Chest Pain With High Blood Pressure

Primary Esophageal Motility Disorders

Chest pain associated with PEMDs: mild, and may feel like heartburn

PEMDs include several different disorders of the esophagus.

With a PEMD, you could experience:

• mild chest pain or heartburn
• trouble swallowing
• the sensation that food is sticking in your esophagus

See a doctor soon if you have these symptoms.

Treatment options include medications to help relax the muscles to ease swallowing, as well as minimally invasive surgical procedures.

Blood Pressure And Chest Pain Medication

HomeBlood Pressure And Chest Pain Medication

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Stroke And Brain Problems

High blood pressure can cause the arteries that supply blood and oxygen to the brain to burst or be blocked, causing a stroke. Brain cells die during a stroke because they do not get enough oxygen. Stroke can cause serious disabilities in speech, movement, and other basic activities. A stroke can also kill you.

Having high blood pressure, especially in midlife, is linked to having poorer cognitive function and dementia later in life. Learn more about the link between high blood pressure and dementia from the National Institutes of Healths Mind Your Risks®external icon campaign.

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Don’t Wait For Symptoms Know Your Blood Pressure Numbers And What They Mean

Once you do get your blood pressure checked, it’s important to know what your current numbers mean:

• Normal blood pressure: Lower than 120/80 mmHg
• Elevated blood pressure: Between 120-129/< 80 mmHg
• Hypertension, stage 1: Between 130-139/80-< 90 mmHg
• Hypertension, stage 2: 140/90 mmHg or higher

“If your blood pressure is elevated, this is when we start to worry about it progressing into high blood pressure,” says Dr. Patel. “The higher your blood pressure gets, the harder it becomes to control and the more likely you are to experience complications so the earlier it’s diagnosed and managed, the better.”

What Can You Do To Get High Blood Pressure Down

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What’s The Impact Of Having High Blood Pressure

High blood pressure is a major risk factor for developing cardiovascular diseases such as:

• coronary heart disease – where the main arteries that supply your heart become clogged up with plaques
• strokes – a serious condition where the blood supply to your brain is interrupted
• heart attacks – a serious condition where the blood supply to part of your heart is blocked

Diabetes and kidney disease are also linked to high blood pressure complications.

Time For The Heart Muscle To Start To Die

Q: How long does it take for the heart muscle to start to die?

A: We can measure little leakage of enzymes called troponin that comes from the heart muscle. That usually becomes measurable 6-8 hours after the blood clot has formed in the coronary artery. Presumably for that first 6-8 hour time frame, after you have this sudden occlusion , you are going to feel sudden pain at that moment but your heart muscle is not necessarily dead yet. It’s still salvageable. The real key is to get your artery open again either through medicines or stent before the heart muscle dies. Usually, thats not possible because it takes a long time to mobilize everything and for someone to come to the hospital. You’re looking at around 6-8 hours before cells start dying. Thats not necessarily a huge deal if you still get to the hospital on time, but if you, for example, had the heart attack and your cells started dying starting at 6 hours and you didnt show up to see a physician until a week or 2 later, that heart muscle might be so dead that they wouldn’t even recommend opening your artery ever again because it wouldnt do anything. It wouldnt serve any purpose.

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What Is The Treatment For Pulmonary Hypertension

Pulmonary hypertension treatment depends on the type of PH you have and your other medical conditions. Your healthcare team will tailor treatment to your individual needs.

Right now, only two types of PH can be treated directly:

• Pulmonary artery hypertension .
• Chronic thromboembolic pulmonary hypertension .

Treatment for other types of PH involves managing the underlying medical conditions.

Treatment for pulmonary arterial hypertension includes:

• Calcium channel blockers. These medications can help lower the blood pressure in your pulmonary arteries and throughout your body.
• Diuretics. These water pills help your body clear out extra fluid.
• Oxygen therapy. You may need this treatment if you dont have enough oxygen in your blood.
• Pulmonary vasodilators. These medications help your pulmonary arteries relax and open up better. This improves blood flow and lowers the strain on your heart.

Treatment for CTEPH includes:

Treatment for PH caused by heart or lung problems focuses on managing the underlying conditions. Because so many different heart and lung conditions cause PH, treatment plans can be vastly different from person to person. Talk with your provider about whats best for you. In general, your provider may recommend:

• Dietary changes.
• Medication to manage problems like hypertension or heart failure.
• Oxygen therapy.
• Surgery, such as heart valve repair.

A last resort option for some people with severe pulmonary hypertension is a lung transplant.

Most Common High Blood Pressure Symptoms

Most commonly high blood pressure causes no symptoms at all. This means that people with high blood pressure can be having damage occur to their heart, kidneys, eyes, and circulation without feeling badly! It is very important, therefore, to have blood pressure testing as part of the routine physical examination. However, in people with uncomplicated high blood pressure, they may experience

• shortness of breath.

The consequences of high blood pressure depend on the severity and the duration of the pressure, as well as the underlying medical condition of the individual affected. High blood pressure can affect the heart to cause:

• shortness of breath,

High blood pressure can impair the function of the kidneys, leading to fluid retention and swelling of the legs, and even kidney failure. High blood pressure can affect the eyes, causing vision loss. High blood pressure can seriously affect the circulation causing pain in the legs with walking, cold feet, and stroke.

Fortunately, when high blood pressure is detected early, treated, and monitored, the consequences of high blood pressure can be avoided.

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Association Between Blood Pressure And Experimental Pain

Higher chest pain ratings obtained at onset of symptoms as well as at peak were correlated with higher intensities of pressure required to evoke pain that was perceived as 60 on the 0 to 100 NPS . The magnitude of CPM, TS, as well as pain scores in response to the heat or mechanical pinprick stimulation was not correlated with BP. In addition, no significant differences were found between the 3 SBP categories in relation to any of the other psychophysical measures.

Significant linear changes were found between the 3 BP groups for mechanical stimulation and PPT. Higher pinprick pain ratings were found among patients with lower BP at admission. Patients with SBP between 90 to 120 mm Hg rated this stimulus as 8.1 ± 11, whereas those with SBP between 120 to 140 mm Hg 3.5 ± 2.1 and patients with SBP above 140 mm Hg scored this stimulus as zero .

A comparison between patients with and without diagnosis of hypertension revealed that lower intensities of pressure stimulation were required to evoke pain-60 experiences in the former as compared to the latter . However, no significant differences were observed in the clinical chest pain measures between patients with and without a medical diagnosis of hypertension.

How Do I Know If My Chest Pain Is Serious Or Is Due To A Heart Condition

Chest pain arising from heart conditions is generally slow to start and slow to resolve, lasting minutes, not seconds. It is often associated with other worrisome symptoms such as shortness of breath, passing out or nearly passing out, nausea, vomiting and profuse sweating. Cardiac chest pain can also radiate to the neck, jaw or inner aspect of the left arm it rarely changes with position but will worsen with exertion or physical activity.For more information on heart attacks, along with a useful infographic, visit the American College of Cardiologys CardioSmart patient info page.

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Questions To Ask Your Doctor

Getting answers to these questions will give you vital information about your heart health and what you can do to improve it. You may want to bring this list to your doctor’s office.

What is my risk for heart disease?

What is my blood pressure? What does it mean for me, and what do I need to do about it?

What are my cholesterol numbers? What do they mean for me, and what do I need to do about them?

What are my body mass index and waist measurement? Do they indicate that I need to lose weight for my health?

What is my blood sugar level, and does it mean I’m at risk for diabetes?

What other screening tests for heart disease do I need? How often should I return for checkups for my heart health?

What can you do to help me quit smoking?

How much physical activity do I need to help protect my heart?

What is a heart-healthy eating plan for me? Should I see a registered dietitian or qualified nutritionist to learn more about healthy eating?

How can I tell if I’m having a heart attack?

When Should I Go To The Er

Go to the emergency department or call your local emergency number if you have:

• A fast heart rate that wont go down.
• Fainting spells with loss of consciousness.
• Hickman catheter complications with intravenous prostacyclins. These include infection, catheter displacement, solution leak, bleeding and IV pump malfunction.
• Shortness of breath that doesnt go away when you rest.
• Sudden and severe chest pain.
• Sudden and severe headache.
• Sudden weakness or paralysis in your arms or legs.

A note from Cleveland Clinic

A pulmonary hypertension diagnosis can cause a range of emotions. It takes time to process the diagnosis, learn whats going on inside your body and figure out how to move forward. Work with your provider to get the resources you need. Involve your family and friends in your lifestyle changes. Educate them on your condition. And most of all, know its OK to ask for help and lean on others as you adjust to your new normal.

Last reviewed by a Cleveland Clinic medical professional on 06/02/2022.

References

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Drugs To Decrease Blood Pressure

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Treatments For High Blood Pressure Chest Pain:

Various medications are available to decrease high blood pressure and chest pain. The doctor will suggest medicines if you have high blood pressure, chest pain, or any other symptom like:

• Disorder of the heart, vision, kidneys, and brain
• Having a problem with the circulatory system
• Kidney disorder

• Aspirin: Your doctor suggests aspirin when your chest pain is related to the heart.

• Blood thinners: The doctor suggests blood thinners to prevent blood clotting in the body.

• Acid suppressing medicine: It helps to reduce the amount of acid splashing into the esophagus of the stomach.

• Thrombolytic drugs: These help to prevent the blood clotting that blocks blood flow to the heart.

• Surgical Procedures: The surgical procedure is used when medications and other treatment options dont work it includes:

• In this procedure, surgeons take a healthy blood vessel from your body, such as the legs, arms, or chest, and connect it to the blocked arteries of the heart to create an alternative blood flow route.
• Angioplasty: This procedure is used to treat arterial atherosclerosis, obstruction in the arteries or veins, and to widen the narrow arteries.
• Dissection repair: This procedure treats aortic dissection, a severe condition in which the arteries that carry blood get ruptured.

References:

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How To Stop Or Prevent Chest Pain

“Why do I have chest pain?” is a common question people ask themselves, and being able to answer that can go hand-in-hand with prevention. Future prevention begins with recognizing pain and detailing observations such as:

• When does it come on?
• How long does it last?
• Does it travel to other locations?
• What improves or worsens it?

Write it all down, and patterns will emerge. Once patients create a “symptom log,” they can present it to healthcare providers who can make specific suggestions for diagnosis and treatment of the symptoms.Exercise is also a great way to determine whether chest pain could be arising from the heart or not. If somebody experiences chest pain or pressure with a predictable level of physical activity, such as walking up a flight of stairs, and the pain resolves with rest, it is likely to be due to a narrowing in a coronary artery.

Maintain A Healthy Weight

Being overweight is a risk factor for having high blood pressure, and your risk increases further if you are obese.

There are two ways to check if you are overweight:

• Body Mass Index – This is your weight in kilograms divided by your height in metres squared. In the UK, people with a BMI of between 25 to 30 are overweight, and those with an index above 30 are classed as obese. People with a BMI of 40 or more are morbidly obese.
• Waist size – Using a measuring tape place the tape round your waist between the bottom of your ribs and the top of your hip bone. The table below indicates how much your health might be at risk, your ethnicity should also be taken into account.

Sex
	Over 80 cm

The best way to tackle obesity is by reducing the amount of calories that you eat, and taking regular exercise. Your GP can provide you with further information and advice on how you can do this.

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