Categories
Wellness

How To Prevent And Stop Hypertension From Affecting Your Cardiovascular System

Hypertension is an important contributor to heart disease, heart attacks, and premature death, but the key to prevention is addressing vascular disorders in your family and at an early age. This is an important talk by Dr. James E.

Hypertension is considered a lifestyle disease, but it is actually a disease of vascular disease. This talk discusses why this is the case, including how vascular disease affects blood vessel structure and function. As a pediatrician at Children’s Hospital of Philadelphia, I work in cardiovascular disease prevention. This is an urgent need! In a way, this is like a warning shot: I hope this can be a source of wisdom about the real causes of hypertension, leading to better preventive care in future generations.

You may know that the “diabetes epidemic” has been very misleading because many of the new cases are actually due to hypertension. I will show you how hypertension makes these new individuals hyper-sensitive to insulin. This is a major problem because you cannot be insulin-sensitive and also hypertensive! Hypertension is a disease that affects more than just your blood pressure, though. This information will explain how it has impacted my practice, family, friends, parents, and loved ones, and hopefully make other people think about it.

A little known, but very dangerous consequence of high blood pressure is the increased risk for developing Alzheimer type dementia

Your blood pressure can be affected by many factors, but there are three main risk factors that raise the risk of cardiovascular disease regardless of the other risks.   You can prevent these risk factors by: reducing your total cholesterol level and LDL cholesterol ;

reducing your triglycerides level and HDL cholesterol; and

taking two or three medications as stated in the main talk at the end of this discussion.

You have heard of the “disease of affluence” but this discussion about hypertension reveals that not all people with hypertension are wealthy – even in the most affluent countries. There is a very real risk that hypertension will end up as one of these three main risk factors for cardiovascular disease, and it can end up affecting many other aspects of cardiovascular disease, such as heart attack, heart disease, cancer, and even stroke.

The three risk factors are:   blood pressure, high triglycerides, and high HDL

What does the “disease of affluence” mean for those who already have hypertension?

This risk is increased when you already have hypertension. You do not need an “invasion” of an already high-risk disease to get hypertension or the risk for cardiovascular disease.   This is a well-documented fact in hypertension.

It is estimated that some 40% of women who are already hypertensive will develop hypertension as adults.   Some of these women will be treated with cholesterol-restricting medications. This raises the blood pressure even more and exacerbates the other hypertension risk factors.

For men, about 20% will have hypertension as adults, and the risk is even higher for those with higher cholesterol levels and LDL cholesterol.   And, of course, hypertension will make men even more prone to cardiovascular disease.

One of the most common questions is “Is there anything I can do?”   Many will have a conversation about the medications they start by the age of 50. I will explain the importance of lifestyle changes like exercise and eating right, but let me be clear that the risk is much higher for the many than it is for the few. The real need is to be preventive and have healthy lifestyle changes that can prevent these changes from being made.

What does high-density lipoprotein (HDL) LDL cholesterol do for my arteries?

Some of your HDL cholesterol is destroyed every month. This can damage your arteries. If yours are clogged up, the risk is about 20 times higher than if you had perfect blood vessel efficiency.