High blood pressure left uncontrolled can damage your body for
years before symptoms develop. It is very important to
successfully manage your high blood pressure so you don’t wind
up with a disability, a poor quality of life or even a fatal
heart attack.
The following is some of the complications high blood pressure
can cause when left untreated:
• Damage to your arteries: High blood pressure increases the
pressure of blood flowing through your arteries that can
gradually cause a variety of problems. These changes can affect
arteries throughout your body and obstruct blood flow to your
heart, kidneys, brain and extremities. The damage can cause
chest pain (angina), heart attack, heart failure, kidney
failure, stroke, peripheral arterial disease and aneurysms.
• Damage to your heart: Coronary artery disease is a cluster of
diseases involving the arteries that supply blood to your heart
muscle. You could experience chest pain, a heart attack or
irregular heart rhythms (arrhythmias). People with high blood
pressure are more likely to die from a heart attack. High blood
pressure forces the heart to overexert itself which can result
in enlarged left heart, which increases your chances of having a
heart attack, heart failure and sudden cardiac death. Heart
failure results when uncontrolled blood pressure over time
causes your heart muscle to weaken and work less efficiently.
Eventually the overwhelmed heart simply wears out and fails.
• Damage to your brain: Transient ischemic attack (TIA)
sometimes called ministroke is a brief, temporary obstruction of
blood supply to your brain. High blood pressure can cause
atherosclerosis or a blood clot which can cause these
ministrokes. A transient ischemic attack is often a warning that
you are at risk of a full-blown stroke. Stroke occurs when part
of your brain is deprived of oxygen and nutrients. Uncontrolled
high blood pressure can lead to stroke by damaging and weakening
your brain’s blood vessels. Dementia is a brain disease
resulting in impaired thinking, speaking, reasoning, memory,
vision and movement. High blood pressure that occurs as early as
middle age can increase the risk of dementia in later years.
• Damage to your kidneys: High blood pressure can injure both
the blood vessels in and leading to your kidneys, causing
several types of kidney disease. High blood pressure is one of
the most common causes of kidney (renal) failure.
Glomerulosclerosis is a type of kidney damage caused by scarring
of the glomeruli which can leave your kidneys unable to filter
waste effectively, ultimately leading to kidney failure. Kidney
artery aneurysm is a bulge in the wall of a blood vessel. Over
time, the excessive pressure of blood coursing through a
weakened artery can cause a section to enlarge and form an
aneurysm. If the aneurysm ruptures it can cause life-threatening
internal bleeding.
• Damage to your eyes: Retinopathy is when damaged blood vessels
leak or become blocked. The condition can lead to bleeding in
the eye, swelling of the optic nerve, blurred vision and
complete loss of vision. Choroidopathy is when fluid accumulates
under the retina when there is a leaky blood vessel in the
choroids. If this occurs, it can result in vision distortion or
in some cases scarring that impairs vision. Optic neuropathy is
when blocked blood flow damages the optic nerve. It can lead to
the death or dysfunction of optic nerve cells, which can cause
bleeding within the eye or vision loss.
Typically high blood pressure is a chronic condition that
gradually causes damage over the years. High blood pressure can
arise quickly and severely, which requires immediate emergency
treatment.
New mounting evidence suggests high blood pressure can also
affect other areas of the body leading to problems such as:
• Sexual dysfunction
• Bone loss
• Trouble sleeping
Prevention of high blood pressure does make a difference.
Adopting a healthy lifestyle can help you manage blood pressure.
Reduce your sodium (salt) intake and losing weight can have a
dramatic impact on your blood pressure.
If you develop high blood pressure there are many medications to
help prevent specific complications such as heart or kidney
disease. If you will work closely with your health care team,
you can handle your blood pressure and live a healthier life.
Sources: Mayo Clinic on High Blood Pressure, ‘Second Edition
(Softcover), American Heart Association, National Heart Lung and
Blood Institute
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