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Managing blood pressure

Managing blood pressure

During COVID-19

Managing blood pressure

Do you need help with managing your blood pressure during COVID-19?

Are you worrying about your blood pressure? We are all faced with a world which at Christmas might have seemed unthinkable. The speed we have had to make changes, the restrictions we are being asked to abide by and our concern for  those we love can cause us stress and worry. For those of us experiencing underlying health or psychological concerns the restrictions and worry might be playing on our minds. The information and tips below do not replace face to face/telephone medical advice with your GP but are here to give you ideas of how you might look after your health at this time.   

What is high blood pressure?

Blood pressure is the pressure of the blood travelling through your arteries. The blood is pushed through the arteries by contracting and relaxing 

A blood pressure reading consists of two numbers usually shown as one on top of the other e.g. 123/78 and measured in mmHg (millimetres of mercury). 

The first number represents the highest level that your blood pressure reaches when your heart contracts and pumps blood through your arteries. This is known as your systolic pressure. The second number represents the lowest level your blood pressure reaches as your heart relaxes between beats. This is known as the diastolic pressure. 

If your blood pressure is consistently too high it means that your heart is constantly having to work harder to pump blood around your body. If you’re living with high blood pressure, you may be feeling more worried about your health right now.

Although having high blood pressure doesn’t increase your chances of catching the virus, it is associated with a greater risk for people who catch COVID-19.  

Although we don’t know if there is a difference between people who have controlled or uncontrolled high blood pressure, it may well be that if your blood pressure is controlled (e.g. by blood pressure medicine) and you do not have other complications caused by blood pressure, that your risk is much lower. In this case it is important for you to do your best to manage your blood pressure. 

We know from the World Health Organisation that in 2015, 1 in 4 men and 1 in 5 women had high blood pressure and of those fewer than 1 in 4 people with high blood pressure have the problem under control. If you think you may be one of the 75% of people who don’t have it under control, seek advice from your Doctor to get some support to do so.

What are the causes of high blood pressure?

It’s not always clear what causes high blood pressure but there are certain diet, lifestyle or medical conditions that can increase your risk. You could be at increased risk if you are: 

  • Over the age of 65  
  • If you are overweight  
  • If you smoke 
  • If you are of African American descent 
  • If you have a relative with high blood pressure  
  • If you eat too much salt and do not eat enough fruit and vegetables 
  • If you do not exercise enough  
  • If you drink too much alcohol (more than 1-2 drinks a day) 
  • Long term sleep deprivation 
  • Other health conditions such as: diabetes, kidney disease, hormone problems, heart conditions, obstructive sleep apnoea  
  • Using some medications** – such as the contraceptive pill, Venlafaxine, Steroids, Non-steroidal anti-inflammatory drugs such as ibuprofen for example and some stimulant drugs like cocaine 
  • Stress 

If you have any concerns about any medications you are taking, please speak with your pharmacist or GP, do not stop medications on your own! If taking herbal preparations with other forms of medication check there are no interactions with your pharmacist. 

Making Changes

The good news is we can do things that can reduce our risk of having high blood pressure or if we already have it, to keep it more under control.

STEPS TO MAKE CHANGE

1. Know your enemy, know your allies  

The first thing to remember is that you are not alone, millions of people in this country live with high blood pressure every day and get support from the people they have in their lives and their GP. Be kind and compassionate to yourself, this is not an ideal situation we are living in but it is as it is and you can make small changes that may benefit your short and long term health 

Unless you have already been told by your GP that you have high blood pressure, the only way to know for sure is to either have a health professional measure your blood pressure or you can monitor your own if you have the correct equipment (but make sure you tell your GP practice the results). If you do take your own blood pressure at home, make sure you check your blood pressure and keep a diary of your readings regularly so you can see your progress. Unless you have already been prescribed medication to lower your blood pressure, your GP may want to prescribe some. 

 

2. Regular physical exercise 

With the current Government restrictions in place it might be hard to exercise but unless your GP has said you must not do exercise then it is really important that you gradually start to get yourself moving. Start slowly and you can build up slowly. If you have any concerns speak to your GP before starting.  

Set yourself goals but be realistic as to what you can achieve now. Some examples could be 

a ten minute walk round the block (keeping  two metres away from others of course) every day for a week could be a good start as could be doing the same if you have a garden; Captain Tom Moore, the inspirational 100 year old veteran, has shown us all what can be done with a 25 metre garden.  

Make extra trips up and down the stairs if you have them 

The British Heart Foundation’s ten minute workout can be done without even venturing out of the front door.

Try to keep moving. Set yourself reminders on your phone or on post it notes, make moving around more part of your everyday life and find things to do that are enjoyable. If you can get out of the armchair do, make a point of getting up every hour through the day, you can stand and walk or jog on the spot whilst watching TV. Check out YouTube which has a number of clips of exercise that can be done from a chair, perhaps for those for whom exercise is a regular part of your life you can walk the dog just that bit further, take a bike ride, run, follow the online exercise classes run by the likes of Joe Wickes. 

 

3. Reduce salt intake 

Try to avoid adding extra salt to your cooking or cooked food, most foods contain salt already.

 

4. Alcohol 

Stick to the recommended limits. No more than 3–4 units a day for men and no more than 2–3 for women. 

 

5. Take your medicines as prescribed 

And check you have enough medication in stock. Check when you will need to get more and set a diary reminder a week before they are due so you don’t find yourself with a gap before getting your next batch. Please make sure you are storing your medicines safely particularly if you have children or inquisitive pets around. 

 

6. Eat healthily 

It is really easy to seek out comfort food just now and right now, whilst we are at home, the fridge is never far away. Try to plan daily healthy choices including the fruit and vegetables you enjoy and remember to drink plenty of water. If you get food home delivered then keep a list of your favourite healthy foods as part of your shopping regulars. That might include chicken fillets, blueberries, quorn, bananas, crunchy carrots, corn on the cob, fresh British apples, etc. 

 

7. Be kind to yourself 

We don’t know when but there will be better days ahead.

Is there someone I can call and talk to?

Our 24/7 free Helpline remains open, so please do not hesitate to call if you need someone to talk to or any guidance during this difficult time.

Combat Stress 24/7 Free Helpline 0800 138 1619.