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Consequences of Persistently Elevated Blood Pressure

The consequences of high blood pressure - hypertension - are often underestimated. Risks include stroke, heart attack, and sudden cardiac death, which pose not only serious but even life-threatening secondary diseases. However, it is not just the heart and brain that are affected. Under permanently high pressure, the vessels throughout the body suffer.

About 20 million people in Germany suffer from high blood pressure. In the group of individuals over 55 years old, every second person is affected by high blood pressure. Approximately 40 percent of all deaths in Germany are attributed to cardiovascular diseases. High blood pressure is one of the biggest risk factors for developing these conditions.

The crux of high blood pressure is that it initially causes no symptoms. Pain or noticeable abnormalities only occur when damage has already occurred. The diagnosis is therefore usually made incidentally during a routine examination by a doctor. The affected individual is advised by the doctor to change certain aspects of their lifestyle, pay attention to their diet, and exercise more. In some cases, medications are prescribed immediately. However, it is difficult for many people to make changes and take the tablets as prescribed, as there is no sense of urgency.

Perhaps knowledge of the background and the consequences of persistent high blood pressure can help make it easier to follow the doctor's advice.

For it is not only the directly life-threatening secondary diseases that can make life difficult for a hypertensive person. The heart must continuously pump against the increased pressure, which puts excessive strain on it and causes damage. A possible consequence is atrial fibrillation. The pressure-bearing arteries can change, harden, narrow due to arteriosclerosis, or form dangerous bulges - known as aneurysms.

Even the vessels of the eyes suffer from the high pressure conditions - there is a risk of reduced vision up to loss of sight.
The kidneys are particularly involved, as they can be both a cause of high blood pressure and a victim of it. Damage to the kidney vessels can lead to kidney failure. In the development of peripheral artery disease, medically known as pAVK, which is often referred to as "smoker's leg" in the late stages, high blood pressure plays a significant role as a risk factor.

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This article is from BloodPressureDB – the leading app since 2011 that supports hundreds of thousands in blood pressure monitoring every day. Our content is based on carefully researched, evidence-based data and is continuously updated (as of 01/2024).

Author Sabine Croci is a certified medical assistant with many years of experience in internal medicine and cardiology as well as in outpatient care and has been leading the editorial team of BloodPressureDB since 2015. Thanks to her extensive additional qualifications as a paramedic, first responder, and in various therapy and emergency areas, she provides well-founded, practical, and reliably verified information.


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