logo
Blood pressure dangers: ‘Go to the doctor if something feels off'

Blood pressure dangers: ‘Go to the doctor if something feels off'

NZ Herald11-05-2025
'The first symptom of high blood pressure may well be when you develop a complication of high blood pressure – be it a heart attack or a stroke or presenting with heart failure or kidney failure.
'We recognise more and more, it's also associated with dementia, and this occurs over many years.
'When the blood pressure is not controlled, it remains high for a number of years, and it can cause stiffening and narrowing of the arteries.'
Auckland woman Lynnette was diagnosed with high blood pressure in her 20s, when she was living in the Philippines – but she admits she did not take it seriously for some years.
'I was trying to sort of ignore it,' she said.
But shortly after turning 50, she started getting what she thought was indigestion.
'I thought it was acid reflux waking me up in the middle of the night.
'But [by the] second or third night, I was like 'Hmm, this doesn't feel good' because I had a little bit of chest pain and my left shoulder was getting weak.'
Lynnette was shocked to learn she had actually been having a series of heart attacks.
'I thought heart attacks were sudden and severe. I didn't know they could happen like this, so gradually.'
Five years on, she is taking regular medication, and her blood pressure is well-controlled.
However, Devlin said thousands of other New Zealanders were not so lucky.
High blood pressure was a factor in 45% of cardiovascular deaths in New Zealand each year – 4000 people.
Advertise with NZME.
'If we improve blood pressure by about 50% over the next 10 years, we will prevent 12,000 deaths by 2040. So it's a powerful intervention.'
Blood pressure checks could be done by a doctor, nurse or at some pharmacies.
Devlin said it was advisable for some people to buy their own monitors to track their blood pressure at home.
'We want to encourage New Zealanders to get their checks done, understand what the numbers mean and take charge of their heart health to live a longer, healthier life,' he said.
'For every 10-point drop in your systolic blood pressure, you reduce your risk of a heart event by 20 per cent.'
'It's about lifestyle'
A blood pressure reading contains two numbers, written as a figure, such as 120/80.
The first number is the pressure when the heart squeezes (systolic pressure). The second number is when your heart relaxes (diastolic pressure).
For most people, an ideal blood pressure is under 120 systolic (top number) and under 80 diastolic (bottom number).
Devlin, who has a family history of high blood pressure himself, said it was not just about medication.
'It's about lifestyle. And that means looking at what we eat, can we reduce salt in our diet?
'Becoming more physically active, reducing alcohol ... so all the things we know we should be doing – or not doing – they all have an impact on our blood pressure.'
Lynette said she now made an effort to live a healthier lifestyle, but also urged others to 'go to the doctor if something feels off'.
'Don't just assume it's nothing. And if you're on medication, take it regularly – it could save your life.'
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Students to tackle trail in fundraiser for Alzheimer's
Students to tackle trail in fundraiser for Alzheimer's

Otago Daily Times

timean hour ago

  • Otago Daily Times

Students to tackle trail in fundraiser for Alzheimer's

Jaime Reid, of Berwick, and Theo Wolfhagen, of Tasmania, will run and cycle 70km along the Otago Central Rail Trail later this month, to raise money for Alzheimers New Zealand. Photos: supplied Always quick with a one-liner or a slightly naughty joke, Shirley Reid was sharp-witted with a notorious sense of humour. Watching that colourful character slowly fade away as Alzheimer's disease took hold was one of the hardest things granddaughter Jaime Reid had ever experienced. The 20-year-old Taieri resident and Lincoln University student said her grandmother died in July last year. "She moved to Mosgiel and was in a rest-home for a while. "Watching her decline wasn't very nice at all, to be honest. "She sort of remembered us for most of it, which was nice. "But it was very hard visiting her when she was getting like that at the end." She remembered her grandmother as being intelligent and very involved with community activities. "At her funeral, it was quite amazing, hearing about her life story — she achieved quite a bit." It was similar for Miss Reid's partner and fellow Lincoln University student Theo Wolfhagen. The 21-year-old Tasmanian's grandfather Guy Peltzer died in April this year with the same disease. Theo Wolfhagen with his late grandfather, Guy Peltzer, and Jaime Reid with her late grandmother, Shirley Reid. Following his grandfather's funeral, the duo started talking about their grandparents' experiences with Alzheimer's, and came up with a plan to raise money for Alzheimers New Zealand. "Our grandparents have been huge supporters throughout both of our lives, and it's been quite a big loss," Miss Reid said. "We suddenly thought that maybe we should be doing something about it, because obviously it affected both of us. "And then I thought, 'oh, I've seen quite a few people raising money recently, doing different things like walking a certain distance in a month or whatever'." So they have opened a Givealittle page online, and Miss Reid plans to run 70km on the Otago Central Rail Trail, between Wedderburn and Middlemarch, on August 30. Mr Wolfhagen will cycle alongside her. "Theo's not much of a runner, so hopefully he'll carry a backpack with all the water and food for me as well," she said. It was hoped more than $1000 could be raised for Alzheimers New Zealand. As of yesterday, $880 had already been raised. The pair decided to tackle 70km along the trail because the distance reflected the 70,000 New Zealanders who were living with dementia. It would be a personal tribute of endurance, loss and connection, she said.

Two In Five Kiwi Men Die Prematurely, New Movember Report Reveals
Two In Five Kiwi Men Die Prematurely, New Movember Report Reveals

Scoop

timean hour ago

  • Scoop

Two In Five Kiwi Men Die Prematurely, New Movember Report Reveals

12 August 2025 – Two in five men living in Aotearoa New Zealand die prematurely – before the age of 75 – most from causes we know how to prevent and treat. That's the stark reality revealed in The Real Face of Men's Health: Aotearoa New Zealand, a landmark new report from the Movember Institute of Men's Health. It's the most comprehensive look at men's health in New Zealand to date – and it makes the issue impossible to ignore. The report finds men are dying almost 4 years earlier than women, with heart disease, certain cancers and suicide leading the toll. Suicide is the number one cause of death for young men aged 15–34, and three in every four New Zealanders who die by suicide are male. Among young tāne Māori aged 25–44, the suicide rate soars to nearly 60 deaths per 100,000 – the highest of any group in the country. 'These aren't just statistics – they're sons, fathers, brothers, and mates. And their deaths send shockwaves through whānau, workplaces and communities,' says report contributor Dr Simon Bennett (Ngāti Whakaue, Patu Harakeke, Ngāti Waewae), Director of Clinical Psychology Training at Massey University and member of Movember's Global Indigenous Advisory Committee. 'Too often, men are falling through the cracks, missing out on the critical support they need, when and where they need it most – and it has gone on for too long.' The research exposes major barriers stopping men from getting care – from masculine stereotypes and the expectation to 'tough it out', to health systems that too often feel unwelcoming or dismissive. Six in ten men say their concerns aren't taken seriously by healthcare providers, while nearly two-thirds feel masculine stereotypes have negatively influenced their health. 'If we addressed just the top five preventable diseases in men, New Zealand could have saved $917 million in 2023 alone,' says Professor Simon Rice, Global Director of the Movember Institute of Men's Health. 'The solutions exist. Now is the time for national action.' Movember is calling on the New Zealand Government to develop a Men's Health Strategy – grounded in equity and partnership with Māori – to deliver coordinated action across policy, services and systems. Because when men live longer, healthier lives — everyone benefits. 'This is a critical opportunity to change the trajectory of men's health in Aotearoa,' says Professor Rice. 'Healthier men mean healthier families, stronger communities and a stronger country.' New Zealanders can read the full report, which details the premature mortality of Kiwi men, the economic cost of poor men's health, the impact whānau and caregivers, and what's proven to work – and join the conversation at Movember is the leading global charity changing the face of men's health. What began as a bristly idea in Australia in 2003 quickly grew into a global movement – one that has sparked millions of important conversations, raised over AUD $1.83 billion for men's health, funded more than 1,300 health projects, and helped break the silence surrounding men's health issues. From breakthrough prostate and testicular cancer research to bold investments in mental health and suicide prevention, Movember is transforming how health services reach and support men. The charity works to ensure more men recognise when they're struggling, more supporters know how to step in, and health systems are better equipped to respond to men in need. Movember champions inclusive, gender-responsive healthcare — improving health outcomes not just for men, but for the families and communities they're part of. Together, we can help men live healthier, longer lives. Learn more at

Heart Health Care System 'Verge Of Collapse' A Barometer Of Wider Public Hospital Verging
Heart Health Care System 'Verge Of Collapse' A Barometer Of Wider Public Hospital Verging

Scoop

time10 hours ago

  • Scoop

Heart Health Care System 'Verge Of Collapse' A Barometer Of Wider Public Hospital Verging

It has been said more than once that overcrowding in emergency departments is a barometer of how public hospitals as a whole are performing in Aotearoa New Zealand's health system. It has now emerged that another barometer is the rate of heart attack patients being treated within clinically accepted timeframes. According to a new Otago University report, Heart disease in Aotearoa: morbidity, mortality and service delivery, commissioned by cardiac advocacy charity Kia Manawanui Trust (the Trust), the rate of these patients not being treated within clinically appropriate timeframes is a massive one-half. While dramatic, this is not as surprising as one might think. New Zealand has just one-third the number of cardiologists it needs. It has led to the regrettably correct conclusion that the heart healthcare system is verging on collapse. Health journalists doing their job This scandal was well reported on 11 August by Radio New Zealand's health reporter Ruth Hill: Half of heart attack patients not treated within accepted timeframes. She quotes the Trust's Chief Executive Letitia Harding in a dramatic, but not overstating, manner observing that the findings exposed a system that was failing at every level. In her words: Heart care in New Zealand isn't just stretched – it's on the verge of collapse. We are failing in all aspects and it's costing New Zealanders their lives. TVNZ gave the report prominent coverage on 1News (11 August): Verge of collapse. Stuff journalist Nicholas Jones, like Ruth Hill, on the same day also gave a good outline of the report's findings: People are dying. Key Findings The reports key findings include: Life-threatening delays: Half of all heart-attack patients are not seen within internationally accepted timeframes. New Zealand has only a third of the cardiologists it should have. Māori and Pacific people hospitalised or die from heart disease more than a decade earlier, on average, than other New Zealanders. Heart disease costs the country's health system and economy $13.8 billion per year ($13 million in 2020). The biggest contributor is hospitalisations but also contributing are lost workdays, GP visits, prescriptions and mortality. [These are minimum costs as some other factors such as emergency department admission costs were not included in this analysis.] Regions with the highest death rates are Tairāwhitii, Lakes (Rotorua-Taupo), Whanganui, and Taranaki. They have the fewest cardiac specialists. Dr Sarah Fairley is a Wellington-based cardiologist. She is also the Trust's medical director. Her conclusion was that the findings by the Otago University study matched the experience of health professionals on the cardiac frontline. Cardiac workforce reality check Sometimes non-government organisations can be overly gentle and deferential in describing bad news such as this. However, the Trust does not pull its punches over the report's findings. It calls a spade a spade. This in the context of heart disease being the greatest cause of mortalities in New Zealand. It was responsible for one in five deaths and 5% of hospital admissions. The Trust is calling for immediate investment in public hospital cardiac care infrastructure – beds and equipment – and a national strategy to recruit and retain cardiology staff. This goes to the root of the 'verging collapse'. Drilling down further, in 2024 New Zealand had 173.2 full-time cardiologists (32.8 per million people). This is three times lower than the average (95 specialists per million) of all countries measured by the European Society of Cardiology. Contrasting the figures 32.8 and 95.0 speaks volumes. However, the cardiac workforce is not just medical specialists. The number of sonographers had dropped from 70.4 in 2013 to just 43.5 in 2024, despite the 17% population increase. Their ratio had nearly halved from 16 per million to 8.2 over the same period of time. Political reaction Health Minister Simeon Brown in response gave some acknowledgement to the report but passed the buck to Health New Zealand (Te Whatu Ora) as if its political leadership were not responsible in some way. He referred to it establishing a National Clinical Cardiac Network which is developing national standards and models of care. In fact, this network was established well over a decade ago when Tony Ryall was health minister (2008-14). The network did good innovative and collaborative work. But the vertical centralisation of the health system under Labour's Andrew Little meant that the network was brought under direct bureaucratic control thereby giving it less oxygen for its independent advice. A further dimension: clinical follow-ups Understandably the impression can be formed that the critical threshold for treatment is to have a first specialist assessment (FSA). In this context this is the assessment by a cardiologist of a patient's heart condition following a general practitioner referral for further investigation. Where, for whatever reason, treatment such as surgery was not consequentially scheduled after the FSA (including because further monitoring was considered more appropriate) a clinical follow-up would normally be scheduled within a clinically appropriate timeframe. In the mid to late 2010s, towards the end of my employment as Executive Director of the Association of Salaried Medical Specialists, I became aware of increasingly serious concerns of a range of medical specialists (not just cardiac) that these clinical follow-ups were being severely delayed As a result, their patients (including children) were facing increased health risks. This includes denial through excessive delay of access to treatment that might have improved these conditions. This was regardless of location – rural, regional or urban. Consequently, the powerful message given by Northland cardiologist and Trust Board member Dr Marcus Lee on Radio New Zealand's Midday Report (11 August) in an interview with Charlotte Cook, resonated strongly with me: Delayed clinical follow-ups. After pushing back on Minister Brown's use of statistics, Dr Lee referred to the downside negative effects on clinical follow-ups after patients' FSAs. The cause of these clinically unsafe delays is the sheer volume of FSAs which had to take priority. Coupled with severe workforce shortages, these patients were trapped in a vice. Consequently, for many, their health conditions worsened to the extent that those who might otherwise have been able to be treated could not be. In other words, they were denied access to necessary diagnosis and treatment. Moral injury Dr Lee also raised the issue of moral injury. In the context of healthcare it refers to the psychological, social and spiritual impact of events on health professionals who overwhelming hold strong ethical values over, for example, denial of timely access of patients to diagnosis and treatment. This includes when events are determined by factors beyond their control, particularly political (especially) and bureaucratic decision-making. In the context of Dr Lee's reference to moral injury it is the cardiologist that has to explain this situation to patients and families of the harm done by delayed diagnostic or treatment access even though it was not caused by him or his colleagues. Although responsibility rests with political and bureaucratic decision-makers they are not the ones who have to explain it to harmed patients and their families. Dr Lee made the point well that one consequence is the undermining of patient trust in him and his colleagues. The heart healthcare barometer and a 'wake up' call A standout observation by the above-mentioned cardiologist Dr Sarah Fairley really struck home with me. In her words: From inside the system, I can tell you that this report reflects what we see every day – a workforce stretched beyond safe limits, patients slipping through the cracks and no end in sight. While this comment was made in the context of the heart healthcare system, it also reads as a standalone comment for the whole public health system, regardless of branch of medicine or type of diagnosis and treatment. The verging collapse of the cardiac care system is a barometer of the public hospital system as a whole. Public hospitals across the health system are in all in this dire situation with differences being in degree, not kind. One only needs to read the latest travesty involving adult inpatient and related mental health services in Canterbury due to ineffective governance, understaffing and cumulative strain for a decade. This disaster was covered by Nadine Roberts in Stuff (12 August): Damming mental health report. Christopher Luxon's government can't be blamed for Aotearoa's deteriorating health system. While it has worsened under his watch, it is an inherited state of affairs. It goes back to the relative underfunding ('light austerity') of the National led government for much of the 2010s and the poor compounding health system stewardship of under the previous Labour led government whose solution was destructive restructuring through vertical centralisation. What characterised all three of these governments is their shared neglect of the severe medical specialist shortages that first became evident in the late 2000s. The last word should be left to the Trust's Chief Executive Letitia Harding. She said that the report should be 'a wake-up call for the government'. She nailed it in one. But it is equally a wake-up call for the government for the whole health system.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store