Many of the things commonly said about blood pressure are not necessarily true. Here are a few typical examples.

  • Hypertension cannot be cured: FALSE, in some cases, if you radically change your diet and lifestyle in general (increased physical activity, smoking cessation, better stress management), it can be cured or at least the need for treatment with multiple drugs can be reduced
  • Hypertension is symptomatic: FALSE, in most cases hypertension is asymptomatic until there is a complication. Very often, the symptoms attributed to hypertension (headache, nausea, dizziness, tightness in the chest) are more linked to psycho-emotional phenomena, which on their own, raise blood pressure
  • In the summer, you should always reduce antihypertensive therapy to avoid hypotension: FALSE, this is only for patients who have well-controlled winter pressure, and who, when it is hot, perceive symptoms related to excessive decreases (measured!) in their blood pressure. In all other cases, asthenia does not directly indicate hypotension, and the therapy should be left as is
  • The normal maximum pressure is 100 + the age of the subject: FALSE, isolated systolic hypertension is a strong determinant of the risk of stroke and other cardiovascular diseases. A healthy elderly subject should have a pressure comparable to that of a healthy adult. In all cases, any 60 year olds patients who have a systolic pressure of 160 mmHg are affected by serious hypertension, and must be given treatment!
  • Drugs used for the treatment of hypertension can be hazardous to your health if taken chronically: FALSE, the drugs developed to control blood pressure were designed to be taken continuously over decades and, with only rare exceptions, have few interactions with other drugs. Obviously, these drugs may have a few side effects, but these are usually not serious, and can be reversed by discontinuing treatment in the early stages of use. Simply contact your doctor promptly for clarification.
  • The drugs used to treat high blood pressure cause impotence: FALSE, certain medications (particularly diuretics and beta-blockers), when used at high doses, can worsen an underlying condition of erectile dysfunction, which is often caused by vascular damage due to the hypertension itself, and other cardiovascular risk factors. By using specific drugs, the phenomenon can be mitigated.
  • Hypertension contraindicates the use of impotence drugs: FALSE, you have not to use it when taking alpha-agonsists and nitrates (ask your doctor!)

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