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Hypertension

Question
Posted by: Ian | 2020/06/10

Q.

Essential blood pressure

My high bps was discovered at the age of 14, but w/o any organic damage. Bp control drugs came out in 1960 and mine has been well-controlled since then. At 85 I still have no health issues, exercise regularly, do not smoke, stay away from sugar and processed food and sleep very well. I don't see why I should be classified as being "vulnerable" to die from COVID-19.

Expert's Reply

A.

Hypertension expert
- 2020/06/18

First of all congratulations on looking so remarkably well after yourself.

I do agree with you, but, we must remember that the COVID-19 vulnerability is probably related to the degree of a patient`s endothelial dysfunction / damage. Endothelial health can be measured with a sonar of the carotid arteries, to check for plaques, in other words to measure the lining of the arteries, which are well visualized in the neck. But this is the reason why eg diabetes is regarded as a higher risk. That is also why patients with hypertension, diabetes, obesity and hyperlipidaemia should make sure that these conditions are controlled at this stage, in the best possible way. And of course, it can be controlled, with lifestyle and good available medication. One should remember though, that although your are healthy, your arteries are 85 years young and been exposed to the normal aging processes of calcifying and losing pliability. But, keep faith, because yes, your endothelial lining may be in good shape. Please stay on the safe side. 

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