The Silent Killer

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Stethoscope with reflection
10 Jun 2015

Dovid is a 40-year-old who hasn’t felt well for the last year. Other than not “feeling right,” he had no other symptoms.

Stethoscope with reflection

Dovid was overweight with a BMI of 28.5 and didn’t get a lot of exercise or activity. His diet was very “western”—meaning too high in saturated and trans fats, and with too much salt and sugar. He had been to his physician the previous week and the doctor spoke to him about taking medications. Dovid did some research and saw that most blood pressure medications had multiple side-effects and was looking for a possible alternative. After taking the pertinent information for a first visit, I checked his blood pressure which was high. His blood work showed no other obvious health problems.

High Blood Pressure or Hypertension is known as the silent killer. That is because it takes a while for symptoms to become present—usually years. About 70 million American adults (29 percent) have high blood pressure—that’s 1 out of every 3 adults.

Only about half (52 percent) of people with high blood pressure have their condition under control. Nearly 1 out of 3 American adults has prehypertension—blood pressure numbers that are higher than normal, but not yet in the high blood pressure range. High blood pressure costs the United States $46 billion each year. This total includes the cost of health care services, medications to treat high blood pressure, and missed days of work.

What is Blood Pressure?

Your heart is a fist sized muscle in the middle of your chest. It contracts and releases about 100,000 times a day and it pushes 7,000 liters (1,850 gallons) of blood through your arteries. After that, the blood returns through the veins and this process repeats itself all day everyday as long as we are alive. As the blood flows through our blood vessels, there is pressure against the arterial walls—that is the blood pressure we are talking about.

When the doctor checks your blood pressure, he always gives you two numbers. We call these systolic and diastolic. The top number, or systolic, measures the pressure against the arterial wall when the heart is contracting, the diastolic or bottom number tells us what the pressure is when the heart is in the release phase. The average blood pressure is 120/80; everyone is a little different, and sometimes the time of day can make a difference too. Until age 60, we want to stay as close to those numbers as we can. After age 60, a higher number, even 130/90 is now called acceptable. But in general, 120/80 or less is the target.

Dangers of High Blood Pressure

Having high blood pressure carries many potential health risks. They include:

These are the results of hypertension—not symptoms.

That is why it is called the silent killer! When you already have these issues, it is very late in the game.

What causes high blood pressure and what can we do to prevent it? Here are some of the causes of high blood pressure:

How to Prevent High Blood Pressure

Dovid met with our dietician to create a sensible eating plan. He began to eat more foods that keep blood pressure lower, such as vegetables, fruits, whole grains and healthy, monounsaturated fats. He cut his consumption of salt as well as his overall calories. Dovid began walking briskly for 30 minutes every day. The walks had a great physiological benefit, but it was also part of a stress management program that we put into place so Dovid could learn how to handle the day to day stresses of life better. In the end, he was able to avoid taking medications and after two months, his blood pressure returned to acceptable levels. Dovid is medication free—he feels great! Maintaining healthy blood pressure will “add hours to your day, days to your year and years to your life.”


The words of this author reflect his/her own opinions and do not necessarily represent the official position of the Orthodox Union.