One Blood-Pressure Drug Appears to Reduce the Risk of Gout Gout may be the subject of ridicule, but more than 7 million adults in the United States suffer from the painful condition. Gout occurs when uric acid crystals circulating in the blood settle in the joints, causing sudden pain, swelling and stiffness. Gout is commonly […]
I take medications for blood pressure control. My friend read that it is best to take them at bedtime. Is this true? If so, why? Adequate control of high blood pressure (BP) is important to protect against heart attack and stroke. Many BP meds are long-acting for ease of use and once-daily dosing, which is […]
Taking Blood Pressure Medications at Bedtime May Be Helpful Many patients with high blood pressure require multiple medications in different classes to bring their blood pressure down into an acceptable range. Normalizing blood pressure is necessary to reduce the risk of heart attack and stroke. A large study conducted in Spain and reported in the […]
If you have heart or kidney disease, you may need to take extra measures to maintain normal levels of this important mineral. By Holly Strawbridge Do you remember what you learned about potassium in science class? You were taught it’s a soft metal, a mineral and one of the most abundant elements on earth. But […]
The average American consumes 3,500 milligrams (mg) of sodium a day-far more than the American Heart Association recommendation of no more than 1,500 mg, or about one teaspoon, of salt. Because this amount is so strict, Cleveland Clinic sets the limit at 2,300 mg. "The difference in effect is only a drop of 2 to 3 mmHg," says Dr. Laffin. "At minimum, we recommend lowering sodium intake by at least 1,000 mg per day."
Obese individuals tend to have other risk factors for heart attack and stroke, such as diabetes, high blood pressure and high cholesterol levels. That has caused the role of obesity as a cardiovascular risk factor to be questioned. A study spearheaded at Cleveland Clinic suggests that it is. The authors conducted a meta-analysis of five studies with a total of 900,000 participants in which a genetic polymorphism associated with obesity was used to determine its potential link to cardiovascular outcomes. They found that as body-mass index rose above the mean, risk of type 2 diabetes and coronary artery disease (CAD) rose with it. No connection between obesity and stroke was seen. Although these results do not prove that obesity causes diabetes and CAD, they strongly suggest that obesity increases the risk these issues will develop (JAMA Network Open, November 2018).
Blood pressure fluctuates predictably over a 24-hour period in response to Circadian rhythms and cortisol levels. A sharp rise occurs at 4 a.m. Blood pressure peaks between 6 a.m. and noon, drops around 1 to 2 p.m. It peaks again around 5 to 6 p.m., then drops by 15 percent overnight.
If you were not active before your heart attack, its particularly important that you make exercise a priority. If you were active before your heart attack, dont be afraid to resume the same activities, once you get clearance from your physician, he says. The best way to do this is to enroll in a cardiac rehab program. In fact, we recommend cardiac rehab for all patients after a heart attack.
Bacteria are everywhere, and from time to time they make us sick. Yet few people become alarmed when bacteria settle in their throat or lungs. After a few days of antibiotics, their sore throat or flu-like symptoms disappear, and they feel fine.
Having an autoimmune disease such as rheumatoid arthritis, psoriasis, ankylosing spondylitis, celiac disease, lupus or inflammatory bowel disease greatly increases the risk of developing cardiovascular disease. The connection is systemic inflammation. Inflammatory cells settle in blood vessel walls, where they perpetuate inflammation and make plaque prone to rupture, causing a heart attack or stroke.
I have borderline elevated blood pressure and was told there are new recommendations for blood pressure treatment. What are they? I am an active 76-year-old man. Last year, my doctor told me that it was okay for my systolic blood pressure to be in the 150s. Is this best for me?
As Director of Cardiac Rehabilitation at South Pointe Hospital, Cleveland Clinic cardiologist Chad Raymond, DO, sees the damage caused by high blood pressure every day. Thats why he makes a point of counseling patients whose blood pressure is on the rise.