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Frank Mangano: Your family history plays a role, but there are many things you can do to prevent or reduce high blood pressure even if you have genes that might make you more likely to have it. Tom Venuto: I read something recently that you could say is pretty depressing and it came straight from the National Heart, Lung and Blood Pressure Institute (NHLBPI), and let me read this word for word, it said, “Once high blood pressure develops, it usually lasts a lifetime.” Well, the reason I say that’s depressing is because from my studies on the mind and psychology I know that when someone believes their problem is permanent, they tend to feel hopeless and then act helpless. I’ve been working in the weight loss business my entire life and I’ve seen so many overweight men and women with high blood pressure lose weight, and then watch their blood pressure come down and it stayed down as long as they maintained a healthy weight. So why would the NHLBPI say something like this? What’s your take on this? Can high blood pressure be permanently cured or only controlled and what does the word “controlled” mean anyways? Frank Mangano: What the NHLBPI is implying is that blood pressure is usually something that, if you are treating it only with medication, you’re likely to be on medication for a lifetime. That’s not to say you must be on medication. If people work to maintain a healthy weight, they can significantly lower their blood pressure and often go off the medication. This is why early monitoring and detection is important. You can control many of the risk factors before your blood pressure gets to dangerously high levels. Blood pressure itself is not a disease that needs to be cured, but high blood pressure is reaching epidemic proportions. We need the right amount of pressure to circulate the blood throughout the body. It does, however, need to be controlled so that blood pressure that is too low doesn’t deprive the body of oxygen and nutrients and blood pressure that is too high doesn’t strain the heart and blood vessels. Tom Venuto: What is the actual relationship between high blood pressure and cardiovascular disease? Is high blood pressure literally the direct cause of strokes or heart attacks? Frank Mangano: There’s a strong link between the two. The extra work the heart must do to push the blood through the body will eventually take its toll on the heart and arteries. High blood pressure creates a buildup in the arteries and therefore damages the arteries. As a result this greatly increases the risk for cardiovascular disease.
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