Ageing, blood pressure (and a glove)
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- Опубліковано 17 гру 2023
- Our Blood pressure changes as we get older. Unfortunately doctors are now care more about following guidelines and less about treating the individual. There is something inherently illogical about treating a 90 year old with a BP of 150/90 in the same way as a 20 year old with a BP of 150/90. The benefits are less and the risk of harm is greater. Here i explain how our BP changes as we get older.
I am a Registered Nurse and I have never before heard such a thorough explanation of the relationship between blood pressure and aging. Thank you for sharing your knowledge and the glove analogy is excellent.
Oh my goodness! So glad to see you Dr. Gupta! Missed you!
I once saw an interesting documentary on people who live to be in their 90's. The interviewer said many things contributed to their long life after studying and following them for decades. Some never lived to be elderly because their lifestyle was different. Some of the important take aways: Those who lived in their 90's had higher blood pressure, extra weight on them and drank a glass of wine a day. A bus would pick them up at particular times and they would have social activities with the other elderly. Loneliness in the elderly can be a killer.
Brilliant. Absolutely brilliant and totaly logical. This makes total sence. A target of 120/80 for old people is insane. They just want to sell BP medication and the GP's are complicit. The older population is totally overmedicated. I see it in my parents, They are on 7 different tablets and are a shadow of their former self. But they are so frightend. They follow everything their GP tells them to do. I drives me cracy.
i am 62 years old and this is exactly what has happened to me. my BP is 147/67 pulse low 50's. when i was in my 50's BP 160/90. I workout 5 days a week resistance /cardio, minimal sugar no processed foods. So many Health care professionals are obsessed with 120/80 at any age.
The body is adaptive so will change with age to compensate so i 100% agree with this. Thank you for posting.
You having 160/90 and still being healthy at 62 has made me feel so much better. Are you in any medication ?
@@Ryan____Z My Blood pressure, like Dr Gupta says, is not 120/80 anymore now that I'm 76 years old. I take my BP every day and it fluctuates between 130/85 to 140/90 (and less), without meds; just following Dr Guptas advise I take Magnesium Glycinate around 400 mg a day and I think it helps. My exercise is to do between 8000 and 10000 steps a day. And some yoga for stretching . Like gizmorow21 says doctors are obsessed with 120/80 !!! I listen to Dr. Gupta.
I think your efforts to educate us are extremely generous. Thank you.
Interesting and timely information. I will soon be 70, I monitor my BP at home and now will not panic if I see the numbers start to change!
Thank you Dr. Gupta. I learned a lot from this video. I'm 76 and trying to stay strong and healthy. Doctors like you are a blessing.
Love you Dr, Sanjay ,as an older member of society you calm me down! You are the only one I trust on this matter of blood pressure, so I stick with you!
Oh my goodness! You not only have a great brain,heart, but also a truly loving soul. Thank you! PS..wish you were my Doctor!
Hello, Dr. Sanjay, Thankfully, I don’t have heart/BP issues (at least I hope not!)but I’ve watched your videos for years. They are interesting, enlightening and always tremendously reassuring. I appreciate your gentle kindness towards your viewers and the fact that you respectfully treat your audience/patients as intelligent human beings. Thank you for being your inimitable self and for all the kindly good you do! 🙏🏻
Oh thank you so much Sanjay!!! I’m 74 and for the first time in my life had been put on blood pressure medication. I exercise, diet, am slim , no longer drink wine, have never smoked- I have been under stress due to a loss. But I’ve been so confused as the blood pressure meds have made me so incredibly tired I couldn’t function and have taken myself off them. I seem to have settled at 130-140 without meds for the last 2 weeks and am hoping this will continue. I’m so grateful for your explanation as I have been so worried . Thank you!!!! 💞💞💞💞🦊🦊🦊🦊🦊
Hi Dr I was worried about my bp nos 137 138 by 65 ,68 or so so relieved by ur explanation.thank u
Thanks Dok for your explaination I drink only hipertension pills depends what my blood monitor tells me
Oh my...I have never had such explicit description of high blood pressure like this one.I being hypertensive, I benefit immensely from the knowledge you share.thank you so much doc for your service to humanity.please keep them coming.
i had a heart attack 2007 at the age of 52... i had 3 stents inserted and was put on bp medi's and statins which i was told i would need to take for the rest of my life... i should also say i'm not resident in britain...
about 6 years ago i started having chest pains (far to the left) the doctors and cardiologists couldn't explain it... around the same time i started doing my own research (eg; your channel and others) and using that information started slowly changing my diet and lifestyle (walking and cycling on a daily basis whatever the weather or time of year)... about 3 years ago i added certain supplements to my routine... all in all the amount of days when i suffered the chest pain declined...
then about 2 years ago i noticed my bp values were dropping dramatically systolic was around 95 to 105 on a regular basis... i asked the doctor and cardiologist about this and whether i could reduce the bp dosage, "no, everything is fine" was the answer from both of them...
i changed doctor and cardiologist and after a lot of tests to verify my current status they said i could drop the bp medi's... the cardiologist said "it's very seldom that i can tell a patient they can stop their bp medi's..." the afore mentioned chest pains stopped within 48 hours and have never returned... further checkups confirmed that my systolic bp systolic had stabilized around 117/122 and diastolic was around ca. 40 +/- less than systolic...
at a recent checkup a couple of weeks ago i was told i could reduce the statin dosage by 50% and possibly drop it entirely later after further checkups 'cos the cholesterol values were so good...
ergo - in my opinion diet, supplements and a lot of exercise is the way to go... thank you so much for your youtube channel... 🙂
Cholesterol doesn't cause heart attacks, and statins cause more harm than good. Get away from Big Pharma.
Which supplements do you talking about?
@@arshadansari5430 - no, sorry... i think you need to do your own research and also speak with your doctor as your health is too important to rely on a youtube comment...
nevertheless, i do wish you strength and good luck in your search... :-)
I'm in the age group you addressed. My BP is naturally 129/78 and my Dr classifies me as non-compliant hypertensive because I refused medication - 10mg lisinopril daily. He wants 120/80 (or lower) period. I think I need a new doc. Your demonstration and explanation is SO valuable, Dr Gupta. Thank you! 💜
That blood pressure is fine. What annoys me is whenever I go to the doctor I get white coat syndrome and my blood pressure shoots up. When I check at home it is normal. Sometimes I even take photos to prove to doctors so they don't mistakenly diagnose me as hypertensive.
@@cespo77 Good for you!! I suspect there are thousands of people taking meds bc of that malady. The med assistant also often fails to measure BP properly to get accurate levels! They are supposed to measure ones arm for appropriate cuff size, let us sit quietly for 5 minutes b4 measuring, make sure our feet are flat on the floor, not dangling from the exam room table, etc. I tried to politely mention these procedural errors in my office. Reply from the CNA? "We don't have time for that". Reply from my DR? " White coat..." I said, "No, how about procedural error induced hypertension?" He said, "Ok, you're right. We really do need to change that". SMH (I'm in a very rural area, not many local docs to choose from.)
So now, like you, I "self report". I don't even let them take it anymore. They're okay with that. Now more than ever we have to educate ourselves and advocate strongly for our own best health outcomes. Wishing you the best! 😊
@@g.jelli... You are absolutely correct! Every time I go to the doctor and they take my blood pressure, 1. They do it as soon as you sit down, while asking you questions 2. Your arm has to be at the same level as your heart and not laying by your side when you are sitting. I think they all have to go back to med school.
If I had your numbers I’d be grateful!!!
Your doctor is completely wrong on that and they need to update their knowledge on blood pressure.
This is a fantastic explanation of blood pressure and it will blow my doctors mind when I casually repeat it to him. Thank you so much.
Dr. Sanjay my dr. Wants my blood pressure to be 115/ 65! But when it comes down to that l get faint heartbeat, very weak, very slow pulse, 50 bpm, and feel l'm about to pass out.
When my bp goes up to 130/80 l feel great and able to keep on working. I do alot of heavy lifting and walk alot in my job.
So glad to see you're back. We missed you alot. Kept looking for you.
I'm 72 and have been on BP meds since age 42. My diastolic is still perfect. My pulse pressure is sometimes too high, due to spikes in my systolic pressure when I am overly stressed. When my pressure is "normal", I am too dizzy and weak to do anything. My cardiologist said exactly what you did, but you explained it really well. Thank you.
Dear Dr. Gupta, the BP medications I am taking are killing me - specifically my kidney function is diminishing. My doctor, a good man, does not seem to allow that my BP (at 73) IS NATURALLY meant to rise somewhat over time. At times, when arising I must stop moving, or I feel I will pass out. Thank you, as always, for your videos and your willingness to transfer your knowledge & experience.
If I were you, I would take my own medication in hand and cut the dosage down until you aren't dizzy any more. I never trust a person, even a doctor, who is NOT ME, to tell me what I have to do with my own health. Are you an intelligent human? Can you weigh risks vs benefits? Then you should decide for yourself what is good for you. Your doctor isn't going to donate his organs to you when yours fail, or come to your house and take care of you if you fall and break a hip.
I think the view prevails even among well-qualified heart specialists that BP should be 120 over80 this seems preposterous and why by and large I refuse to have them monitor it at a doctors appointment because I know it will shoot up and pressure made to take a tablet.
@@edennis8578so true, we are our health advocates!
You are such a voice for wisdom in this crazy world of medicine here in the United States! Thank you!
Almost 40 years ago when I was becoming a Firefighter/EMT we were trained that the normal BP for males was 100 + the age and for females it was 90 + the age; and what you are telling us mimics that statistic at least as age and higher BP are concerned. Later those parameters changed as did our protocols. Doctors seemed to want to treat elevated BP when it was anything above 120/80 regardless of age, citing studies of reduced CVA risk and kidney damage.
What you tell us here makes a lot of sense but it's also like the diet controversy when at one time eggs were bad for us and now they are good for us. So, who knows what the real truth is?
It's a risk vs benefits assessment. The University of Iowa research hospital has found that it's more dangerous to treat elderly patients aggressively for high bp because their risk of falling and injuring themselves, with the attending health complications at that age, is greater than the risk of a heart attack in most cases.
Good thing they dont count the BP's we get in the back of the ambo. 😉
Yes! It used to be 100 plus your age before you started worrying it was too, "high.". Pill pushers needed to change that protocol! And, not for the health of people!
Thank you soooo much, I have been a follower of yours for years now..open heart surgery and tricuspid and mitral valve repares and 2 years ago an ablation ..now on 25 mg of metoprolol and 5 mg of lisenipril..blood pressure is doing fine 120s and 60s for dia in the mornings and fluctuates , of course during day.
I have blood pressire monitor, stethoscope and pulse and blood oxygen monitor!! Yaaa I am equipped 😉 in January I well be 77 and beat 2 cancers nothing but grateful!! Feel good ! But I believe as a senior citizen now my normal would be 130 over higher 50s and acceptable! But I dont see those numbers changing here in states..
At this stage the best medicine for me is filtering all the hate in politics, and spending more time using my heart for love and laughter..happy holidays to all and may 2024 be the ending of so much inhumanity and more embracing of differences..peace to all.
Lastly Dr. You are a gift a good soul here bless you..
Always Amazing!!!!!!
Have a tremendous amount of gratitude and respect for you!
Happy Holidays!
I have no real use for this information but it helps my very low mood to see and hear you and witness your great skill and compassion for others. Truly a good soul.
Thank you Dr Sanjay! As always I learn something useful... both in regards to how the body works and also how modern Drs may be wrong headed in how they view and older persons BP.
I really didn't know that BP increases normally as the blood vessels age and that you shouldn't compare a 20 yr old to a 60 yr olds BP and treat them the same way.
Thank you so much for your generosity and for sharing your wisdom in a kind and understanding way.
God bless...
Im in my 70s, I have HBP occasional SVTs PVCs. Take 5-10mg of Amlodipine, 12.5 mg Metropolol daily and I’m still have difficulty dialing it in. Everyday is different. I deal with ANXIETY and STRESS. Been that way since I got out of the Army in 1972. You ALWAYS make me feel better every time I watch one of your videos. I must have a couple dozen saved in my notes. After listening to this video I can tell my BP went down 10 points. I wish there were more Drs like you. Thank you for taking the time and for your valuable information.
God bless and yours and wishing you Happy Holidays.
I follow a diet for my kidneys & liver. BP has alot to do with it. This is so informative! Thank you so much Dr. Gupta! Really appreciate you! So few physicians that I can truly trust! God Bless You Sir!
Thankyou dr Gupta, so good to hear your explanation ❤ now I know why my diastolic BP is so low! I look forward to your next episode when you tell us what we can do about a high systolic and a low diastolic…thank you🙏🏼
I recently had 2 episodes of lowered blood pressure where I got dizzy and lightheaded. Almost passed out. 2 ER visits and 4 doc visits later, my BP has stabilized somewhat to 130/78. My doc is happy with that for “my age” of 72. She explained the same thing that blood vessels are elastic as we age. I was freaking out ‘ cause I couldn’t seem to get back to 120/80. Now I know that’s not realistic for me and too low is unhealthy.
Listening to you reduces my blood pressure. Im serious. Ive incorporated you into my healthy lifestyle. 😊 Worries about numbers go away. With other docs its the other way round.
Thank you Dr. Gupta. This all makes perfect sense to me in my own situation. Your explanation was perfectly clear.
Same here. Exactly my situation with CKD 😢
For women the biggest change in BP. comes from menopause. So many of us had perfect pressure and at post menopause we find numbers higher and doctors don't tell us it's normal for women. Finally many women doctors on utube are validating this. Mine was always 120 over 80 then menopause 125 over 85. I am same weight and height never been overweight no drinks never smoked and we now eat the best diet ever since 40. No salt, 😂grease, don't eat out. Lots fruit. No fried food, tons veggies. Moderate exercise every week. Still mine went up was relieved to hear it's a woman thing. Thanks to female doctors finally taking a interest in women's health. .
Glad you’re back, and explaning again. I have the idea that our society is saying to easely that a higher bloodpressure is normal when you get older. I’ve noticed that from the moment I changed my lifestyle, especcialy eating whole food and nothing else, the pressure got back to what it was 20 years ago. I’m 67 years now, and everytime I donate blood I can see that my bloodpressure stays around 120 over 80. No extra exercise, actually a lot less then 20 years ago.
Thank you Dr. Gupta....you are a Blessing to mankind...
So glad to find this! Didnt they used to say BP should be 100 plus your age at some point?
100 plus your age minus 10 (for women). They changed the goalposts to get more people on HBP pills (£££)
Wow, what a great explanation! Answers a lot of questions I've had.
An excellent video, with a clear and concise explanation as we would expect from you. Many thanks, Dr Gupta!
Again thank you! In the age of "just take a pill" in the USA, I can't get any real help from the Dr. to figure out if my husband still needs blood pressure meds, with all his life style changes including super low carbs. I now understand!
Thank You, Doc. That has cleared up my thinking as an 80 year old. Will share with my GP.
You are so dear, Dr. Gupta..once again, your articulate, creative explanation is wonderful and so helpful..thank you so much for all you share..wishing you many blessings
Before I watched your videos about bp, all I know is to keep my bp under that magic number 120. Now I have much better understanding of blood pressure . Thank you for educating us on this topic. I hope someday you would do a segment on ageing and cholesterol. It's my lifelong challenge.
Brilliant explanation thanks Dr Gupta...Great job
Thank Dr Gupta By doing this video you may quite possibly have saved many elderly people from breaking their wrists/hips etc…. My Late husband, who had a heart condition, was also given too higher dose of meds and fell and went unconscious My elderly aunt had white coat syndrome and was told to take a higher dose of meds. Consequently she fell. Almost under a bus, broke her wrist and then Seemed to go into a decline. I now take my blood pressure regularly, as I have now developed White coat syndrome.
Very clear and logical explanation. I wish more physicians had your talent in that regard. Thank you.
I am 92yrs old and have just decided to stop taking my medication. I have been taking a diaretic and beta blocker for 15yrs. and intuitively feel it is time to stop using drugs and focus on life style behavior. I wish you were in my life. I appreciate your videos so very much, thank you 🙏
The beta blocker and diuretic are usually the protocol to treat chf. Might not be wise to just stop without making sure.
In general one does not abruptly stop beta blocker unless your blood pressure or heart rate is too low. Abrupt stopping can be risky as blood pressure can rebound . These diseases are chronic in nature and in an ideal world lifestyle changes should be aggressively pursued to even avoid starting meds but once you have been in meds for many years , the situation is a little trickier. It needs very close supervision with Gradual reduction in doses and sometimes may not be able to stop meds completely. Also if one has congestive heart failure the beta blocker is used to slow the progression of heart failure so it’s a different situation from blood pressure. Many cardiac meds can be used for multiple reasons not only high blood pressure.
Thank you so much for this enlightening explanation. It is most helpful to me at 71 years old. I'm not overweight, eat right and exercise regularly. Yet my blood pressure is still high at times like 130-150 and 100-110. I've started to take beet root extract with some small success. Next I'm going to try nattokinase.
Always appreciate your comments! Very helpful. All the best to you over the season!
Wonderfully informative , in a manner understandable to those of us who have BP issues with aging. Grateful thanks.
Thank you so much Dr Sanjay for explaining that - it is something I have never heard about before. I'm approaching 60 myself and this will help me with conversations with my doctors when I have my annual reviews.😊
So good to see your post! I challenged the painful, electronic BP measuring tools used at my doc office. They hurt and they always read my BP higher than if its taken manual the old fashioned way. My doc agreed once I proved my point, and I got rid of the medication that was causing my body to dump so much salt and other nutrients. Thank you for well thought out information.
Dear Dr. Gupta
Thank you for your explanation of what is happening to me right now. I am 76 years old, have been battling metabolic disorders and two years ago my cardiologist put me on 4mg of perindopril as a preventive measure for 'borderline' hypertension'. At that time, my read was averaged at 122/61 with a ppm of 79. As hypertension is a family malady, I agreed to take it. This past month he doubled the dosage after seeing my bp read at 157/80. I began taking the increased dosage, my bp averaged at 113/55 with a 58 ppm and within the week began having contraindicated symptoms like muscle pain, insomnia, headache, neck pain, shoulder pain, constipation and unrination problems. I have gone back to the original dosage and will see my GP after the new year to confirm that I've taken the correct action. I am feeling a bit better but still am having muscle tightness.
I would appreciate any comments you might have. Thank you again.
Thank you Dr, very clear and concise. Thank you for taking the time to educate .
Best wishes to you and all for a peaceful Christmas.
Thank you.
Thank you Doctor. Just listening to your gentle, mellow voice calms and soothes me. My blood pressure thanks you!
This is in way more detail to how raised BP in the elderly and how it should be treated was explained to me by a senior colleague when I was a podiatrist.
Understanding the risks of potential falls when we often saw the result in our clinics, I found fascinating. Sadly, however, many GPs followed the guidelines to keep elevated BP down and risked those falls.
Much appreciate your knowledge freely shared sir.
This was very helpful. My MIL is 91 and has high BP. She has been taking meds for years but now her BP is lower than ever and thankfully her GP reduced her meds. We can see the difference in her and her ability to get around.
Always so informative & educational. "One size fits all" prescribing though time efficient on GP's , really could cause longer term health complications..!? I would be very interested to hear your opinion on grief's effect on the heart..! I am convinced widowhood has contributed to my blood pressure issues..!!! Thank you for all your do..🙏🤩
Love your explanation. There is so much calm and serenity in you personality.
Yes, we do know that blood vessels become less elastic with age. It's easy to understand why blood pressure would then rise. But the question is this: is that loss of elasticity really a 'normal' consequence of aging? Having worked for years in long-term care of the elderly, it's still commonly believed that frailty is a normal part of aging; it is absolutely not. It is the result of a sedentary lifestyle and the resulting loss of muscle mass and motor control. Entirely preventable. My question is this: do all people from all cultures in all nations of the world experience exactly the same loss of elasticity in their blood vessels? Or is this more a result of lifestyle/diet/activity level?
Thank you so much! Your spirit always shines. ✌️💞🦋
Thank you taking the time to do this educational video. It shows how much you love what you do and great empathy for all by sharing all this information in a simple way that anyone can understand. Blessing for you and your family.
So nice of you
I am a RN as well and your explanation is great. Now I finally know why the diastolic blood pressure goes up when we age in the first place and then goes down later as we are even older.
Thanks for your explanation doc. I think you should teach these young doctors. They are very ignorant when treating the elderly!!🙏👍
Thank you as always calm and with such clarity ..very important .as.people talk so fast today !
A truly excellent explanation of why pulse pressure increases with age. Thanks.
Trying to get my 88 yo father’s doctor to remove his order for an ace inhibitor turned into a religious debate. He had a couple of readings of higher than 120 systolic blood pressure in the clinic, and they felt bound to aggressively treat it. They finally caved in to my sister, who is also a physician and sent the order in. I noticed a nearly immediate improvement in his cognition and balance.
I am 74 and on no prescription medicine. Recently, my bp went up to the 140s/80s. To try and stay off bp meds, I did this: Added 2 to 4 tablespoons of flaxseedmeal , take super beet chews, add 400 mg of magnesium taurate, added exercise 4 times a week, changed to decaf coffee and lost a few pounds. I eat whole food plant based and am vegan. I brought my bp down to the low 130s/60s. My doctor told me that if I can keep my bp in the low 130s, he will be happy with that. I live in the US and am a retired podiatrist. Just found your channel and like it very much.
Thank you for explaining this is simple terms
that made it much easier to understand ... the body is amazing! I declined meds years ago because I didn't want them to interfere with Mother Nature ... I am controlling the BP with potassium, B12, zinc, D, C and magnesium
Thank you so much Dr. I am in the group you address here and my cardiologist has me on a very small dose of Metoprolol and even with that both numbers can fall low and I will suffer dizziness This explanation really answers my questions about why the lower number can fall quite low. Thanks for not only being brilliant but so patient in explaining these matters so thoroughly.
Thankyou for this. Let’s hope your excellent description / message gets heard and heeded by those prescribing the medicines!
Thank You for the Information!
Thanks Dr. i am going thru that change now (66)..... thanks for the info....i suspected it was age related... )
Thanks Doc , while you gave explanation I did 2 x tests , 111 /65 at 65 years old ...
Dear Dr. Gupta, I cannot thank you enough for your insightful and enlightening content! It truly means a lot.
Having a consultation with you 5 years ago changed my life. Your wisdom, clarity and compassion support so many. May you live long and prosper. Your life is a benefit to this world thank you 🙏
Excellent analogy 🙏
Lovely to have you back on UA-cam
Very interesting if only you was my dr ..so glad you take the time to share your knowledge...thank you
Such important information.Thanks Dr Gupta fir sharing this video .
Wow, great explanation. You have been a blessing to us all Doctor. Happy Holidays and thank you so much ❤
What should my BP be at 80?
My doc has me on Amlodipine 5mg + .
My treated BP is around 115/ 78.
Do I really need to be on the Amlodipine? Apart from taking Duodart for my prostate and occasional use of as asthma puffer I'm in good health.
So glad to see you are back.
Many thanks with the visual example with glove!
Aloha Sanjay...Doctor Sanjay, thank you so much for your calm and clear explanations, they make so much sense. My own doctor is obsessed with blood pressure and wants me to take medication even after a sonogram showed my heart was in great shape. Despite his objections I weaned myself off of metoprolol, lost weight (weight gain is a side affect of the drug), feel great, BP is stable around 133/76 and I take no medication at all. Unfortunately doctors in the US are prescribing drugs left and right...its all they do. Thanks again ( 71 yr old Brit in paradise)
So interesting and important.Many doctors lose intesest in the over50s and just follow the recommendations ror younger adults.
Thanks DOC appreciate your wisdom
Thank you for this very important insights into the how BP works ... To assir me gaining basic fundamentals ... . I'm 68 and waiting for a BP monitor ... Very reluctant to take meds especially from practitioners who may not have the full er insight and are working to tick box numbers when prescribing ... Thanks again 👍
Thank you and happy holidays .
Thank you for all that you do.
Wishing you a blessed Christmas
Makes so much sense.thank you
Thank you for the info Dr. Sanjay!
Thank you. Such a kind and gentle Dr
Thank you for explaining this in a way that anyone can understand have had several instances of very high blood pressure very recently (due to pain from injuries) where my gp was going to hospitalise me but my bp settled within a day or so each time
Brilliant demonstration I now understand!
Thank you!
Thank you so much Dr. Gupta, your knowledge and kindness are greatly appreciated 👍😎👍 💜
Great video. Thanks
Excellent!! Thanks.
This was very interesting. Thank you.
Very clear explanation,thank you
Dr. Sanjay! It's so good to see you back again. God bless.
Thank you so much. An excellent demonstration and enlightenment.
Thank you sir, from Texas.