Blood pressure—how to measure, manage, and treat high blood pressure [AMA 48 sneak peek]
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Published 2023-06-12
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In this “Ask Me Anything” (AMA) episode, Peter delves into the critical subject of blood pressure, which is one of the three primary causes of atherosclerosis, along with high apoB and smoking. He begins by unraveling the nature of high blood pressure, its prevalence, and why it often goes undiagnosed. Peter describes in detail the proper way to accurately measure blood pressure and what determines a diagnosis. Next, Peter discusses the actionable steps one can take in response to high blood pressure, shedding light on the extent to which factors like weight loss, exercise, and nutrition can make an impact. He also explores the pharmacological options available and offers valuable insights on how to approach them.
In this sneak peek, we discuss:
00:00 - Intro
02:45 - Blood pressure and other risk factors for cardiovascular disease
06:05 - Defining blood pressure and the purpose and meaning of a blood pressure measurement
10:57 - The implications of high blood pressure and the importance of maintaining an optimal level [10:30];
In the full episode, we also discuss:
-The importance of accurate measurements of blood pressure and how Peter approaches the care of patients at the very top range of “normal”;
-The prevalence of high blood pressure—a hidden epidemic?;
-The consequences of high blood pressure on cardiovascular health, brain health, kidneys, and more;
-Low blood pressure: symptoms and consequences;
-How to properly measure blood pressure;
-Daily variance in blood pressure and the transient changes in blood pressure during exercise;
-Primary hypertension vs. secondary hypertension: what to look for;
-Lifestyle factors impacting blood pressure: weight loss, exercise, and sodium;
-Impact of insulin resistance and type 2 diabetes on blood pressure;
-How sleep impacts blood pressure;
-Pharmacologic options for managing blood pressure; and
More.
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About:
The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 60 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more.
Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan.
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All Comments (21)
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In this sneak peek, we discuss: 00:00 - Intro 02:45 - Blood pressure and other risk factors for cardiovascular disease 06:05 - Defining blood pressure and the purpose and meaning of a blood pressure measurement 10:57 - The implications of high blood pressure and the importance of maintaining an optimal level [10:30];
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I’ve had many doctors who were all quite smart and informed me that my hypertention needed to be addressed pharmacolically. I half listened. Somehow, after hearing you share your story about your dad and how you knew you were going to deal with ur issue head on almost in a competitive spirit, I have been 100% compliant for over 3 months. So thanks! 10mg a day, staying quiet for 5 minutes, im now 120/74 with a pulse of 60. A far cry from 148/98. These podcasts work. Keep up the good work!
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My bp was a little high due to stress. My weight trainer showed me how I DON'T have high bp. Before, during, after and one hour after weight training, I took my bp. Each of the first 3 times the bp went down. The reading one hour after the work out, my bp was perfect. Breath deeply, weight train, eliminate sugar! Oh, and I drink coffee.
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Lifestyle changes and proper eating. (Grapefruit everyday for me. No alcohol. Some light exercise. Deep breathing relaxation. Zero meds now.)
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My blood pressure is always higher the first time I take it. When I repeat the test it is lower as I relax more. I have always tensed up and become stressed when I test for anything even as a child.
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God bless you doc for healing my high blood pressure completely, after 5 years of suffering from High blood pressure thank you sir i appreciate your good work♥️.
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Doctors offices are too casual when taking blood pressure so accuracy suffers. You need to be sitting rested/relaxed for 5 minutes before taking blood pressure. You should not have just had coffee or caffeine in the past hour. You need to not talk or move while it is being taken. You should not have to go to the restroom. Holding your urine to relieve yourself will raise your blood pressure. Your blood pressure changes thru out the day and is impacted by stress levels. It is best to take your blood pressure at home at the same time every day under controlled circumstances and track the results. Too many people have white coat hypertension just from going to the doctors office. Those with hypertension should be encouraged to address this with life style changes along with medication if that does not work. Doctors offices should tell people that lowering their weight thru diet and exercise may have the same result or better than medications. Nutrition and exercise education should be the first option in treatment.
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Hidden gem channel with good timestamps!❤❤❤
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Becoming a member today. Currently average 170/135 - taking 3 different prescriptions - hoping I learn something specific & definitive to help with this
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okay okay, I'm getting my membership today! 🙏💗
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European, UK, and WHO guideline is 140/90 before medication. This needs to be discussed, especially for those over 60. Having such a hard time finding a blood medication that i can tolerate that doesn't make me feel exhausted, insomnia, muscle weakness, low NA and Low chloride, etc etc
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I read your book, and it was amazing, thank you very much. From IRAQ.
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I really appreciate this, but I didn't find the information on how to reduce blood pressure. Any help would be appreciated.
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Dr. Attia, can you please do a video about Cordyceps Militaris and the effects it has on the Adrenol gland? I take Cordyceps every day and especially before the gym and I want to know for me and others if we are putting too much load on our adrenaline system.
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Cant wait to listen tothis thenk you
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I believe I have listened to all your podcasts! And I even have a few of your books. Please continue in educating us for better lifestyles! Question: I’m an avid triathlon, ultra runner, Ironman, etc. I’m 54 yrs old male. I noticed my blood pressure has increased. I’m taking olmesartan at 40mpk. Does all the sports nutrition such as electrolytes, power bars, jels, sports drinks, others supplements contribute to my elevated blood pressure? How do I fuel my myself as I continue my sports and care for my health? Thank you very much! Rohan
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I sure do appreciate all of your work
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You talk I listen.
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Zone 2 cardio does wonders for my blood pressure.
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New subscriber! Great info! I'm so glad you were on Thomas DeLauer ( sp?!😮) ❤
