High blood pressure, also called hypertension, is a tricky problem. Because people who have it often don’t experience any symptoms or unusual pain or sensations, many tend to underestimate the serious health risks of hypertension, and fail to seek treatment or take medication as prescribed. And now yet another challenge with hypertension has emerged: People with this condition are less likely to experience angina (or chest pain) during exercise, which means they may miss an important warning sign of a heart attack.
WHY HBP IS THE SILENT KILLER
At the Montreal Heart Institute in Canada, more than 900 people took exercise stress tests to diagnose possible cardiac ischemia, a condition that may occur when blood flow to the heart muscle is narrowed or obstructed. A stress test consists of walking on a treadmill while blood pressure is measured and the heart is closely monitored via EKG for abnormalities and to see if and at what level the patient reports pain, is out of breath, or reaches 90% of the maximal heart rate for his/her age.
Researcher Bianca D’Antono, PhD, and her colleagues compared these results to participants’ self-reported pain scores. They found that people with greater increases in systolic (the number on top) blood pressure during the stress test, whether or not they actually had hypertension, less frequently experienced chest pain — or experienced it less intensely — than those with lower blood pressure responses. The implication? Greater blood pressure reactivity to stress may decrease the perception of heart pain, possibly increasing the chance of suffering from a silent heart attack or developing silent angina.
TAKE CARE OF YOUR CONDITION
This study serves as a critical reminder of how important it is to follow your doctor’s instructions when you have high blood pressure. First of all, seek regular medical treatment and don’t skip doses of your medication — even when you feel perfectly fine. Proper nutrition, adequate management of stress and regular exercise are also helpful in controlling high blood pressure and associated risks. Talk to your doctor about the level of exercise that is right for you and, during workouts, pay attention if you experience anything else unusual, not just pain — including excessive fatigue, shortness of breath and perspiration. These are signs that you may be overdoing, and it might be better to slow down or call it quits for the day. Other symptoms that can accompany a heart attack are arm or back pain, nausea and vomiting, dizziness or fainting and palpitations.

Source(s): ?
Bianca D’Antono, PhD, clinician-scientist, Montreal Heart Institute and University of Montreal, Montreal, Quebec, Canada.
Anil Nigam, MD, MSc, preventive cardiologist, Montreal Heart Institute and University of Montreal, Montreal, Quebec, Canada.

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Dimw

sir

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Sir

Madaline

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Abu

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Thanks for listening

Nawzad