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Important Information About Hypertension

Posted on October 21, 2020 by Michael Hinck

According to the American Heart Association, hypertension is the medical term for high blood pressure. It is defined an adult as blood pressure that is greater than or equal to 140 mm systolic and 90 mm diastolic. Hypertension directly increases the risk of coronary heart disease and stroke.

When the heart beats, it generates a force exerted against artery walls, known as blood pressure. Blood pressure is measured by testing the force needed to stop blood from flowing through the arteries, away from the heart. When a blood pressure test is performed, a test result will yield two numbers. The first number is known as the systolic number. It measures the pressure when the heart beats. The second number, known as the diastolic number, measures the pressure between heart beats, when the heart is at rest. A normal blood pressure for a healthy adult is 120/80.

Hypertension, also known as high blood pressure, is a serious condition that affects approximately one quarter of all Americans. Hypertension is commonly known as the “silent killer” because of the lack of any noticeable symptoms. If not treated, hypertension can lead to many more serious conditions that can ultimately prove fatal.

Diagnosing and treating hypertension is very important because it can lead to a number of other diseases, such as heart disease, stroke, and kidney failure.

Everyone is susceptible to developing hypertension, but some groups are at greater risk than others. Those most at risk are:

• People with a history of hypertension in their family

Overweight people

• African Americans

• Elderly people

You are also at a higher risk to develop hypertension if you:

• Smoke

• Drink alcohol frequently

• Are pregnant or on birth control pills

• On a high-salt diet

• Are an inactive person

If you have hypertension, there are ways of controlling your condition. The following lifestyle changes can be added to reduce your risk:

Exercise Regularly – Aerobic exercise for 15 to 45 minutes, three to four times a week, every week is recommended by doctors. Swimming, walking, jogging, riding a bike, and dancing are all excellent forms of aerobic exercise.
Eat healthy – Avoid foods with high salt and high fat content. Doctors suggest eating more fruit, vegetables, chicken, fish, pasta, and low-fat dairy products.
Control Alcohol – Limit alcohol consumption.
Stop Smoking – If you are serious about controlling hypertension, you must stop smoking.

In some more serious cases, doctors will prescribe medication to help control hypertension. The best prevention is to see a doctor and have a blood pressure check-up at least once a year.

Before beginning a diet or exercise program, consult your physician.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Information About Obesity

Posted on October 15, 2020 by Michael Hinck

One of the most prevalent health conditions in the United States today is obesity. Both children and adults are often classified as being obese and this can have very serious health consequences.

There are numerous reasons that a person may be obese. While lack of exercise and poor eating habits are more commonly given as reasons for being obese, genetics and socio-economic factors may also be involved. Typically obesity is related to consuming more calories every day than are being expended.

Obesity is defined as a condition where a person has excess body fat. One of the ways that obesity is measured is by taking a person’s body mass index (BMI), which is calculated by their body weight in kilograms and dividing it by their height in meters squared. If the result is 30 or greater, that person is considered to be obese.

Being obese can have very serious effects on a person’s overall health. Some of the health conditions associated with obesity are:

• Diabetes
• Hypertension
• High Cholesterol
• Stroke
• Osteoarthritis
• Respiratory difficulty
• Sleep apnea
• Heart disease

There are a few ways that a person can prevent themselves from becoming obese. Since poor eating habits and behavior may be the cause of the problem, modifying these factors will be helpful. A conservative approach to treating obesity involves:

• Change eating habits
• Improve and increase physical activity
• consult with your physician for recommendations
• consult with a certified dietician

If you would like to speak with a physician at Jamaica Hospital to help you better manage your weight, pleas call 718-206-7001.

Hypertension and Kidney Disease

Posted on March 13, 2019 by Andrew Rubin

High blood pressure is the second leading cause of kidney failure in the United States after diabetes.

High blood pressure, also known as Hypertension, can damage blood vessels in the kidneys, reducing their ability to work properly. When the force of blood flow is high, blood vessels stretch so blood flows more easily. Eventually, this stretching scars and weakens blood vessels throughout the body, including those in the kidneys.

If the kidneys’ blood vessels are damaged, they may stop removing wastes and extra fluid from the body. Extra fluid in the blood vessels may then raise blood pressure even more, creating a dangerous cycle.

Most people with high blood pressure do not have symptoms. In rare cases, high blood pressure can cause headaches.

Kidney disease also does not have symptoms during its early stages. A person may have swelling called edema, which happens when the kidneys cannot get rid of extra fluid and salt. Edema can occur in the legs, feet, or ankles and less often in the hands or face.

Once kidney function decreases further, symptoms can include:

Appetite loss
Nausea
Vomiting
Drowsiness or feeling tired
Trouble concentrating
Sleep problems
Increased or decreased urination
Generalized itching or numbness
Dry skin
Headaches
Weight loss
Darkened skin
Muscle cramps
Shortness of breath
Chest pain

Following a healthy eating plan can help lower blood pressure. Your health care provider may recommend a dietary approach that includes foods that are low in fat and cholesterol, dairy that is fat-free or low-fat, fish, poultry and nuts, as well as, consuming less read meat, sweets and added sugars.

If you are experiencing symptoms and would like to speak with a physician, please call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001.

When Should You Go to The ER For High Blood Pressure?

Posted on June 12, 2018 by Xavia Malcolm

Complications caused by hypertension (high blood pressure), is one of the most common reasons for emergency room visits. Elevated blood pressure levels can cause substantial damage to our bodies and lead to conditions that can become life-threatening.

Knowing when to seek immediate emergency care can help you avoid delays in getting medical attention, and decrease your risk of developing severe complications caused by extremely high blood pressure.

According to the American Heart Association, when blood pressure levels increase severely and reach measurements of 180/110 or greater, you should seek immediate medical attention.

There are other warning signs coupled with high blood pressure that indicate you are having a hypertensive crisis and require emergency care. Signs and symptoms may include:

Severe chest pain
Nausea and vomiting
Severe headaches accompanied by blurred vision and confusion
Seizures
Unresponsiveness
Shortness of breath
Severe anxiety

The cause of a severe spike in your blood pressure and these symptoms could be the result of missing your blood pressure medications, a stroke, a heart attack, kidney failure or an artery rupture.

A hypertensive crisis can lead to complications or damages to your body such as fluid in the lungs, memory loss, vision damage, and damage to vital organs. This is why it is important that you go to your nearest hospital emergency room and receive the treatment needed to lower your blood pressure. Damage to your organs will be assessed and your doctors will immediately address complications.

Information About Migraines

Posted on June 6, 2018 by Joann Ariola

According to the Coalition for Headache and Migraine Patients (CHAMP), June is recognized by the federal government as National Migraine and Headache Awareness Month.

More than 38 million people in the United States experience migraines or some type of tension headache with 2 -3 million of them experiencing chronic migraines.

The exact causes of migraines are unknown. People with migraine or tension headaches may have a tendency to be affected by certain triggers such as fatigue, bright lights, weather changes and hypertension.

Some symptoms of migraine or tension headaches are:

Throbbing pain, numbness, weakness
Sensitivity to light
Sensitivity to sound
Nausea
Diarrhea
Vertigo
Mood changes
Neck pain
Vision changes

Treatment for migraine or tension headaches depends on the how often or how severe the headache is, the level of disability your headache may cause and contributing medical conditions you may have.

Over the counter medications such as anti-nausea or Ibuprofen may help with more minor episodes, but if you are experiencing multiple headaches per month lasting more than 12 hours, over the counter medications aren’t helping and your migraine symptoms include numbness or weakness, it is best to consult your physician.

If you are experiencing painful migraine or tension headaches, the Ambulatory Care Center at Jamaica Hospital Medical Center has convenient hours and days of operation. To schedule an appointment, call 718-206-7001.

To learn more about migraines and tension headaches visit –

Is There a Benefit to Wearing a Fitness Tracker?

Posted on May 2, 2018 by Joann Ariola

Generally speaking, if you are inactive your risk of experiencing obesity, low energy, diabetes and hypertension is higher. To combat these health issues, you can incorporate a brisk walk or run into your weekly activity. The addition of this type of movement to your day may prevent or, in some cases, reverse health issues.

One of the ways some are finding it beneficial to keep track of their activity level is by wearing a “fitness tracker.” Surprisingly, one of the first reports you may receive from your tracker is that you are not as active as you thought you were.

Most fitness trackers are a good way of monitoring your steps, calories, distance travelled, caloric intake, as well as your heart rate and sleep patterns. They can be viewed as your “conscience” for personal accountability and motivation for a relatively low cost.

Some of the benefits of a fitness tracker include:

Encouraging physical activity – If you check your tracker and see that you are behind in your steps for the day, you may “step” up your game a bit and take a walk.
Measuring your heart rate – This feature can give you hard data on the effort you exert while doing a particular workout and/or task. It can give you a hint on the condition of your cardiovascular system by allowing you to see just how quickly your heart rate increases.
Providing insights on your sleep patterns – Sleep has a definite influence on your overall health. Fitness trackers that log sleep activity can help you address whatever is lacking in your sleep cycles.
Encouraging healthy eating – Fitness trackers can come equipped with apps that help you track your food and may help with weight loss.
Promoting interaction – Some fitness trackers allow the user to interact with other users, create group challenges and receive rewards for meeting goals.

There really isn’t a downside to tracking your activity, unless you take your fitness tracker off and it remains lost at the bottom of a drawer.

How To Check Your Blood Pressure at Home

Posted on November 17, 2017 by Radeeb Akhtar, MD MPH

High blood pressure or hypertension is considered “the silent killer.” There are several reasons why it is referred to as such.

Most people with high blood pressure actually feel normal; however, if the disease goes undetected and is left untreated, it can lead to heart attack or stroke. In the United States today, heart attack and stroke are leading causes of death.

It is important to get your family, friends, and even yourself checked. You can visit your doctor or check at home.

It can be easy to measure blood pressure at home- here’s how:

Purchase an automatic, cuff-style, upper-arm monitor. Automatic machines usually cost from $20-$40, and are available at many pharmacies or online.
Get ready to measure! Do not smoke, drink any caffeinated drinks, or exercise 30 minutes prior to measuring.
Sit with your back supported, feet flat on the floor, and legs uncrossed.
Place the cuff onto your arm. This arm should be resting at the level of your heart or just below the chest. The cuff should be above the elbow.
Push the button to begin measurement. Relax, breathe, and do not talk during measurement.
Blood pressures are measured as two numbers: a top number (systolic) and a bottom number (diastolic). Write down both numbers, the time of day you measured, and the date(“141/88, 7:00 PM, 11/13/2017” )
Repeat measurement after 1 minute. Write this number down also. Keep a blood pressure diary with all your measurements.

According to the recently updated high blood pressure guidelines of the American College of Cardiology (ACC), a blood pressure less than 120/80 is normal. Numbers above this measurement are considered elevated and are cause for concern. The ACC has provided the following categories to further define blood pressure measurements and levels:

Elevated: Systolic between 120-129 and diastolic less than 80
Stage 1: Systolic between 130-139 or diastolic between 80-89
Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg
Hypertensive crisis: Systolic over 180 and/or diastolic over 120

If your results are greater than 130 for the top number or greater than 80 for the bottom number, it is highly recommended that you see your doctor to receive a comprehensive medical examination.

If your blood pressure exceeds 180/120, the American College of Cardiology advises that you seek medical attention immediately, as this is critical.

Checking your blood pressure is important for heart health. There are also lifestyle changes that you can apply to your daily life to help you manage blood pressure levels and your health. Lifestyle changes can include maintaining a healthy weight by eating a well- balanced diet, exercising regularly, reducing sodium intake, limiting the amount of alcohol you consume and quitting smoking.

To schedule an appointment with the Family Medicine Department at Jamaica Hospital Medical Center, please call, 718-206-6942.

Radeeb Akhtar MD. MPH. JHMC Family Medicine

Five Steps to Lowering Blood Pressure

Posted on October 12, 2017 by Andrew Rubin

If you have been diagnosed with high blood pressure, here are five lifestyle changes that you can make to help to lower it:
• Losing just ten pounds can have a significant effect on blood pressure.
• Partaking in regular physical exercise such walking, jogging, swimming and dancing are all good choices.
• Eating foods with whole grains, fruits, vegetables and low fat dairy is important.
• Drinking less coffee and tea will help lower blood pressure
• Quitting smoking will help to lower blood pressure.
High blood pressure can cause significant health problems if left untreated. Consult with your physician about ways that you can keep yours under control. If you would like to schedule an appointment with a physician at Jamaica Hospital, please call 718-206-7001.

Can Yoga Naturally Lower your Blood Pressure?

Posted on July 26, 2017 by Joann Ariola

Practicing yoga can give your overall health an added boost. Studies have found that it is also helpful in fighting hypertension when combined with other methods of management such as a healthy diet, medication and aerobic exercise. Research indicates that on average patients who incorporated yoga into their care management routine saw a notable reduction in their systolic blood pressure (top number) and diastolic blood pressure (bottom number).

It is believed that yoga is an effective complementary treatment for hypertension because it increases and strengthens the body’s ability to take in oxygen. Additionally it can help improve resiliency to stress; a trigger in elevating blood pressure levels.

If you decide to include yoga as a part of your care, it is important to know that not all yoga poses are created equal in high blood pressure management. There are some poses that are helpful and there are others that can be harmful.

Yoga poses that can be beneficial are:

Bridge pose
Posterior stretch pose
Savasana pose
Child pose

Yoga poses that should be avoided or modified include:

Bow pose
Camel pose
Feathered peacock pose
Balasana pose

It is important that you speak with your physician before trying yoga. Your physician will assess your health and advise if you are physically capable. If your doctor has given you the green light, inform your yoga instructor about your hypertension. This information will help in the prevention of injuries or the exacerbation of your medical condition.

How Does Caffeine Effect Your Blood Pressure?

Posted on July 18, 2016 by Zakiya Hazel-Jemmott

Are you one of many people who can’t function without having their morning coffee first? If so, there are a few effects that caffeine can have on hypertension. The java jolt of a caffeine fix may cause a jump in blood pressure — a particular problem in people who already have high blood pressure.

Caffeine can cause a short, but dramatic increase in your blood pressure, even if you don’t have high blood pressure. It is not clear what causes this spike in blood pressure. Some researchers believe that caffeine could block a hormone that helps keep your arteries wide enough for steady blood flow.

Some people who constantly drink caffeinated beverages have a higher average blood pressure than those who don’t drink any. Others who regularly drink caffeinated beverages develop a tolerance to caffeine. As a result, caffeine doesn’t have a long–term effect on their blood pressure. Research has shown that caffeine has a stronger blood pressure increasing effect in men who are older than 70 or who are overweight.

To see if caffeine might be raising your blood pressure, check your blood pressure within 30 to 120 minutes of drinking a cup of coffee or another caffeinated beverage. If your blood pressure increases by five to 10 points, you may be sensitive to the blood pressure raising effects of caffeine. If you plan to cut back on caffeine, eliminate it slowly over several days to avoid withdrawal headaches.

If you have high blood pressure, ask your doctor whether you should limit or stop drinking caffeinated beverages. Keep in mind that the amount of caffeine in coffee and other beverages varies by brand. Also, avoid caffeine right before activities that naturally increase your blood pressure, such as exercise, weightlifting or hard physical labor.