Latest news with #Hypertension
Khaleej Times
29-05-2025
- General
- Khaleej Times
Hypertension alert: Know your blood pressure, take care of your heart
Hypertension, or high blood pressure, affects over 1.28 billion people globally and is a leading cause of heart attacks, strokes, and kidney failure. Often symptomless, it's known as the 'silent killer,' silently damaging vital organs over time. In the UAE, lifestyle factors like poor diet, stress, and physical inactivity are fuelling its rise, with nearly one in three adults affected. As we mark 20 years of World Hypertension Day, this year's theme — 'Measure Your Blood Pressure Accurately, Control It, Live Longer' — reminds us that early detection, accurate monitoring, and lifestyle changes are key to long-term heart health. 'Your plate can either protect your heart or pressure it,' says Vibha Bajpaiee, Clinical Dietician at Aster Clinic, Bur Dubai (AJMC). 'A diet low in salt, saturated fats, and processed foods, but rich in fruits, vegetables, whole grains, and potassium-rich foods, helps regulate blood pressure naturally. Avoid sugary drinks and excess caffeine. Opt for home-cooked meals with herbs instead of salt for flavour. Keep an eye on food labels — hidden sodium is common. Hydration, portion control, and mindful snacking also play key roles. Combine smart eating with regular movement, and you create a strong defence against hypertension. Remember, what you eat today can shape your heart health tomorrow.' Know your numbers: Why regular BP checks should be your daily habit Dr Heba Tag Eldin, Specialist Cardiology at Aster Clinic, Halwan (Sharjah), says: 'High blood pressure rarely shows symptoms, which is why regular monitoring is crucial.' 'Measuring your blood pressure accurately at home or in a clinic helps detect abnormalities early, often before complications develop. Aim to check at the same time each day, in a relaxed state, and use a validated device. Record your readings to spot trends. Knowing your numbers empowers you to take proactive steps — whether through lifestyle changes or medication. Don't wait for symptoms; prevention begins with awareness. Early action based on accurate readings can help you avoid long-term damage to your heart, brain, and kidneys.' From salt to stress: Blueprint for a heart-healthy lifestyle 'Managing high blood pressure begins with sustainable lifestyle changes,' says Dr Ashik Sasidharan, Specialist Cardiology at Aster Clinic, Al Qusais (Damascus St.). 'Reduce salt intake to less than 5g a day, maintain a healthy weight, and exercise regularly — aim for at least 30 minutes of moderate activity most days. Limit alcohol, quit smoking, and manage stress through mindfulness, breathing exercises, or hobbies you enjoy. Sleep is equally important; poor rest can increase blood pressure. Monitor your intake of caffeine and processed foods, which can trigger spikes. Lifestyle choices may seem small, but collectively, they can significantly lower blood pressure, improve heart function, and reduce your need for long-term medication.' The kidney connection: How high blood pressure wreaks silent havoc 'Hypertension is a major contributor to chronic kidney disease, often causing silent, progressive damage over time,' says Dr Azeem Ahamed, Specialist Nephrology at Aster Clinic, Bur Dubai (AJMC), and Aster Cedars Hospital & Clinic, Jebel Ali. 'When blood pressure remains elevated, it puts extra strain on the delicate vessels in the kidneys, reducing their ability to filter waste effectively. Over time, this can lead to kidney failure. Regular kidney function tests and urine checks can help detect early damage. Managing your blood pressure through diet, lifestyle, and medication is essential to protect kidney health. Hydrate well, limit salt and processed foods, and avoid overuse of painkillers, which can worsen kidney function. Healthy blood pressure supports healthy kidneys — for life.' Pressure builds silently: Early signs you should never ignore Dr Sachin Upadhyaya, Specialist Cardiology at Aster Hospital, Mankhool, says: 'Though hypertension is often symptomless, some people may experience subtle signs like frequent headaches, nosebleeds, blurred vision, chest discomfort, or shortness of breath.' He further explains 'These should not be dismissed. If you're at risk due to family history, obesity, stress, or poor lifestyle habits, regular screening becomes even more essential. Left unmanaged, high blood pressure can silently damage arteries and vital organs. According to the latest 2024 ESC guidelines, even patients with BP above 120/70 mmHg should undergo risk evaluation and begin treatment if found high-risk. If you notice these early indicators, seek medical evaluation immediately. It's better to investigate mild symptoms than wait for a crisis. Timely detection and early intervention can prevent irreversible heart, brain, or kidney complications.' Prepping the heart: Why controlled BP is crucial before surgery Dr Anil P Kumar, Specialist Interventional Cardiology at Aster Hospital, Qusais, says: 'For patients undergoing cardiac or any major surgery, optimal blood pressure control is non-negotiable.' 'Uncontrolled hypertension increases the risk of bleeding, stroke, heart attack, and complications during anaesthesia. Before surgery, a thorough assessment — including blood pressure monitoring—is performed to stabilise the patient. Medications may need adjusting, and lifestyle changes may be recommended in the lead-up to the procedure. Preoperative control of blood pressure improves surgical outcomes, reduces ICU stays, and speeds up recovery. If you're scheduled for surgery, work closely with your healthcare provider to bring your blood pressure within target range well before your operation.' Inside the OR: How surgeons handle hypertension-compromised hearts 'Operating on a heart burdened by years of high blood pressure poses unique challenges,' says Dr Debabrata Dash, Consultant Interventional Cardiology at Aster Hospital, Mankhool. 'Chronic hypertension leads to thickened heart walls, stiff arteries, and a higher risk of bleeding during surgery. Surgeons must anticipate complications like arrhythmias or reduced heart function. Intraoperative blood pressure must be managed meticulously to avoid sudden drops or spikes. Every second in the operating room is calculated, and surgical plans are customised for hypertensive patients. Timely surgical intervention, supported by a multidisciplinary team, helps stabilise cardiac function and prevent catastrophic outcomes. Managing hypertension before and after surgery is vital to long-term recovery.' Post-op and beyond: Managing hypertension after cardiac surgery Dr Srinivasan Kandasamy, Specialist Cardiology at Aster Hospital, Qusais, says: 'Recovery from cardiac surgery doesn't end in the hospital — it extends into daily life.' 'Managing blood pressure post-surgery is essential to protect your surgical outcomes and prevent recurrence. Follow your medication schedule strictly, attend follow-up appointments, and maintain a low-sodium, heart-healthy diet. Gradually return to physical activity under medical guidance. Track your blood pressure regularly and watch for signs like swelling, fatigue, or dizziness. Mental well-being matters too — address anxiety or depression, which can affect your BP. With consistent effort, many patients achieve better blood pressure control post-surgery than before. Long-term success lies in disciplined, proactive care.' At Aster Hospitals and Clinics, we are committed to raising awareness, enabling early detection, and delivering expert care for hypertension. By prioritising accurate monitoring and heart-healthy living, we aim to empower our community to take control of their blood pressure — and their future. Your heart health starts with Aster.
Yahoo
17-05-2025
- Health
- Yahoo
Innovations in High Blood Pressure Intervention Benefit Patients with Resistant Hypertension
World Hypertension Day's focus on High Blood Pressure Awareness, Management and Control highlights Importance of New Therapies, like Ultrasound Renal Denervation from Recor Medical PALO ALTO, Calif., FRANKFURT, Germany, May 17, 2025 /PRNewswire/ -- May 17, 2025, is World Hypertension Day, a day dedicated to raising awareness about high blood pressure, also known as the "silent killer" because many people do not know they have it and, over time, it can lead to serious health issues. The theme of World Hypertension Day, "Measure Your Blood Pressure Accurately, Control It, Live Longer!" highlights the importance of not only awareness but also accurate monitoring, diagnosis, and treatment of hypertension. According to a report from the World Health Organization, the number of adults with hypertension doubled between 1990 and 2019 from 650 million to 1.3 billion. The report also states that only 54 percent of adults with hypertension are diagnosed and only 42 percent receive treatment. And recent studies1,2 have suggested that BP assessment in the clinical setting can often get a hypertension diagnosis wrong or miss it completely. Left undetected or uncontrolled, hypertension is a leading contributor to serious health risks, including heart attack, stroke and kidney disease, making accurate diagnosis, monitoring and treatment of the condition critical. About one-third of the patients who are treated for hypertension remain uncontrolled despite making healthy lifestyle changes and taking more than three medications. For these patients, innovation and investment in new solutions are vital to achieve blood pressure control and realize a healthier future. From pharmaceutical treatments to technology, patients need new therapies that can provide life-changing results. This includes medical device-based therapies, like the Paradise™ Ultrasound Renal Denervation (uRDN) system, an additional treatment option for patients who remain uncontrolled and at elevated cardiovascular risk despite standard lifestyle changes and treatment with oral medications. The Paradise uRDN system is a first-of-its-kind ultrasound-based RDN technology designed to lower blood pressure by denervating the sympathetic nerves surrounding the renal arteries, reducing the overactivity that can lead to hypertension. The Paradise uRDN system delivers two to three doses of 360-degree ultrasound energy — lasting seven seconds each — through the main renal arteries to the surrounding nerves.* The Paradise catheter features the exclusive HydroCooling™ system, which circulates sterile water through the balloon catheter during the procedure to help protect the renal artery wall. This minimally invasive procedure is supported by many medical societies including the American Heart Association, the American College of Cardiology, the European Society of Cardiology and others. "Taking a risk-based approach to hypertension makes sense and this is why the medical societies are increasingly behind it," said Prof. Andrew Sharp, University College Dublin and The Mater Misericordiae Hospital, Dublin, Ireland. "Blood pressure reductions of just 5 to 10mmHg can have a significant impact on the risk of cardiovascular complications, such as stroke and heart attack, but gain is greatest in those who are most at risk, such as patients who also have other risk factors for cardiovascular health such as diabetes. Early blood pressure control may also limit the vascular aging process and yet over half of patients worldwide are not even at the basic standard of control of 140/90mmHg. With guidelines now suggesting lower BP targets of 130/80 for many, new treatments in this space are welcome. Renal denervation is a recently approved tool to safely aid in blood pressure lowering throughout the 24-hour cycle and is independent of patient adherence to medication. The procedure shows an excellent safety profile and typically takes under an hour to perform, with lasting BP reductions demonstrated." Recor Medical – the manufacturer of the Paradise System - has been focused on developing and testing uRDN for the treatment of hypertension since 2009, and completed three independently powered, sham-controlled, randomized clinical trials, all which demonstrate the efficacy and safety of the Paradise System. Recor has also initiated the US Global Paradise System (GPS) Post-Approval Study to collect real-world clinical evidence with long-term follow-up in 1,000 patients with uncontrolled hypertension in the United States. The Paradise uRDN system is indicated to reduce blood pressure as an adjunctive treatment in hypertension patients in whom lifestyle modifications and antihypertensive medications do not adequately control blood pressure. A physician will make a medical assessment to determine if a patient is a candidate for ultrasound renal denervation. The most common risks include pain, vascular access site complications and vasospasm. Full important risk information can be viewed here. *Anatomies vary. See Paradise IFU for treatment strategies. Liu H et al.: Arm Position and Blood Pressure Readings. The ARMS Crossover Randomized Clinical Trial. JAMA Intern Med. 2024;184(12):1436-1442. doi:10.1001/jamainternmed.2024.5213 About Recor Medical, Medical, headquartered in Palo Alto, Calif., a wholly owned subsidiary of Otsuka Medical Devices Co., Ltd., is a medical technology company focused on transforming the management of hypertension. Recor has pioneered the use of the Paradise Ultrasound Renal Denervation system for the treatment of hypertension. The Paradise uRDN system is an investigational device in Japan, is FDA approved in the United States, and bears the CE mark. Recor has reported positive outcomes in three independent, randomized, sham-controlled studies of the Paradise uRDN system in patients with mild-to-moderate and resistant hypertension. In addition, Recor is conducting the Global Paradise System ("GPS") Registry in the European Union and the UK, and has initiated the US GPS post-approval study in the United About Otsuka Medical Devices Co., Medical Devices Co., Ltd. engages in the global development and commercialization of medical devices that provide new therapeutic options in areas where patient needs cannot be met through pharmaceutical or other conventional treatment. Otsuka Medical Devices is a subsidiary of Otsuka Holdings Co., Ltd. ( a global healthcare company listed on the Tokyo Stock Exchange (JP 4578). Photo: View original content to download multimedia: SOURCE Recor Medical Inc.
Medscape
16-05-2025
- Health
- Medscape
May 16 2025 This Week in Cardiology
Please note that the text below is not a full transcript and has not been copyedited. For more insight and commentary on these stories, subscribe to the This Week in Cardiology podcast , download the Medscape app or subscribe on Apple Podcasts, Spotify, or your preferred podcast provider. This podcast is intended for healthcare professionals only. In This Week's Podcast For the week ending May 16, 2025, John Mandrola, MD, comments on the following topics: The BedMed trial of nighttime BP meds, SURMOUNT-5, Troponin URL, gene tests in patients with no disease, and GDMT for heart failure. JAMA has published what I hope is the last of the trials of timing of blood pressure (BP) meds. Here is a brief rundown of the history. The MAPEC trial conducted between 2000-2009 found a 61% reduction of MACE favoring bedtime meds. This was published in a journal called Chronobiology International . I know. I had never heard of it either. Then the same group from Spain conducted the Hygia trial of 19,000 patients with hypertension, and they reported a 45% reduction in major adverse cardiovascular events (MACE) with bedtime BP meds. EHJ published this trial in 2020, and it set off a storm of controversy. EHJ editors even issued a formal 'Expression of Concern' letter. Ricky Turgeon and Canadian colleagues writing in the AHA journal Hypertension noted that the main concern (of many) with Hygia was that nighttime BP meds also reduced the risk of non-CV death. This, they argued, was a serious outlier as no BP trial had ever shown a reduction in nonCV death. Further, Turgeon noted that it was unclear whether or not Hygia was truly randomized, nor whether allocation was concealed. Then came the TIME trial, which enrolled 21,000 patients with hypertension in the UK and found no difference in MACE depending on timing of meds. The Lancet published this study in 2022. The BedMed trial, published this month, was a study of 3500 Canadian patients with hypertension, recruited from primary care clinics. Half got morning meds, and the other half took their meds at night. There was absolutely no difference in MACE outcomes over a nearly 5-year follow-up. Comments I believe the TIME and BedMed trials disprove the findings from the single group in SPAIN. My reasoning is simple: the findings of massive MACE reductions simply by changing the time of day of BP meds is implausible. I especially struggle with Hygia's reduction in non-CV-death. Then, in two separate geographies, two independent groups find no benefit. You go with the plausible two trials. Another lesson from this story is the matter of open data. Here, I don't single out the Hygia authors because I feel that all randomized controlled trials (RCTs) whose results could change practice ought to be submitted with source data so that it can be independently verified. Think of the time and money that it took to disprove implausible findings. TIME enrolled 21,000 patients and BedMed enrolled 5000 and both trials followed patients for approximately 5 years. Trials with massive effect sizes deserve both attention and scrutiny. I hope the new leaders at NIH and FDA emphasize replication of studies. For our patients, it is simple: it does not matter when you take your meds. Just take them todos los dias. NEJM published the SURMOUNT-5 trial of tirzepatide vs semaglutide for weight loss. The manuscript is long. The statistical methods section is 3 paragraphs, the discussion is also many paragraphs. I don't understand why this is so. Patients were nondiabetic, age 45 years, two-thirds female, and BMI of 39. One group gets tirzepatide, the other semaglutide, and the primary endpoint was change in weight from baseline. Tirzepatide easily won. Over the 72 weeks of the trial, those in the tirzepatide group lost 20% of their body weight vs -13.7% in the semaglutide group. Those in the tirzepatide group were more likely than those in the semaglutide group to have reductions of at least 10%, 20%, and 25%. Secondary endpoints, such as cardiometabolic risk factors (BP, glucose) were also lower in tirzepatide group. Systolic blood pressure (SBP) reduction was 10.2 mm Hg vs 7.7 mm Hg in the tirzepatide vs semaglutide groups. Safety signals were similar. As most know, tirzepatide is a dual GIP and GLP-1 agonist. Whatever is the mechanism, and the authors speculate a lot, tirzepatide induces more weight loss with a similar safety signal. Semaglutide has been shown to reduce more than weight; in the SELECT trial of patients with established ASCVD, semaglutide reduced MACE outcomes by about 20% relative to placebo. SURMOUNT-5 authors tell us there is an ongoing CV outcomes trial with tirzepatide. I would speculate that the CV-disease modifying effect is a class effect. Purists may say we need more data because weight loss is a surrogate measure. I don't know; the more weight loss we get, especially when starting at a BMI of 39, the better. SBP was lower with more weight loss. One caveat was the trial was open label. Which is weird, because surely the sponsor, Eli Lilly, could afford proper blinding. I guess it's possible that if you know you are on the stronger drug, you might do more to lose weight, regarding diet and exercise. As for clinical translation, I would reach for tirzepatide first. Why wouldn't you go for the more potent weight-loss inducer? Thing is, there will surely be more GLP-1s coming to market, and the tirzepatide lead now may soon be taken away. Irish cardiologists Mark Coyle and John McEvoy have argued persuasively in the European Heart Journal that the coming fifth universal definition of myocardial infarction (MI) should include age-specific high-sensitivity troponin (hs-troponin) upper reference limits. I did not know that another universal definition of MI was coming soon. Whenever I think of hs-troponin, the following sentence comes to mind… It should not be so, but the increasingly sensitive troponin assays make life more complicated. I say it should not be so because Andrew Foy and I have explained in JAMA Internal Medicine how to use troponins at the bedside. The teaser is that it's no different from creatine phosphokinase (CPK) and that you have to think first about whether the patient with an elevated troponin is having a plaque-rupture MI. If they are not, then you treat the underlying cause. Really, it's that simple. The two writers make a compelling case for having age-specific reference values. I am sure you all have seen older patients with troponin levels just above the reference. This too should not be so, but the red values (for abnormal) infect our brains — it does mine at least. I hate seeing red numbers in the EHR. Before I tell you their argument I want to ask a common-sense question: Why should a 75-year-old have the same normal value as a 25-year-old? It makes no sense. Coyle and McEvoy write an extremely compelling argument. It's structured, well written, and addresses both the pros and cons of having age-specific upper reference limits (URLs). You will learn a lot reading this argument. I will give a brief summary: They first tell us why we use troponin URLs are used to define myocardial injury. First, you need URLs because troponin levels are not standardized across different manufacturers of troponin assays. Thus, there is a need for a common benchmark of 'abnormality' for all troponin assays. They then explain how URL are derived. Basically, you measure troponins in a sample of normal adults. The reference population is 400 adults. Why 400? I don't know exactly; they say for 'statistical purposes.' With this group of 400 troponins, you can calculate a value that is 99th percentile. This is the URL. With that as background, the authors tell us of efforts to derive the 99th percentile troponin levels for the US population, using longitudinal data such as NHANES. Now they are getting close to making their case. These efforts found significant differences in URL by sex. And indeed, there are sex-specific URL in the fourth universal definition of myocardial infarction (UDMI). But they also found substantial differences by age. For instance, adults aged ≥60 years had consistently higher URLs for high-sensitivity cardiac troponin than adults aged 40–59 or 18–39 years, with a clear age gradient. There was little data on 70- and 80-year-olds so the age cutoff proposed is over 60. The authors write: We believe that the use of age-specific high-sensitivity cardiac troponin URLs to define myocardial injury could have major clinical advantages. Obviously, the No. 1 advantage is to avoid huge downstream workups for older adults with levels just above normal. They rightly argue that a good understanding of troponins would not lead to low-value workups for mildly abnormal lab values, but, since they are clinicians, they take a pragmatic approach and write: We think it would be more impactful to implement age-specific URLs (as was done for sex-specific troponin URLs) The next part of their argument is brilliant. They go through in a bullet-point type format — 7 con arguments against and rebut each. I won't go through them all. Suffice to say, they persuaded me. Their case is strong. I wish such age-related normals weren't needed; I wish every doctor who uses troponins understood the test. But since that is not so, helping us with age-specific levels is a sound idea. JACC EP has published a paper from the Michael Ackerman Mayo Clinic Genetic Heart Rhythm Clinic. The topic of gene +/phenotype – (G+/P–) people could not be more relevant. More and more, cascade screening of family members of a patient with genetic heart disease is picking up people with the same gene but no disease. No disease as in no QT prolongation, no arrhythmogenic right ventricular cardiomyopathy (ARVC), no hypertrophic cardiomyopathy (HCM), etc. Yet… these people (notice I am using the word 'people' not patients) are often disqualified from sport. Mayo Clinic has one of the largest GHD clinics worldwide, and their retrospective chart reviews teach us a lot. There are few if any clinical trials in GHD. Before I tell you the results of this report on 274 G+/P– people, let me first say that I consider disqualification from sports participation one of the severest restrictions we dole out. I love sports. And I owe some of my success as a doctor to my years of team sports. Had I had a funny gene and been disqualified, it would have been quite bad. Patients were considered G+ if a genetic test identified a pathogenic variant or likely pathogenic variant in an established gene associated with long QT syndrome (LQTS), HCM, catecholaminergic polymorphic ventricular tachycardia (CPVT), or arrhythmogenic cardiomyopathy (ACM). Phenotype testing was done with ECG, imaging, or exercise test. Of the 274 total patients, most had LQTS (231 or 84%); 19 or 7% had CPVT, 15 or 5% had ACM, and a few percent had HCM. The age of diagnosis was 10 and 15 years. Mid 20s for ACM. Most patients were discovered via family or cascade screening. Nearly 1 in 5 sought RTP after disqualification at another institution. All but 4 (270 of 274) were allowed RTP after an evaluation or guideline-directed treatment and shared decision-making. For LQTS, patients who were truly disease nonpenetrant were treated mostly with pharmacologic therapy (80, 72%) or an intentional nontherapy (INT) strategy (28, 25%), which consisted of avoiding QT-prolonging drugs, advice for proper hydration, acquisition of a personal automated external defibrillator, and routine follow-up visits. The small remainder of patients were treated with more invasive therapies, such as left cardiac sympathetic denervation (LCSD; 2, 1%) or an implantable cardioverter-defibrillator (3, 2%). Two of the patients (1%) with an ICD had the device placed before being seen at our clinic. For CPVT (N =19), after evaluation, most patients were treated pharmacologically (11, 58%) or with an INT strategy (8, 43%). For ACM (N =15), all patients were put on a plan of active surveillance to monitor for any evidence of phenotypic conversion or disease emergence. All cardiac imaging was normal, including cardiac MRI, and patients had no structural evidence of disease. On follow-up, 2 patients showed late gadolinium enhancement on cardiac MRI 4 and 5 years after the initial Mayo Clinic visits and were considered P+ at that point. For HCM (N=9), all patients (9, 100%) were managed with INT. They were all referred for evaluation because of a positive family history for disease. Overall, in total, 68% of G+/P– people received pharmacologic therapy and 27% received INT or intentional non-therapy. And no patients had any disease-related cardiac events or deaths in more than 1,300 years of combined follow up. No patients. None. Nada. About 60 patients had their gene variant downgraded from pathogenic, likely pathogenic or VUS to likely benign. These patients were not included in the 274 in this report, but this is an important data point because they were disqualified at the same rate as the patients with true pathogenic gene variants. This is a really important paper. Really important. I get gene reports, and they are scary. Why? For two reasons: First, because no one wants to have a young person have cardiac arrest. Second, because almost no one knows much about genetic heart disease. Indeed, gene testing is about as opposite from troponin testing as it gets. Cardiologists deal with troponin levels about every day. We have a feel for troponins, often the wrong feel, but there is familiarity. Gene reports come with a bold-faced phrase 'pathogenic variant.' Our tendency is to pull the trigger and say 'no sports.' What this report tells us is that if you do a proper evaluation (history, exam, ECG, image, and stress test) you can identify phenotype negative people. That is, they don't have the disease. And then set forth a treatment and follow-up plan, often with no treatment, these people (not patients) can live normal lives and participate in sports. The authors write with caution: In fact, the purpose of this study is not to encourage physicians to disregard a positive genetic test, but to use it as a tool to further risk-stratify and guide management and treatment of the patient, and to not automatically disqualify from exercise. For instance, for the INT strategy the authors write that 'even though no prescription is given or intervention performed, avoidance of QT-prolonging drugs, being proactive with electrolyte replenishment and hydration, monitoring other variables that could lead to an event (ie, lack of sleep, excess caffeine, postpartum period), and attending frequent follow-ups are still expected. I realize you (and I) will not become experts in genetic heart disease from reading this paper. But reading this paper should infuse us with perspective. That is, genes are not fate. Genotype is not phenotype. Disqualification is severe. And when we find gene positive people the answer is not to scare people and disqualify them. The answer is to read, research the problem and as I often do — phone a friend. Then, once you have done that have a discussion with the person and their family. I want to say thank you to Michael Ackerman and his team. They have taught me, and the entire field of cardiology, tons about genetic heart disease. STRONG HF: More Beats Less After Discharge for Heart Failure Here we go again with rushing guideline-directed medical therapy (GDMT). JACC-HF has published a research letter in which numerous authors performed a post-hoc analysis of the STRONG HF trial. The main study question was to quantify how many days free of death or heart failure hospitalization (HHF) over 6 months is gained with rapid uptitration of GDMT after an admission for HF. The secondary aim of the study was to promote the endpoint of RMST — restricted mean survival time — and RMSTD, or restricted mean survival time difference, which they authors say provides a direct measure of clinical benefit and can complement the hazard ratio (HR). It's interesting because in years past, trial reports often included such a measure. For instance, in the AVID trial of ICD vs AAD for VT, the average unadjusted length of additional life associated with ICD therapy over AAD was 2.7 months at 3 years. (I don't know why authors stopped including such data points, but one theory is that it seriously minimized the differences.) Back to the STRONG HF substudy and the matter of 'rapid uptitration of GDMT.' STRONG HF was published in 2022. STRONG HF enrolled about 1600 patients with acute heart failure who were not treated with optimal medications from 87 hospitals in 14 countries. Nearly 90% were recruited from Africa and Russia. Patients were randomly assigned to a high-intensity treatment arm or usual care. The high-intensity arm was aptly named. Patients first were given half the optimal dose of heart failure meds while still hospitalized. These included all the usuals (renin-angiotensin blockers, β-blockers, mineralocorticoid receptor antagonists). At week 1 after discharge, patients were checked for tolerance of these meds. At week 2, meds were uptitrated to full dose. The week 3 visit was used to check tolerance of full-dose meds, and then patients were checked again after 6 weeks. Notably, cardiologists performed these "safety" visits, using only a history, exam, and measurement of basic labs. The usual care arm was according to the local practice—in Africa or Russia. Obviously, the high-intensity arm did better. They had 5-fold more frequent in-person visits and far more patients taking optimal HF meds. The primary endpoint of death or HHF at 6 months was 34% lower. Readmission for heart failure drove the benefit, but all-cause death was 16% lower and cardiovascular death was 26% lower in the high-intensity arm. The trial was terminated early for benefit. Adverse events, actually, were higher in the high-intensity arm, 46% vs 29%, most commonly related to low BP or hyperkalemia and renal issues. I wrote about the STRONG-HF trial in 2022 and wondered if it would change hospital systems. That is, if you found a way for a cardiologist to see the patient 4 times in the 6 weeks after hospital discharge you could improve outcomes. Well, since STRONG has come out, I have heard little about hospital systems changing their systems. But perhaps I was naïve back in 2022. GDMT enthusiasts used the STRONG HF study to promote the value of rapid titration of meds. While that happened, I now have come to recognize STRONG-HF as one of the classic examples of performance bias—which infects so many strategy trials. That is, patients randomized to high-intensity care got a lot more than just rapid titration of meds. They had 5-fold more interactions with doctors and HF teams. They had more education, more follow-up and, simply stated, more care. There is no way to tell if it was all the extra care of the meds. I can think of few examples of situations where you give one group of sick patients 5x more healthcare interactions than the other group and it doesn't matter. In fact, this is the reason EAST AF found benefit for early rhythm control. In EAST, there was little difference in sinus rhythm between the early rhythm control (ERC) and rate control arms, so rhythm control can't explain the better outcomes. Instead, the ERC had tons more healthcare encounters. That was a long introduction to the research letter looking at days free of the primary composite of death or HHF. In STRONG-HF, it was nearly 9 days longer without an event in the high-intensity arm compared with the usual care. The HR was 0.61 or 39% reduction. Most of the benefit was driven by a reduction of HHF, but the difference in death was 3.5 days but this did not reach statistical significance. The authors than do a similar analysis, looking at extra days free of the primary endpoint based on the percentage of optimal dose of HF meds. And, of course, patients on optimal doses of HF meds did better. Each 10% increase in percentage optimal dose of GDMT was associated with an RMSTD of +1.7 days (95% CI: +0.8 to +2.5 days; P < 0.001). The authors are impressed. They write: Our post hoc analysis of the STRONG-HF trial highlights the magnitude of benefit from rapid GDMT uptitration in HF patients beyond reduced risk. RMST complements HR and risk differences (RDs) and can enhance the physician's ability to convey the real-world impact of interventions to patients and families. The authors write: Therefore, we believe RMST should be considered for routine inclusion among clinical trial result reporting. This can potentially bridge the knowledge gap between clinical trial results and bedside decision-making with patients and family. Unlike HRs and RDs, which address the critical question of whether a treatment works, RMST provides a tangible and intuitive answer to the question, 'How many extra days does this treatment offer? I like the idea of using the RMST but for 100% opposite reasons. I am not sure where the authors practice, or what their patients are like. But here in Kentucky, if I tell a farmer from Grayson County, Kentucky, that if he spends 4 extra days of his life in the next 6 weeks driving to Louisville to see a cardiologist, running through the paperwork gauntlet each time, then taking extra meds (many of which are costly), that he may have an extra 8 days before having another HHF, I am not sure they would be interested. Same with AVID trial. Would the ICD have gained their lofty status if we emphasized the extra 2.7 months of life over 3 years? What do you all think? I think we should use something like RMST. I'm afraid it would make a lot of our highly valued recent 'breakthroughs' look relatively modest. This is why I love basic old pacemakers. The RMST for a pacemaker for heart block is likely infinity. The patient dies without the pacemaker, and lives perhaps two decades with it. I guess the value of using RMST is an empirical question—one that could be evaluated in qualitative studies of what patients think.
Zawya
16-05-2025
- Health
- Zawya
Merck Foundation Marks ‘World Hypertension Day' 2025 – Transforming Hypertension, Cardiovascular and Diabetes Care in Africa and Beyond by Providing 863 Scholarships for Doctors From 52 Countries
Merck Foundation ( the philanthropic arm of Merck KGaA Germany, marks 'World Hypertension Day 2025' in partnership with Africa's First Ladies, Ministries of Health, Medical Societies and Academia through their 'Nationwide Diabetes&Hypertension Blue Points Program', by reinforcing its commitment to improving cardiovascular and diabetes care across Africa, and beyond. Senator, Dr. Rasha Kelej, CEO of Merck Foundation stated, 'At Merck Foundation we observe 'World Hypertension Day' by expanding access to quality and equitable care in Hypertension, Diabetes, Endocrinology and Cardiovascular preventive care, which are all co-related, by providing scholarships for young doctors from across Africa and beyond. Together with our Ambassadors, The First Ladies of Africa, and partners like Ministries of Health, Medical Societies and Academia, we have till today provided more than 860 scholarships for young doctors from 52 countries, of One-Year Online PG Diplomas and Two-Year Online Master's Degrees in Diabetes, Preventative Cardiovascular Medicine, Endocrinology, Cardiology, and Obesity&Weight Management, as well as One-Year Clinical Cardiovascular Care and Clinical Diabetes Onsite Fellowship Programs in India, a special 3-month Diabetes Mastercourse in English, French, Portuguese, and Spanish languages. What is special about these scholarships is that they have been provided not only to doctors from capital cities, but also to those from across the country — ensuring wider geographic coverage of healthcare capacity. We remain committed to continuing our efforts to improve healthcare capacity and access to hypertension and diabetes care.' Merck Foundation has in total provided more than 2270 scholarships for doctors from 52 countries in 44 critical and underserved medical specialties. Dr. Dzifa Ahadzi, Merck Foundation alumnus from Ghana shares, 'I have completed my Postgraduate Diploma in Cardiology and currently pursuing MSc in Cardiology. Being a practicing cardiologist, this program has provided me with the opportunity to consolidate my knowledge and apply current advances in cardiovascular care to my clinical practice. Since completing the PG Diploma in Cardiology, I have been involved in establishing a Heart Failure clinic in my hospital that caters to the needs of a diverse population of Heart Failure patients including women with Postpartum cardiomyopathy and Cardio-oncology patients. I am extremely grateful to Merck Foundation for the support and exposure it has provided me. It has inspired me and helped me to improve cardiovascular care amongst the population that I serve.' Merck Foundation scholarships are of great value, given that as per WHO data, the African region has the highest prevalence of hypertension, with approximately 27% of adults affected. Therefore, Merck Foundation has launched several community awareness programs to emphasize on the importance of a healthy lifestyle and raise awareness about diabetes and hypertension prevention, early detection and management. Merck Foundation, together with The First Ladies of Africa, has launched a storybook and its adapted animation Film 'Mark's Pressure'. 'I believe early education is key to building a healthier community. Through our storybook and animation film 'Mark's Pressure', we aim to instill healthy habits in children and youth — like reducing salt and sugar, eating well, exercising, and avoiding smoking. I believe that this is the only way to prevent and manage hypertension and diabetes, which are major risk factors for many serious complications and illnesses.' Watch the 'Mark's Pressure' Animation Film here: Moreover, Merck Foundation's pan African TV program 'Our Africa' conceptualized, produced, directed, and co-hosted by Senator, Dr. Rasha Kelej, CEO of Merck Foundation has episodes dedicated to raising awareness about Diabetes and Promoting Healthy Lifestyle. Watch the Episodes here: 'Our Africa' TV Program has been broadcasted on National and Prime TV stations of many African countries like Burundi, Botswana, Ghana, The Gambia, Kenya, Liberia, Malawi, Mauritius, Namibia, Sierra Leone, Uganda, Zambia and is currently on social media handles of Senator, Dr. Rasha Kelej (Facebook ( Instagram ( Twitter ( and YouTube ( and Merck Foundation (Facebook ( Instagram ( Twitter ( and YouTube ( Additionally, Merck Foundation together with African First Ladies, also launches annually, their Awards for best Media, Fashion Designers, Filmmakers, Musicians/ Singers, and new potential talents in these fields from African countries to Promote a healthy lifestyle and raise awareness about prevention and early detection of Diabetes and Hypertension. 1. Merck Foundation Media Recognition Awards 2025 'Diabetes&Hypertension': Media representatives are invited to showcase their work through strong and influential messages to promote a healthy lifestyle and raise awareness about the prevention and early detection of Diabetes and Hypertension. Submission deadline: 30th October 2025. 2. Merck Foundation Film Awards 2025 'Diabetes&Hypertension': All African Filmmakers, Students of Film Making Training Institutions, or Young Talents of Africa are invited to create and share a long or short FILMS, either drama, documentary, or docudrama to deliver strong and influential messages to promote a healthy lifestyle raise awareness about prevention and early detection of Diabetes and Hypertension. Submission deadline: 30th October 2025. 3. Merck Foundation Fashion Awards 2025 'Diabetes&Hypertension': All African Fashion Students and Designers are invited to create and share designs to deliver strong and influential messages to promote a healthy lifestyle and raise awareness about the prevention and early detection of Diabetes and Hypertension. Submission deadline: 30th October 2025. 4. Merck Foundation Song Awards 2025 'Diabetes&Hypertension': All African Singers and Musical Artists are invited to create and share a SONG with the aim to promote a healthy lifestyle and raise awareness about the prevention and early detection of Diabetes and Hypertension. Submission deadline: 30th October 2025. Distributed by APO Group on behalf of Merck Foundation. Additional Images: Contact details: Mehak Handa Community Awareness Program Manager +91 9310087613 / +91 9319606669 Join the conversation on our social media platforms below and let your voice be heard! Facebook: X: YouTube: Instagram: Threads: Flickr: Website: About Merck Foundation: The Merck Foundation, established in 2017, is the philanthropic arm of Merck KGaA Germany, aims to improve the health and wellbeing of people and advance their lives through science and technology. Our efforts are primarily focused on improving access to quality&equitable healthcare solutions in underserved communities, building healthcare&scientific research capacity, empowering girls in education and empowering people in STEM (Science, Technology, Engineering, and Mathematics) with a special focus on women and youth. All Merck Foundation press releases are distributed by e-mail at the same time they become available on the Merck Foundation Website. Please visit to read more. Follow the social media of Merck Foundation: Facebook ( X ( Instagram ( YouTube ( Threads ( and Flickr ( The Merck Foundation is dedicated to improving social and health outcomes for communities in need. While it collaborates with various partners, including governments to achieve its humanitarian goals, the foundation remains strictly neutral in political matters. It does not engage in or support any political activities, elections, or regimes, focusing solely on its mission to elevate humanity and enhance well-being while maintaining a strict non-political stance in all of its endeavors.
Yahoo
16-05-2025
- Health
- Yahoo
The Blood Pressure Solution Under Review: Complete Hypertension Support System for High BP
A Natural, Functional Medicine-Based Blood Pressure Program Offers a Drug-Free Alternative to Hypertension Through Nutrition, Lifestyle, and Root-Cause Reversal Strategies Plano, May 15, 2025 (GLOBE NEWSWIRE) -- In This Article, You'll Discover: How The Blood Pressure Solution offers a natural, non-drug-based approach to managing high blood pressure The underlying causes of hypertension that many people overlook — and how lifestyle factors play a critical role What sets this complete hypertension support system apart from conventional medications The nutritional foundations, meal plans, and herbal strategies used to help lower blood pressure naturally A breakdown of the program's structure, ingredients, and scientific underpinnings How this program integrates daily habits like stress reduction, improved sleep, and physical activity Real-world comparisons of traditional treatments vs. 's functional medicine framework Safe purchasing options, pricing details, satisfaction guarantees, and official return policy disclaimers Answers to the most frequently asked questions about natural blood pressure support systems Who should consider this approach — and how to start making sustainable changes without extreme diets or side effects TLDR Summary The Blood Pressure Solution Under Review: Complete Hypertension Support System for High BP offers a detailed look into a natural alternative for managing high blood pressure. Developed by Dr. Marlene Merritt, this functional medicine program combines dietary education, stress management techniques, and evidence-informed lifestyle changes to help users address the root causes of hypertension. Unlike standard pharmaceutical solutions, it focuses on sustainable, drug-free strategies that support long-term cardiovascular wellness. This in-depth review explores how the system works, what users can expect, and how it compares to conventional treatments — while also providing important guidance on how and where to purchase it safely. With a structured, easy-to-follow format and flexible recommendations, The Blood Pressure Solution may appeal to individuals seeking a more holistic approach to heart health and blood pressure regulation. Introduction: Confronting the Silent Threat of Hypertension High blood pressure, also known as hypertension, has earned the ominous nickname of "the silent killer" — and for good reason. Unlike many other chronic health conditions, hypertension rarely presents noticeable symptoms in its early stages. It quietly damages blood vessels and organs over time, increasing the risk of serious cardiovascular events such as stroke, heart attack, kidney disease, and cognitive decline. Millions of individuals are living with high blood pressure right now, completely unaware that their health is already under threat. The impact of hypertension is both far-reaching and deeply personal. It affects not only physical health but emotional well-being, peace of mind, and financial security. Many people first discover they have high blood pressure only after a routine check-up or an emergency medical event. And once diagnosed, they're often handed a prescription with little explanation and a long-term warning that medication may be required for life. While medications can be helpful and even lifesaving in many cases, they are not without drawbacks. Side effects like fatigue, dizziness, insomnia, and even sexual dysfunction are common. For others, the idea of being dependent on pills for decades can feel disempowering. There is also the financial burden — monthly refills, doctor visits, and the cost of managing side effects — which can quickly add up, especially for those on multiple prescriptions. That's why so many individuals are now seeking out natural blood pressure remedies that support heart health without causing more harm than good. They want real answers, not temporary patches. They want to understand why their blood pressure is high and what they can do about it — beyond medication alone. This is where The Blood Pressure Solution comes in. Developed by Dr. Marlene Merritt, a well-respected Doctor of Oriental Medicine and practitioner of functional medicine, The Blood Pressure Solution is a complete hypertension support system that takes a different approach. Rather than focusing solely on symptom suppression, this program explores the root causes of high blood pressure — from poor diet and sedentary habits to chronic stress and blood sugar imbalances. It offers a step-by-step guide to naturally supporting healthy blood pressure through diet, lifestyle, and stress reduction — all grounded in accessible, science-informed strategies. This article is designed to give readers a full review of The Blood Pressure Solution, examining what the program includes, how it works, who it's best for, and how it compares to traditional drug-based treatments. You'll learn about the foods that nourish your cardiovascular system, the small changes that can yield big results, and how this holistic method has already helped thousands of people reduce their blood pressure naturally. If you've ever felt overwhelmed, confused, or frustrated about managing your high blood pressure — or if you're simply looking for a better way — you're in the right place. Disclaimer: This article does not offer medical advice and is for informational purposes only. Always consult your healthcare provider before making changes to your treatment plan or starting any new program. Decoding the Root Causes of High Blood Pressure Understanding high blood pressure begins with accepting a powerful truth: hypertension is not random. While genetics and aging may play a role, most cases of high blood pressure are driven by a combination of modifiable lifestyle and environmental factors. These often go undiagnosed, unaddressed, and uncorrected until complications arise. The good news is that once identified, these root causes can be actively managed — and in many cases, significantly improved — without the sole reliance on long-term medication. The Lifestyle Crisis Behind the Hypertension Epidemic The modern lifestyle is one of convenience, but it comes at a hidden cost. The average adult consumes far more processed food, sugar, and sodium than the body is designed to handle. At the same time, most people sit for extended periods, sleep poorly, and experience chronic stress on a daily basis. These cumulative habits disrupt the body's natural balance and contribute to long-term vascular strain. When the body is exposed to ongoing physical and emotional stressors, it compensates by tightening blood vessels, accelerating the heart rate, and triggering hormonal responses that raise blood pressure. Over time, these adaptations shift from being helpful short-term survival tools to harmful long-term patterns — patterns that can be reversed through lifestyle intervention. The Dietary Connection: Inflammation and Insulin Resistance One of the most critical — and often misunderstood — drivers of hypertension is chronic inflammation. This persistent, low-level inflammation damages the lining of blood vessels, reduces their flexibility, and contributes to the stiffening of arteries. This makes it harder for the heart to pump blood efficiently, leading to elevated pressure. In addition, many individuals with high blood pressure also struggle with insulin resistance, which is the body's inability to respond properly to insulin. When insulin levels stay elevated for extended periods, it can trigger fluid retention, blood sugar imbalances, and additional stress on the cardiovascular system. Refined carbohydrates, sugar-laden beverages, and high-fructose corn syrup are common contributors to this state of dysfunction — all of which are addressed and corrected in The Blood Pressure Solution dietary framework. Sedentary Habits and Vascular Health Regular movement is essential for healthy circulation. A sedentary lifestyle weakens the heart muscle, slows blood flow, and promotes weight gain — all of which can raise blood pressure. The human body was built to move, and when it doesn't, everything from oxygen delivery to nutrient absorption suffers. Unfortunately, many adults spend the majority of their waking hours in sedentary environments, compounding their risk without realizing it. The Blood Pressure Solution introduces simple, non-intimidating ways to move the body daily that can help restore cardiovascular balance over time. Even light activity like walking, stretching, or deep breathing has a measurable impact on blood pressure regulation. The Impact of Stress and Hormonal Overload Stress isn't just a mental or emotional issue — it's a biological one. When you're stressed, your body releases hormones like adrenaline and cortisol, which narrow your blood vessels and increase your heart rate. This fight-or-flight response is designed for short bursts, not for the prolonged mental load experienced in daily modern life. When left unchecked, chronic stress becomes a silent contributor to high blood pressure. The Blood Pressure Solution recognizes this and incorporates stress-reduction strategies as a core part of the protocol — not as an afterthought. Practices like mindful breathing, restorative sleep habits, and relaxation routines are included to help reset the nervous system and support long-term vascular health. Other Overlooked Risk Factors In addition to diet and stress, several other hidden influences can elevate blood pressure: Poor sleep quality or sleep apnea Heavy alcohol use Tobacco use Vitamin and mineral deficiencies Exposure to environmental toxins or endocrine disruptors Each of these plays a part in shifting the body's equilibrium — and each is addressed in The Blood Pressure Solution's holistic approach to blood pressure management. Disclaimer: While these factors are recognized in public health and wellness literature as potential contributors to high blood pressure, every individual is different. A thorough evaluation by a licensed healthcare provider is recommended for anyone experiencing ongoing cardiovascular concerns. Your journey to a healthier heart starts with one decision. Choose The Blood Pressure Solution and unlock the tools to naturally support your blood pressure for years to come. The Blood Pressure Solution: A Natural Approach What Is The Blood Pressure Solution? The Blood Pressure Solution is a comprehensive, lifestyle-based hypertension support program developed by Dr. Marlene Merritt, a board-certified Doctor of Oriental Medicine and functional medicine specialist. Rather than relying on pharmaceutical drugs, the program takes a preventative and restorative approach to high blood pressure management using nutrition education, stress reduction techniques, and actionable wellness strategies. This natural system doesn't rely on pills, extreme dieting, or complex exercise routines. Instead, it introduces a blueprint designed to help users better understand what's driving their elevated blood pressure — and how small, science-backed changes in their daily habits could lead to real improvements in cardiovascular health. Core Components of the Program The Blood Pressure Solution is structured to be accessible and actionable. The key components include: Step-by-step lifestyle plan focused on diet, exercise, and stress management Dietary guidelines centered on nutrient-rich, whole foods Simple meal planning advice that eliminates the need for calorie-counting Guidance on reducing inflammatory triggers from both diet and environment Relaxation strategies to support nervous system balance Educational insights about the relationship between insulin resistance, stress, and high blood pressure Rather than simply offering 'quick fix' solutions, the program is designed to empower users to take control of their health with practical strategies that support long-term results. Functional Medicine Meets Real-Life Application At its core, The Blood Pressure Solution reflects a functional medicine philosophy — targeting the root causes of elevated blood pressure rather than merely treating the symptoms. This approach resonates with individuals seeking alternatives to traditional medication, especially those interested in: Holistic wellness Anti-inflammatory nutrition Biohacking blood pressure naturally Heart-healthy lifestyle changes By supporting healthy blood pressure ranges through natural means, the program aligns with growing interest in long-term, sustainable health practices. Disclaimer: The Blood Pressure Solution is not a substitute for medical treatment. Individuals currently taking blood pressure medication or managing chronic health conditions should consult their doctor before beginning any new program. Testimonials and Real User Experiences Many users have reported positive changes in their blood pressure readings, energy levels, and overall well-being after incorporating the program's guidance into their daily routines. These testimonials highlight the importance of education, self-awareness, and proactive choices in managing cardiovascular health. While results vary based on individual health profiles and consistency, the program continues to gain recognition among those seeking a natural alternative to drug-based hypertension care. Key Ingredients and Their Benefits The Power of Nutrition in Blood Pressure Management One of the foundational pillars of The Blood Pressure Solution is the emphasis on nutrition as a tool for cardiovascular wellness. Rather than depending on supplements or pharmaceuticals alone, the program teaches users how specific foods and nutrients play a direct role in supporting healthy blood pressure levels. This includes a focus on anti-inflammatory foods, blood vessel-friendly nutrients, and natural sources of electrolytes. Nutritional Building Blocks for Heart Health Potassium-Rich Foods Potassium is one of the most essential minerals for blood pressure regulation. It helps balance out the effects of sodium in the body and eases tension in blood vessel walls, promoting smoother blood flow. The Blood Pressure Solution encourages the inclusion of potassium-dense foods such as: Avocados Sweet potatoes Spinach Bananas Lentils These choices support electrolyte balance and reduce the strain on the cardiovascular system when included in a daily routine. Magnesium and Calcium Magnesium and calcium also play critical roles in vascular relaxation and muscle function. Magnesium helps regulate the contraction and dilation of blood vessels, while calcium supports heart rhythm and nerve signaling. Dietary sources such as nuts, leafy greens, seeds, and low-fat dairy are recommended for naturally improving intake. Herbal Supports and Functional Foods While The Blood Pressure Solution emphasizes whole-food nutrition, it also provides guidance on herbal supports known to promote cardiovascular health. Hawthorn Berry Widely used in traditional medicine, hawthorn berry may help support healthy blood circulation. It's believed to have antioxidant effects that can assist in relaxing the blood vessels. Disclaimer: Although hawthorn has been traditionally used for cardiovascular support, its effects may vary by individual and should not replace prescribed medications. Garlic Garlic is recognized for its heart-healthy properties, particularly for its potential role in supporting blood vessel elasticity and healthy circulation. Its natural sulfur compounds are a focus in many anti-inflammatory diet plans. Hibiscus Tea Hibiscus is frequently referenced in natural health literature for its supportive effect on blood pressure. Rich in antioxidants and polyphenols, it can be consumed as a daily beverage to compliment a heart-friendly diet. Note: Consult your healthcare provider before adding herbal supplements to your regimen, especially if you are already taking medication for blood pressure or other health conditions. Anti-Inflammatory and Low-Glycemic Meal Structure The program's nutritional strategy also includes blood sugar regulation as a secondary benefit. By focusing on unprocessed, low-glycemic foods, it helps limit insulin spikes — which may have a downstream effect on blood pressure for some individuals. The integration of fiber-rich vegetables, lean proteins, healthy fats, and whole grains encourages smoother energy levels and better vascular function over time. This isn't another temporary fix — it's your long-term strategy for supporting high blood pressure naturally. Order The Blood Pressure Solution today while supplies are still available. Comparing The Blood Pressure Solution to Conventional Treatments A Shift From Managing Symptoms to Targeting Root Causes Most conventional blood pressure treatments revolve around prescription medications that work by chemically altering how the cardiovascular system operates — such as slowing the heartbeat, widening blood vessels, or reducing fluid volume. While these approaches can be effective in quickly lowering blood pressure, they often do not address the deeper causes of the condition. The Blood Pressure Solution offers an alternative: instead of masking symptoms, it focuses on helping users make key changes to their lifestyle and nutrition to support long-term balance. This natural, education-driven system is designed for those who want to be more proactive in understanding their own health and reducing dependency on drugs when medically appropriate. Disclaimer: Never stop taking prescribed medication without your doctor's supervision. The Blood Pressure Solution is intended as an educational lifestyle program, not a replacement for professional medical treatment. Effectiveness and Sustainability Conventional Medications Prescription medications often bring fast results — but at a cost. Side effects such as fatigue, dizziness, frequent urination, and erectile dysfunction are frequently reported. Moreover, many people find that once they begin medication, they are expected to remain on it indefinitely unless significant lifestyle changes are made. The Blood Pressure Solution In contrast, The Blood Pressure Solution focuses on long-term change. It teaches users how diet, movement, sleep, and stress management all influence blood pressure. While results may not be instantaneous, many individuals find this approach more sustainable, side-effect-free, and empowering over the long run. Safety Profile and Quality of Life One of the key appeals of natural hypertension support systems is their low risk of adverse reactions. While pharmaceutical options are critical for many individuals with advanced or resistant hypertension, those in earlier stages — or looking for additional support — may prefer a method that enhances their quality of life without additional pills or synthetic compounds. This approach includes: No drug dependence No rebound effects from missed doses No sedation or sexual side effects Greater confidence in managing health naturally Financial Investment Comparison Medication Costs Blood pressure medications can range in cost depending on insurance coverage, the number of prescriptions required, and whether name-brand or generic drugs are used. Over time, the monthly costs — along with potential co-pays and doctor visits — can add up significantly. Program Cost The Blood Pressure Solution is a one-time purchase educational system that comes with dietary guidelines, recipes, actionable health insights, and lifestyle support strategies. It is typically offered for a fraction of the cost of long-term pharmaceutical treatment. Disclaimer: Pricing is subject to change. Please visit the official website for the most up-to-date information and available discounts. Purchasing and Accessing The Blood Pressure Solution Where to Buy the Blood Pressure Solution The Blood Pressure Solution by Dr. Marlene Merritt is available exclusively through its official website. This ensures that customers are getting the most up-to-date version of the program directly from the source, rather than encountering unauthorized third-party sellers or outdated materials. Purchasing through the official website also offers access to bundled educational tools, health tips, and support that may not be available elsewhere. It is strongly recommended to avoid trying to obtain the program from platforms such as Amazon, eBay, or unofficial websites, as authenticity and customer support cannot be guaranteed. What's Included with the Program The Blood Pressure Solution includes a full digital or physical package designed to guide users step-by-step through the system. Depending on the format selected, purchasers typically receive: A comprehensive Blood Pressure Solution manual Specific dietary and lifestyle instructions Scientific explanations made easy to understand Bonus educational content depending on the offer Each component is designed to educate users about what influences high blood pressure and how to manage it naturally through diet, movement, and mindful living. Pricing Overview According to the latest details on the official product page ( the program is offered at a promotional discount. The total cost may vary based on format (digital vs. physical) or special offers that include bonus materials or wellness newsletters. Disclaimer: Pricing is subject to change at any time. Please always refer to the official website for current rates, limited-time discounts, and final checkout prices. The program is structured to be a one-time purchase with no recurring billing, unlike subscription-based health tools or medication refills. This makes it a budget-friendly option for individuals looking for a long-term solution without the monthly financial commitment. Return Policy and Satisfaction Guarantee According to the website, the program is backed by a 100% satisfaction guarantee. Customers are typically offered a generous window (often 60 days) to try the program and request a refund if they find it doesn't meet their expectations. This money-back guarantee provides peace of mind for those who are curious about the natural approach but hesitant to invest without assurances. For complete return and warranty information, refer to the policy page linked in the footer of the official website. Customer Support and Contact Details The publisher of the program — the Newsmax Health brand and Dr. Marlene Merritt's team — provides multiple options for customer support, including: Online contact form via the purchase site Dedicated phone support line Email for order or access issues This level of service makes it easy for customers to ask questions, process returns, or get help with accessing their materials. The Blood Pressure Solution is the lifestyle program that makes sense — no gimmicks, no hype. Just real strategies that help you take control of your blood pressure naturally. Integrating The Blood Pressure Solution into Daily Life Making the Transition From Information to Implementation One of the biggest challenges with any lifestyle program is not just understanding what to do — but actually doing it. The Blood Pressure Solution is designed to be easy to incorporate into everyday life, regardless of age, fitness level, or dietary preferences. By focusing on small, consistent changes, users can create long-term shifts in health habits without feeling overwhelmed. Rather than introducing complicated protocols, the program emphasizes practical, daily steps that can be seamlessly added to existing routines. Sample Meal Planning for Blood Pressure Support The nutritional principles in The Blood Pressure Solution center around whole, unprocessed foods that help reduce inflammation, regulate blood sugar, and ease the burden on the heart. These include: Leafy greens (like spinach, kale, and chard) Lean proteins (such as salmon, turkey, and plant-based options) Fiber-rich vegetables (broccoli, bell peppers, squash) Healthy fats (avocado, olive oil, chia seeds) Complex carbohydrates (quinoa, brown rice, oats) A sample day might look like: Breakfast: Overnight oats with chia seeds, almond milk, and fresh berries Lunch: Grilled salmon salad with olive oil vinaigrette Dinner: Roasted vegetables with lentils and turmeric quinoa Snacks: Sliced cucumbers with hummus, or a handful of walnuts These meals support electrolyte balance, promote healthy circulation, and provide key nutrients without relying on packaged or processed ingredients. Exercise Strategies That Support Vascular Health The Blood Pressure Solution encourages moderate, consistent physical activity to enhance cardiovascular function. This doesn't mean high-intensity workouts — in fact, research shows that regular low-impact activity can be just as effective for supporting heart health. Recommended movement practices include: Daily brisk walking (20–30 minutes) Gentle yoga or stretching Light resistance training (bodyweight or bands) Recreational activities like dancing, cycling, or swimming The key is consistency — not intensity. Movement helps stimulate circulation, reduce stress, and support better blood pressure regulation over time. Managing Stress and Sleep Stress is a well-known driver of elevated blood pressure, and poor sleep can compound the issue. The Blood Pressure Solution integrates mindfulness and sleep hygiene strategies to promote full-body wellness. Some simple yet powerful habits include: Deep breathing exercises before bed Establishing a wind-down routine (no screens 1 hour before sleep) Journaling or meditation Herbal teas like chamomile or lemon balm When practiced regularly, these techniques help calm the nervous system and promote healthier blood pressure responses. Tracking Your Progress Monitoring your own health data — such as blood pressure readings, mood, energy levels, and dietary intake — can be a powerful motivator. The program encourages users to: Keep a simple journal Use at-home blood pressure monitors Record how certain foods or activities affect them This approach puts users in control and fosters long-term self-awareness. Note: Blood pressure fluctuations can be influenced by many factors. Always compare multiple readings over time and consult your provider for clinical evaluation. Improve your blood pressure naturally with expert guidance and lifestyle habits you can stick to. Get started with The Blood Pressure Solution before this exclusive offer expires. Conclusion: Empowering Health Through Natural Means Taking Control of Your Cardiovascular Health High blood pressure is one of the most common yet preventable conditions affecting adults worldwide. While it's often managed with medication, more people are now recognizing the importance of addressing the root causes of hypertension through daily habits, not just prescriptions. This shift toward natural wellness, proactive health education, and lifestyle change represents a growing trend — and The Blood Pressure Solution fits right at the heart of that movement. Rather than simply reacting to symptoms, this program gives users the tools to make informed decisions about their health. It emphasizes understanding what drives elevated blood pressure, how to eliminate those triggers, and how to create lasting positive change without relying exclusively on drugs or invasive interventions. For many, the idea of managing blood pressure through nutrition, movement, and mindfulness feels more empowering and attainable than navigating side effects and long-term prescriptions. That's why solutions like this — rooted in real-world lifestyle change — continue to gain popularity among those looking to take back control of their health journey. A Sustainable Path Toward Lasting Change The Blood Pressure Solution isn't about perfection or rigid rules. It's about learning, adjusting, and growing — all at a pace that supports realistic, lasting transformation. Whether it's integrating more potassium-rich vegetables into meals, going for a daily walk, or finding better ways to reduce stress at the end of the day, these small shifts add up. Importantly, this system helps users move from a place of confusion to one of clarity. By providing a proven framework, actionable steps, and a sense of guidance, the program stands apart from generic advice or scattered health fads. It's not just a resource — it's a roadmap for reclaiming balance in the body and mind. Note: While individual outcomes may vary, programs that support lifestyle modification have been widely acknowledged in public health literature as effective strategies for managing blood pressure. However, always speak with a licensed healthcare provider before modifying your treatment plan. Why The Blood Pressure Solution Is Different In a marketplace filled with one-size-fits-all diets, endless supplement ads, and conflicting advice, The Blood Pressure Solution distinguishes itself through: Its functional medicine foundation Focus on educating and empowering the user Use of clinically-researched lifestyle principles No dependency on pharmaceuticals or recurring costs Inclusion of simple, sustainable routines for everyday people This is not a supplement or a quick detox. It's a comprehensive lifestyle strategy for people who want to live longer, feel stronger, and protect their heart health in a natural, side-effect-free way. Your Next Steps If you're tired of feeling uncertain, if you're ready to address the actual causes of your high blood pressure, and if you want a plan that supports you without overwhelming you, The Blood Pressure Solution might be the starting point you've been looking for. And with the program backed by a 100% satisfaction guarantee, there's little risk in giving it a try. You can explore it at your own pace and see how even the smallest changes — when made consistently — can create lasting improvements in your health and well-being. Disclaimer: Pricing, availability, and bonus offers are subject to change. Please refer to the official website for current information before purchasing. Discover how food, movement, and mindset can transform your heart health. The Blood Pressure Solution reveals the natural tools your body needs to restore balance from within. Addressing Common Questions and Concerns Who Can Benefit from The Blood Pressure Solution? The Blood Pressure Solution is crafted for individuals who are looking for a natural, educational approach to managing high blood pressure without relying solely on medication. This includes: Adults recently diagnosed with elevated blood pressure Individuals in the 'prehypertensive' range looking to prevent progression Those currently on medication but seeking complementary lifestyle strategies People interested in holistic wellness and functional health principles It's especially helpful for anyone who feels overwhelmed by conflicting health advice online and wants a step-by-step framework grounded in nutrition, science, and daily habit building. Disclaimer: This program is not a substitute for professional medical care. People with advanced hypertension or complex health conditions should always consult their physician before making changes to their routine. Is This Program Safe for Everyone? Since The Blood Pressure Solution is rooted in dietary and lifestyle guidance — not pharmaceutical treatments — it is generally considered low-risk. However, users with the following conditions should exercise caution and speak with their healthcare provider: Existing kidney or heart conditions Current use of prescription blood pressure medications History of fainting or dizziness due to low blood pressure Pregnant or breastfeeding individuals The program is educational in nature and does not include medications or supplements, making it a flexible option for many — but it's not one-size-fits-all. Will I Still Need My Medication? This is one of the most common questions — and the honest answer is: it depends. The Blood Pressure Solution is not intended to replace medication but may help support healthier blood pressure naturally when integrated with a provider-approved care plan. Some individuals may see improvements and discuss tapering medications with their doctor, while others may continue on medication with enhanced lifestyle support. The emphasis is on working with your body, not against it. Always consult your prescribing physician before altering or discontinuing any medication. Self-adjusting dosages can be dangerous. How Quickly Can I Expect Results? Because this is a lifestyle-based approach, it's important to understand that results vary based on consistency, starting health status, and commitment to change. Some users report improved blood pressure readings in a matter of weeks, while others notice gradual improvements in energy, sleep quality, and mood over a longer period. This is not a quick fix — it's a sustainable wellness strategy. The program promotes small wins and long-term gains, with the goal of building habits that last for life. Can I Follow This Program if I Have Dietary Restrictions? Yes. The dietary principles in The Blood Pressure Solution can be adapted for a wide range of dietary preferences, including: Vegetarian or plant-based diets Low-sodium or DASH-inspired plans Gluten-free or dairy-free needs Anti-inflammatory or Mediterranean-style eating It's flexible enough to support different lifestyles while still emphasizing key elements that support vascular health and blood sugar stability. What is The Blood Pressure Solution and how does it help support high blood pressure naturally? The Blood Pressure Solution is a comprehensive lifestyle program designed by Dr. Marlene Merritt to help individuals manage high blood pressure through diet, exercise, and stress management — without relying solely on medication. It educates users on the root causes of hypertension and provides natural tools for daily blood pressure support. Disclaimer: This program is not intended to replace medical treatment. Consult your healthcare provider before starting any new health routine. Does The Blood Pressure Solution follow a specific diet plan? The program emphasizes heart-healthy eating habits rooted in anti-inflammatory, low-glycemic, and nutrient-rich foods. It promotes a balanced approach that supports blood pressure naturally — including potassium-rich foods, magnesium, healthy fats, and complex carbs. What makes The Blood Pressure Solution different from other hypertension support systems? Unlike one-size-fits-all diets or over-the-counter blood pressure supplements, The Blood Pressure Solution is a functional medicine-based approach that teaches users to address the root causes of high BP. It focuses on education, empowerment, and long-term lifestyle change, not just symptom control. What if The Blood Pressure Solution doesn't work for me? The program is backed by a 100% satisfaction guarantee. If you're not happy with your results, you can request a refund within the specified guarantee period — typically 60 days from the date of purchase. This makes trying the program risk-free. Where can I buy The Blood Pressure Solution safely and securely? The Blood Pressure Solution is available only through its official website at Avoid purchasing from third-party sites like Amazon or eBay, as these may not be authorized to sell the legitimate version of the program. Ready for change? The Blood Pressure Solution has already helped thousands reduce their blood pressure naturally — now it's your turn. Start today and take charge of your wellness. Company: The Blood Pressure Solution Email: support@ Order Phone Support: 877-300-7849 Disclaimers and Disclosures The information presented in this article is for informational and educational purposes only and is not intended as medical advice, diagnosis, or treatment. The content reflects the opinions and research of the referenced sources at the time of publication but should not be interpreted as a substitute for professional medical guidance. Individuals with specific health concerns or who are taking medications should always consult a licensed healthcare provider before beginning any new health program, dietary regimen, or supplement protocol. This article is not written or reviewed by licensed medical professionals, and no claims made within it have been evaluated by the Food and Drug Administration (FDA). The product featured is not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary depending on several factors, including health status, adherence to the program, and personal lifestyle. Although every effort has been made to ensure the accuracy and timeliness of the information provided, no guarantees are made regarding its completeness, accuracy, or applicability. Content may contain typographical errors or factual inaccuracies, and the publishers and all affiliated distribution partners disclaim any liability for losses, injuries, or damages resulting from the use of this information. In the event of any inconsistency or discrepancy between the content presented here and the official product website, the information on the official site should be considered the most current and accurate. This article may include affiliate links, which means the publisher may receive a commission if a reader clicks a link and makes a purchase. This comes at no additional cost to the consumer and helps support continued research and reporting efforts. The inclusion of affiliate links does not influence editorial integrity or the objectivity of the content provided. The publisher, authors, and any associated syndication partners involved in the creation or promotion of this article are not responsible for the decisions or outcomes experienced by individuals based on the use of the information provided. It is the responsibility of each individual to evaluate the suitability of the program and products for their own health and circumstances. CONTACT: Company: The Blood Pressure Solution Email: support@ Order Phone Support: 877-300-7849Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
