Ask Our Expert: Controlling “The Silent Killer” — High Blood Pressure | NYC Health + Hospitals

Ask Our Expert: Controlling "The Silent Killer" — High Blood Pressure

The number one misconception among patients with high blood pressure is that they don’t feel sick. That’s why high blood pressure or hypertension is commonly known as the silent killer — you don’t have to feel anything to be affected. But if you have it and don’t treat it, it will catch up with you and it can cause severe consequences, such as heart disease or stroke.

Unfortunately 1 in 4 New Yorkers suffer from high blood pressure and too many don’t know it or don’t know how to best manage it. Luckily, you can be proactive to reduce your risks.

“Your blood pressure is very much in your control,” says Nichola Davis, MD, MS, Assistant Vice President, Chronic Diseases and Prevention. Dr. Davis shares her top 10 tips to help prevent and manage high blood pressure.

Normal 120/80 or less
At risk 120-139
80-89
High 140/90 or more

  • Know your numbers. Your blood pressure tests how hard your heart has to work to pump blood through your body. You should get your blood pressure checked by a medical provider once a year.
  • Get moving. Exercise for 30 minutes five times a week can significantly lower your blood pressure. Studies show that breaking down exercise to 10 minutes three times a day is just as good as 30 minutes once a day in promoting a healthy heart.
  • Cut the salt. 75% of the salt we eat comes from packaged and restaurant food. You should consume less than 2,300 mg of sodium in a single day.
  • Read labels. Canned foods, sauces, cheeses, and breads are high in sodium. Choose foods marked “low sodium” and always compare brands.
  • Look for the salt shaker warning. A new City initiative requires fast food and chain restaurants to include a salt shaker icon next to any item that exceeds the maximum recommended daily intake of sodium.
  • Nature knows best. Add fresh or frozen fruits and vegetables into each meal. Check out the Dietary Approaches to Stop Hypertension (DASH) diet. It recommends 8-10 servings of fruits and vegetables each day.
  • Work on some weight loss. If you are overweight, losing as little as 10-20 pounds can lower your blood pressure. Work with your doctor to figure out the right weight and weight loss plan for you.
  • Quit smoking. Cigarettes can raise your blood pressure and put stress on your heart. Get help here.
  • Take your medication. For those who suffer from high blood pressure and have prescription medication, it is essential to take it each and every time. Do not skip a dose just because you “feel fine.”
  • You don’t have to do it all at once. Habits are hard to change, but with high blood pressure you can work on one or two things at a time and still see a noticeable difference to reach healthier levels.

Don’t know your blood pressure level? Find a doctor and make an appointment today.

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