Managing Blood Pressure: Key Questions for Heart Health and Lifestyle Changes

Please ask your questions about blood pressure?

Hello Doctor, I have previously consulted you about several issues regarding blood pressure management, and I have a few more questions to ask.
You mentioned before that most people's blood pressure is caused by lifestyle and obesity, and that many can stop medication if they lose weight.
Recently, for about the past two months, I have been exercising three to four times a week for about 40 minutes each time, and my BMI is currently around 23.5.
However, my blood pressure readings are still similar to before, which has left me feeling a bit frustrated and helpless.
I would like to ask you:
1.
Is the reason my blood pressure hasn't responded quickly due to my impatience? Should I be more patient and not focus too much on the numbers from the blood pressure monitor, but rather concentrate on taking my medication and exercising more?
2.
After successfully reaching the recommended weight, how long does it typically take before one can notice a gradual decrease and stabilization in blood pressure?
3.
I understand that blood pressure medications help protect the kidneys and heart, but if I start taking them at such a young age, will my liver be able to handle it in the long term? (I can only do my part by exercising more to aid in drug metabolism.)
4.
Although I have blood pressure issues at a young age, if I manage to control my blood pressure well, will it reduce the likelihood of developing cardiovascular diseases in middle and older age?
Thank you very much, Doctor, for your patience in answering my questions!

Niming, 20~29 year old female. Ask Date: 2014/10/24

Dr. He Dongjin reply Cardiology

Hello, I suggest that you temporarily refrain from measuring your blood pressure.
Focus on maintaining a normal routine with exercise and diet, and consider measuring it again after spring next year.
Being overly concerned about this number can lead to anxiety.
It's important to weigh the benefits against the drawbacks of any action you take; doing something is meaningful if the benefits significantly outweigh the risks.
If you do have hypertension, current research indicates that the benefits of medication far exceed the risks, as it can greatly reduce the likelihood of cardiovascular diseases and kidney issues.
The primary online medications are not metabolized by the liver, so liver function should not be a concern in this matter.
Please do not worry excessively.
Changhua Hospital cares about your well-being.

Reply Date: 2014/10/24

More Info

Managing blood pressure is a critical aspect of maintaining overall heart health, especially for younger individuals who may be experiencing hypertension or fluctuations in their blood pressure readings. Your concerns are valid, and it's important to address them comprehensively.

1. Patience with Blood Pressure Changes: It's understandable to feel frustrated when lifestyle changes, such as increased physical activity and weight management, do not immediately reflect in your blood pressure readings. Blood pressure can be influenced by a variety of factors, including genetics, stress levels, and even the time of day when measurements are taken. It’s essential to remember that significant changes in blood pressure may take time to manifest, even with consistent exercise and dietary adjustments. Therefore, it’s advisable to focus on maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adherence to any prescribed medications. Monitoring your blood pressure regularly can help you track changes over time, but it’s also important to avoid becoming overly fixated on daily fluctuations.

2. Timeframe for Blood Pressure Improvement: After achieving a healthier weight, it may take several weeks to months for your blood pressure to stabilize and reflect those changes. Studies suggest that weight loss can lead to a decrease in blood pressure, but the timeline can vary significantly among individuals. Factors such as the extent of weight loss, adherence to a healthy lifestyle, and individual physiological responses all play a role. It’s crucial to maintain realistic expectations and continue with your healthy habits, as the benefits will accumulate over time.

3. Long-term Medication Use and Liver Health: Concerns about the long-term use of antihypertensive medications, especially at a young age, are common. Most blood pressure medications are well-tolerated and do not typically cause significant liver damage when used as prescribed. However, it’s essential to have regular check-ups with your healthcare provider to monitor your liver function and overall health. Additionally, lifestyle modifications such as maintaining a healthy weight, regular exercise, and a balanced diet can enhance the effectiveness of your medication and potentially reduce the need for higher doses in the future.

4. Long-term Heart Health: Managing blood pressure effectively at a young age is crucial for reducing the risk of cardiovascular diseases later in life. Hypertension is a significant risk factor for heart disease, stroke, and other complications. By controlling your blood pressure now, you are taking proactive steps to protect your heart health in the future. It’s important to continue working closely with your healthcare provider to monitor your blood pressure and adjust your treatment plan as necessary.

In conclusion, while it can be disheartening to see little change in blood pressure despite your efforts, it’s important to remain patient and committed to your health journey. Focus on maintaining a balanced lifestyle, and keep an open line of communication with your healthcare provider to ensure that you are on the right track. Regular follow-ups and adjustments to your treatment plan can help you achieve your health goals and reduce the risk of future cardiovascular issues.

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