronary heart disease. This is where fatty deposits, cholesterol and other substances build up in the walls of the coronary arteries that supply oxygen to the heart. Over time, this build-up hardens into plaque that can break off at any time and cause a blood clot which blocks the artery.
In some cases, heart attacks have another cause:
- Coronary artery spasm is an unusual narrowing of blood vessels that can stop blood flow to the heart.
- Spontaneous coronary artery dissection is a sudden tear in the wall of a coronary artery, which can also affect people who have few risk factors for heart disease.
Certain lifestyle factors are shown to increase your chances of heart disease and having a heart attack.
Blood Pressure During A Heart Attack
Blood pressure is the force that pumps blood around the circulatory system.
When blood flow is restricted or blocked completely, the heart muscle is starved of oxygen. This leads to a heart attack.
During a heart attack, blood pressure can go up, down, or remain constant, depending on how the body responds.
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Caution Over Blood Pressure Treatment
The analysis âconfirms the importance of treating high blood pressure,â Professor Kim Fox, co-author of the study and head of the National Heart and Lung Institute at Imperial College London, says in a statement.
“However it also cautions against over-enthusiastic blood pressure control. Blood pressures generally considered normal, and below 120/70, may be too low in patients with coronary disease and treated hypertension.”
But the study found that to reduce the risk of stroke, the lower the blood pressure, the better.
The researchers say more studies are needed to establish the ideal blood pressure levels below which harm outweighs benefit. In the meantime, they suggest caution when treating people with heart disease with blood pressure-lowering medication.
The study appears in the online edition of The Lancet.
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Why Is My Blood Pressure Lower Than Normal
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What Happens During A Heart Attack
A heart attack happens when blood flow to a section of the heart becomes blocked. Heart attacks are different for everyone. Some are sudden and intense and sometimes accompanied by chest pain. Most heart attacks, however, start slowly with mild pain and discomfort. Symptoms can vary among men and women.
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Risk Factors For A Silent Heart Attack In Women
Still, Ekery says, the risk factors for a silent heart attack are the same as those for a recognized heart attack, and:
A silent heart attack can be just as dangerous as its more obvious counterpart, says Ekery. Because the event often leaves scarring and damage to the heart, it puts the person at greater risk of other heart problems. And because the person didnt know to seek treatment, blood flow to the heart might not have been restored early on, and no medications were administered, so the impact could potentially be greater.
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Can You Have A Heart Attack If Your Blood Pressure Is Normal
Elevated blood pressure is only one of the several risk factors for a heart attack. So it is very well possible to have it with a normal BP. Another factor to be considered is that a heart attack damages the heart muscle and its pumping force. This can bring down an elevated BP, which is known as decapitation of systolic BP when the left ventricle fails. In fact, a silent heart attack is one condition to be thought of when the systolic BP comes down without any additional treatment.
Glossary
Systolic BP: Pressure in the arteries when the heart contractsSilent heart attack: Heart attack without chest pain
Obesity And Belly Fat
Being overweight or having obesity can make it harder to manage your diabetes and raise your risk for many health problems, including heart disease and high blood pressure. If you are overweight, a healthy eating plan with fewer calories and more physical activity often will lower your blood glucose levels and reduce your need for medicines.
Excess belly fat around your waist, even if you are not overweight, can raise your chances of developing heart disease.
You have excess belly fat if your waist measures
- more than 40 inches and you are a man
- more than 35 inches and you are a woman
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How Common Is This Condition
Because low blood pressure is common without any symptoms, its impossible to know how many people it really affects overall. However, orthostatic hypertension seems to be more and more common as you get older. An estimated 5% of people have it at age 50, while that figure climbs to more than 30% in people over 70.
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When Do I Do If Someone Else Has A Heart Attack
An easy-to-use device called an AED is available in many public places and can be used by almost anyone to treat cardiac arrest. This device works by shocking the heart back into a normal rhythm.
Hereâs how to use an AED:
1. Check responsiveness
- For an adult or older child, shout and shake the person to confirm whether theyâre unconscious. Do not use AED on a conscious person.
- For an infant or young child, pinch their skin. Never shake a young child.
- Check breathing and pulse. If absent or uneven, prepare to use the AED as soon as possible.
2. Prepare to use AED
- Make sure the person is in a dry area and away from puddles or water.
- Check for body piercings or outline of an implanted medical device, such as a pacemaker or implantable defibrillator.
- AED pads must be placed at least 1 inch away from piercings or implanted devices.
3. Use AED
For newborns, infants, and children up to age 8, use a pediatric AED, if possible. If not, use an adult AED.
- Turn on the AED.
- Plug in connector, if necessary.
- Make sure no one is touching the person.
- Push the âAnalyzeâ button.
- If a shock is advised, check again to make sure no one is touching the person.
- Push the âShockâ button.
- Start or resume continue compressions.
- Follow AED prompts.
4. Continue CPR
Will High Blood Pressure Effect My Chances Of Getting Pregnant
Women who improve their heart health before pregnancy can reduce their medical risks later. This proactive approach can lower the likelihood of pregnancy complications. If youre considering becoming pregnant, talk to your health care team about healthy changes you can make to help both you and your baby be healthier.
Doctors and researchers have found a link between birth control pills and an increase in blood pressure among some women. They say that it is more likely to occur in women who are overweight, have kidney disease or have a family history of high blood pressure.
Learn more about pregnancy and maternal health, including information on being healthy before, during and after a pregnancy.
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff.
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What Are The Risks Of Resistant Hypertension
Over time, uncontrolled hypertension damages the arteries, contributing to their stiffening. As the arteries become narrower and less flexible, the heart has to work harder to move blood through the body. Uncontrolled high blood pressure can lead to stroke, heart attack, heart failure and other heart conditions cause damage to your kidneys, memory and vision and contribute to erectile dysfunction.
How To Get Checked Out
Men may not be aware they had an SMI until weeks or even months later when they see their doctor for a regular visit, or because of persistent symptoms like fatigue, shortness of breath, or heartburn.
SMI is usually detected from an electrocardiogram or echocardiogram, which can highlight heart muscle damage. Another method is a blood test for the molecular footprints of troponin T, a protein released by injured heart cells. That test is often used in emergency departments for patients with heart attack symptoms.
Once an SMI is diagnosed, your doctor can identify your main risk factors and help design a treatment strategy, including changing your diet, exercising regularly, and taking a statin as well as other medication to help prevent a second heart attack .
“If you do notice any symptoms of a SMI, do not brush them aside, even if you do not think they are serious,” says Dr. Plutzky. “Playing it safe is always a better move than risking the potential harmful downside.”
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