The article has been automatically translated into English by Google Translate from Russian and has not been edited.

'Weather dependence is a myth': a cardiologist debunked misconceptions about pressure, weather and coffee


A source:

What to do if the indicators on the tonometer are off scale or, conversely, too low? How to find out your working pressure and when is it time to run to the doctor? Why do hypertensive patients sometimes become hypotensive? Well, about the main thing - how does the change in weather affect pressure? About it "EV.Ru" said the cardiologist of the network of clinics "Family" Andrei Rozhkov.

Photo: Shutterstock

No matter what happens, we nod to pressure: our head ached, my eyes darkened, I just felt lethargic. Is it possible to determine for yourself whether this is naughty pressure or the symptoms of another disease? How to learn to feel your comfortable pressure, because the tonometer is not always nearby?

Surprisingly, the increase in blood pressure in themselves, as a rule, are asymptomatic. Nevertheless, there is indeed an opinion that there are certain “disturbing calls” for increasing pressure - headaches, tinnitus, and so on. In the overwhelming majority of cases, these are either concurrent conditions, or having an inverse relationship (for example, a headache or increased anxiety can lead to increased pressure, but not vice versa).

It should be understood that, like any chronic disease, arterial hypertension can lead to a whole group of non-specific complaints (weakness, constant fatigue) due to the negative impact on the work of other organs (heart, eyes, kidneys, brain).

Unfortunately, it is impossible to determine the increase in pressure without a tonometer, so if you have any doubts about your health, you need to measure blood pressure and heart rate.

How often should you measure pressure if it doesn't bother you?

As I said, increasing pressure is an asymptomatic process. Absolutely healthy and young (up to 40 years old) people do not need any specially conducted screenings. The annual medical examination and pressure measurements, which ideally should be carried out at every doctor's appointment of any specialty, are quite sufficient.

However, there are a number of concomitant conditions that increase the risk of developing cardiovascular catastrophes. These include the male sex, smoking, alcohol abuse, overweight (therefore, at least once a month it is advisable to get on the scales, and once every several years - to measure height), an increase in blood sugar, cholesterol in the blood, as well as the presence of any cardiovascular problems (including strokes!) in blood relatives under the age of 60 years. Patients with these risk factors are recommended to undergo a more detailed cardiological examination at least once a year to early prevent possible complications.

The doctor diagnoses hypertension. Is it a drug therapy for life? What you need to know about your illness? What can affect its course without crises?

In most cases, proven hypertension does indeed involve ongoing drug therapy. Sometimes it is possible in the early stages to delay the start of treatment due to lifestyle changes. This is a decrease in body weight, an increase in regular physical exertion, normalization of nutrition, smoking cessation, compliance with the regime of work / rest.

The first thing you need to know about your diagnosis is that it is a disease. Therefore, like any other disease, hypertension requires adequate treatment and prevention. The negligent attitude to his condition from the category of “everyone has pressure - and nothing” or “I have 150/100, and I feel good”, unfortunately, leads to sad consequences.

A small remark: not every increase in pressure is called a crisis. Crisis - any increase in pressure, accompanied by an acute defeat of the so-called target organs: sudden deterioration of neurological functions, vision, severe shortness of breath or pain in the heart, growing swelling, urinary retention. The vast majority of pressure increases do not require urgent measures, since the benefits of episodic pressure reduction have not been proven. At the same time, there is a risk of negative consequences from such a reduction.

If a crisis has occurred, what emergency measures can you take yourself before the ambulance arrives?

If, in addition to increasing pressure (no matter to what level), terrible symptoms occur, then this is definitely an urgent situation that requires immediate hospitalization! Therefore, the tactics of "self-pass" are completely inappropriate here. The remaining pressure rises, which most do not require immediate intervention.

If terrible pressure figures appear on the tonometer, you need, firstly, not to panic. This is not an apocalypse or a catastrophe. Check the correctness of the pressure measurement, if there was enough rest after physical exertion, if there was any stressful situation, maybe you smoked recently.

Pressure should be measured with a tonometer with a conveniently sized shoulder cuff at least 5-7 minutes after the cessation of physical activity. If you are physically inactive and the body is not trained, then the period of rest is better to extend. Measurements are preferably carried out in a sitting position, in a comfortable position, without a tight belt, keep the legs parallel to each other with support on the floor, and not crosswise. The cuff should be applied directly to the skin and do not talk during measurement. Several consecutive measurements should be made. Ideal are 3 measurements taken at intervals of 1-2 minutes.

On the subject: Snoring, toothache, cough, and 8 more signs that your heart may stop

Was the pressure measured correctly? Does the increase still persist? If you are already taking any medications in connection with hypertension, then carefully check whether they were exactly taken? Then check again. If all is well, the drugs were taken (or not prescribed), then ventilate the room, sit quietly for 30-40 minutes and think about how soon you can make an appointment with the doctor for an examination.

Remember, calling an ambulance for any asymptomatic increase in pressure, you can involuntarily doom another person in critical condition to a longer wait for help.

PS Special categories of patients, such as pregnant women, require a more rigorous approach and urgent measures, even with asymptomatic pressure increase.

Hypotonics always complain of a lack of strength and energy. How can this be fixed?

I’ll clarify: hypotonics do not always complain about a lack of strength and energy.

With the usual low blood pressure values, some specific measures should not be taken. Usually, maintaining regular physical activity, possibly correcting nutrition, is quite enough, which is important for fans of torturing diets. If you experience dizziness, fainting amid a decrease in pressure, it is better to consult a doctor, and then with a full understanding of the diagnosis, start treatment. You see, such non-specific complaints as a lack of strength and energy can be symptoms of any kind of disease, so you should definitely consult a doctor.

Is the effect of coffee on pressure really that great? Or is it a myth?

There are different points of view about coffee and caffeine. Usually, all patients are advised to refrain from drinking coffee. On the one hand, many studies do show a reaction of increasing blood pressure to caffeine or coffee consumption, but these increases were not significant. On the other hand, during observational studies of people who drink coffee constantly or occasionally, no significant changes in pressure and risk of developing hypertension were shown. Moreover, a number of works indicate a positive effect of coffee on the cardiovascular system.

To answer the question “can I drink coffee”, you need to do a simple test: drink a cup of coffee (with caffeine) and take measurements of pressure and heart rate 3 times every 30 minutes (according to the rules above). If the pressure has grown by 10 mm. Hg. Art. or more, you are most likely sensitive to caffeine, which means you should limit your use of coffee or other caffeine-containing products. In other cases, follow the rules for the adequate use of any product.

For example, two coffee cups per day (200 mg of caffeine) can be considered the optimal amount of coffee. It is better to give preference to grain coffee, rather than instant. Do not abuse "energy" drinks, in which usually a very high concentration of caffeine (30 mg per 100 ml).

A separate topic is the connection between the changing weather and our pressure. What is weather dependence? Is it possible to somehow predict the deterioration of their condition and stop the attack, to prevent it from starting?

Weather dependence is a myth that has been planted on people around the world since birth. After all, it is better to blame all the blame on the weather, and not on your own lifestyle. Fluctuations in atmospheric pressure (in the framework of ordinary life, and not extreme loads), outbreaks in the sun, changes in the geomagnetic background of the earth do not affect well-being. Sudden changes in temperature can have an effect on pressure, for example, going out of a warm room to frost in light clothing, but the cooling and warming mentioned in the weather forecast cannot be the cause of pressure fluctuations. Sometimes pressure indicators can be affected by an emotional reaction to what is happening outside the window, but not weather conditions at all. You just miss and suffer, looking at the hopelessly gray sky, and the pressure responds.

On the subject: American doctors have changed the threshold of dangerous blood pressure

Is a change from hypotonic to hypertonic or vice versa possible during life? Why does this happen?

A gradual transition from hypotension to hypertension is observed in almost all people with hypertension. There is still no definite answer to the question of why this is happening. Genetic factors, lifestyle influences, past illnesses, and much more are mixed here. Therefore, in most cases, "finding the cause of hypertension", as patients often ask, is impossible.

The transition from hypertension to hypotension is possible for several reasons. For example, with the so-called secondary hypertension, when the increase in pressure is caused by renal, endocrinological or other diseases. In this case, the pressure normalizes when the underlying disease is cured. The use of drugs for hypertension also leads to a decrease in pressure. Sometimes excessive intake of drugs gives too strong an antihypertensive effect, which requires correction of therapy under the supervision of a doctor.

Perhaps the development of hypotension as a consequence of the progression of a number of diseases, such as heart failure or neurodegenerative diseases. In any case, you need to contact a specialist and discuss possible causes and measures for diagnosis and treatment.

Do people with perfect pressure exist? Is it their merit or is nature so ordered?

People with ideal pressure exist, although the higher the age, the less they are. Of course, this is a merit of both nature - genetics, the environment, and man himself - an important way of life.

The material is published for educational purposes and is not a medical recommendation. ForumDaily Woman is not responsible for the consequences of self-medication and may not share the views of the author or expert.

Follow success stories, tips, and more by subscribing to Woman.ForumDaily on Facebook, and don't miss the main thing in our mailing list