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Tips For Coping With Depression
- Get dressed every day.
- Practice stress management and relaxation techniques.
- Get out and walk daily.
- Follow your prescribed exercise regimen.
- Ask your health care provider about a cardiac rehabilitation program.
- Resume hobbies and social activities you enjoy.
- During your recovery from surgery or a recent hospitalization, visits with friends should be limited to 15 minutes at first. Then, increase the amount of time spent with visitors, depending on how you feel.
- Get a good nights sleep.
- Eat well-balanced, nutritious meals and follow your prescribed dietary guidelines.
- Ask your health care provider about support groups that may help you cope. Support groups are available for patients who have had heart surgery and their families.
- Dont use harmful habits to cope, such as smoking, using drugs, drinking excessively or overeating. These harmful habits increase your risk for heart disease and stroke.
If You Notice A Sudden Decline In Blood Pressure
A single lower-than-normal reading is not cause for alarm, unless you are experiencing any other symptoms or problems. If you experience any dizziness, lightheadedness, nausea or other symptoms, its a good idea to consult with your healthcare provider. To help with your diagnosis, keep a record of your symptoms and activities at the time they occurred.
Is low blood pressure related to low heart rate? Find out.
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff.
Last Reviewed: Oct 31, 2016
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How To Stay Heart Healthy Even When Youre Down
When youre feeling down, its easy to reach for your favorite comfort food or skip a workout. But thinking about your heart health is important, even when youre not feeling too chipper.
When people are stressed, anxious or depressed, they may feel overwhelmed, so theyre not apt to make healthy lifestyle choices. They may be more likely to smoke more, not be physically active,
sleep too little or too much, drink too much alcohol and fail to take their prescribed medications. Over time, these unhealthy behaviors can increase the risk for heart disease.
Trauma, depression, anxiety and stress can lead to changes that can affect your health, and not just because you may fall into habits that are bad for your heart. Research shows that mental health also has physiologic effects on the body.
Depression is reported in over 7% of Americans ages 18 and older, and the figure can be as high as 20% for post-heart attack patients.
Low Blood Pressure Anxiety And More Hyperventilation
There are two factors that tend to contribute to the extent to which this drop in blood pressure occurs.
- First, when a person hyperventilates, signals are sent to the body that it is not getting enough air, even though, in reality, it is getting too much. This tends to cause people to try to yawn or take deeper breaths, and unfortunately, this ends up making hyperventilation worse, and causing a further drop in blood pressure.
- Second, hyperventilation and low blood pressure cause several symptoms that can worsen anxiety, and thus, worsen hyperventilation. When a person has low blood pressure, the heart beats faster and harder to compensate. This may cause a person to experience chest pains, and contribute to feelings of lightheadedness and dizziness. People may feel as though they may faint, and in some cases, this could occur. All of these physical symptoms can increase anxiety, increase hyperventilation, and continue to sustain a lower blood pressure.
In nearly all of these cases, the change in blood pressure tends to be temporary. Once a person is able to regain control of his or her breathing, the blood pressure levels should go back to normal. Sometimes, regaining control of breathing can take longer than other times.
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Heart Disease And Mental Health Disorders
Mental health is an important part of overall health and refers to a persons emotional, psychological, and social well-being. Mental health involves how we think, feel, act, and make choices.
Mental health disorders can be short- or long-term and can interfere with a persons mood, behavior, thinking, and ability to relate to others. Various studies have shown the impact of trauma, depression, anxiety, and stress on the body, including stress on the heart.1-3
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This kind of modern reincarnation breeds anxiety and depression, and further traps us in the consumer s machine, making us so greedy that how fast does a banana lower blood pressure we keep reduce bp naturally going can high blood pressure forward.
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I am at ease and hold that families of blood pressure medicine everyone s heart is free. If you lament that your heart is too tired, then it must be you who let your heart chase fame and fortune.
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How Is Depression Diagnosed
The biggest hurdle to diagnosing and treating depression is recognizing that someone is suffering from it. Unfortunately, approximately half of the people who experience depression are never diagnosed or treated for their illness. And not getting treatment can be life-threatening: up to 10 percent of people battling depression commit suicide.
Your health care provider can evaluate your condition by asking you to describe your symptoms. Since patients recovering from a medical illness, hospitalization or surgical procedure experience some common symptoms of depression including fatigue and insomnia,your health care provider will pay attention to these additional symptoms of depression:
- Withdrawal from activities
- Lack of reactivity from visits with family and friends Increased negative thoughts
Sometimes, symptoms of depression can be made worse by certain medications, a physical disorder, virus or illness. Your health care provider may perform a physical exam or laboratory tests to determine if there is a physical cause for your depressive symptoms.
Your health care provider will also evaluate your personal and family medical history, as well as any history of drug or alcohol use.
Although there are no specific blood tests used to diagnose depression, there are various screening tools and diagnostic criteria used to make the proper diagnosis.
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What Is The Connection Between Mental Health Disorders And Heart Disease
A large and growing body of research shows that mental health is associated with risk factors for heart disease before a diagnosis of a mental health disorder and during treatment. These effects can arise both directly, through biological pathways, and indirectly, through risky health behaviors.5
People experiencing depression, anxiety, stress, and even PTSD over a long period of time may experience certain physiologic effects on the body, such as increased cardiac reactivity , reduced blood flow to the heart, and heightened levels of cortisol. Over time, these physiologic effects can lead to calcium buildup in the arteries, metabolic disease, and heart disease.1,6-11
Evidence shows that mental health disorderssuch as depression, anxiety, and PTSDcan develop after cardiac events, including heart failure, stroke, and heart attack.5,12-20 These disorders can be brought on after an acute heart disease event from factors including pain, fear of death or disability, and financial problems associated with the event.5,16
Some literature notes the impact of medicines used to treat mental health disorders on cardiometabolic disease risk. The use of some antipsychotic medications has been associated with obesity, insulin resistance, diabetes, heart attacks, atrial fibrillation, stroke, and death.21
Reducing Your Salt Intake
The American Heart Association recommends no more than a teaspoon of salt a day for adults. That may sound alarmingly small, but there are many painless ways to reduce your sodium intake.
Reduce canned and processed foods. Much of the salt you eat comes from canned or processed foods like soups, convenience meals, and fast food.
Cook more meals at home. Preparing your own meals gives you more control over your sodium intake. Use fresh ingredients whenever possible and cook without salt.
Use spices as alternatives to salt. Try fresh herbs like basil, thyme, or chives, or dried spices such as allspice, bay leaves, or cumin to flavor your meal without sodium.
Substitute reduced sodium versions. Choose your condiments and packaged foods carefully, looking for foods labeled sodium free, low sodium, or unsalted.
See Heart-Healthy Diet Tips to learn more.
The effects on your blood pressure
- Adopting the DASH diet, eating plenty of fruit and vegetables, and reducing your consumption of unhealthy fats can lower your blood pressure by about 11 mm Hg.
- Cutting back on sodium by about 1,000 mg per day can reduce your blood pressure by 5 to 6 mm Hg.
- Increasing your potassium intake from food to 3,500-5,000 mg can knock 4 to 5 mm Hg off your reading.
- Limiting your alcohol intake to two drinks per day if youre male, or one drink per day if youre female can lower your reading by about 4 mm Hg.
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Treating Depression Improves Hypertension
Treating depression can improve blood pressure control, and vice versa. One study found, for example, that blood pressure was significantly lower after three months in people who took both an antihypertensive medication plus an antidepressant than those just taking the antihypertensive alone. The researchers highlighted the importance of raising awareness of the link between depression and high blood pressure, especially in older people, and considering the need for antidepressant therapy in those with hypertension.
If you feel low, its important to let your doctor know, and to continue taking your medication regularly, as prescribed.
The good news is that following the DASH diet to lower blood pressure also appears to have beneficial effects on mood. One study found that even moderate adherence to the DASH diet reduces the risk of depression by 24%.
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Selective Serotonin Reuptake Inhibitors
SSRIs are most frequently used as first-line treatment of major depression . Their efficacy has also been demonstrated in the treatment of generalized anxiety, panic, social anxiety, and obsessivecompulsive disorders. This class includes citalopram, escitalopram, paroxetine, fluoxetine, fluvoxamine, and sertraline. Sertraline and paroxetine have also been approved for the treatment of post-traumatic stress disorder.
Table 2. Influence of antidepressant drugs on blood pressure and heart rate.
Citalopram, Escitalopram, and Paroxetine
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Seek Treatment For Hypertension
At Westmed Family Healthcare, we carefully consider your mental health and how it affects your work life and your family life. We work continuously to offer not only medical support, but access to the best remedies, research, and treatment. To schedule an appointment with one of our experienced providers, call our Westminster, Colorado, office or use our online booking system.
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S To Lowering Your Blood Pressure
The first line of treatment for high blood pressure is to make healthy lifestyle changes:
Its also important to take any antihypertensive medications your doctor recommends. There are many different types of medications available to control high blood pressure, so if one drug causes unpleasant side effects, your doctor can help you find a more suitable one.
Even if your doctor also prescribes you medication to help tackle hypertension, controlling your weight, quitting smoking, improving your diet, managing stress, and getting regular exercise are critical for keeping your heart in shape and managing your blood pressure over the long term.
If youve just been diagnosed with cardiovascular disease or have suffered a serious health event such as a stroke or heart attack, you may be experiencing a great deal of emotional upheaval. Its important to give yourself time to process the change in your health and be kind to yourself as you adjust to your new situation. But its also important to know there are plenty of things you can do to come to terms with your diagnosis and regain control of your health.
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The Link Between Blood Pressure And Depression
There may be many reasons for the association between high blood pressure and low mood, but the most likely is that people who feel down tend not to look after themselves properly, or take their medication regularly, as prescribed. As a result, any pre-existing condition including hypertension is not optimally treated.
Another possibility is that having depression is associated with chemical imbalances in the central nervous system that cause blood pressure to rise, or that hypertension affects blood flow to the brain to lower mood. Certain blood pressure medications may also affect your mood and increase the risk of developing depression. Whatever the underlying cause, depression occurs at a higher rate in people with hypertension than in the normal population.
Hypertension And Your Mental Health
You may not think of mental health disorders when you think about high blood pressure, but a connection exists. If you have hypertension, youre more likely to experience mood issues, such as anxiety and depression than those with normal blood pressure.
Hypertension is a manageable condition. There are ways to control your blood pressure with lifestyle changes and/or medication. Adhering to an effective hypertension treatment plan can get your blood pressure under control and improve your mental health. Heres what our physicians at Westmed Family Healthcare want you to know about hypertension and your mental health.
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