7 months ago

Cold Weather Triggers Silent Hypertension and Kidney Risks

Cold Weather Triggers Silent Hypertension and Kidney Risks
Her BP shot up to 208/110 mmHg despite walking 10,000 steps a day: How cold weather triggers silent hypertension and kidney risks · indianexpress.com

Cold weather can make high blood pressure worse, even if you exercise and eat healthy.

Two people, Anita Singhal and Mahendra Pratap, have been dealing with this.

Anita has had high blood pressure for over 20 years and now has kidney problems because of it.

Her blood pressure shot up to 208/110 mmHg one night, which is very dangerous.

Doctors say that in winter, blood vessels get narrower, and the heart has to work harder.

This can lead to more heart attacks and other problems.

They advise people to keep taking their medicine, stay warm, and monitor their blood pressure closely during winter.

Exercise is also important to keep the heart and kidneys healthy.

Key facts

Anita Singhal's BP
208/110 mmHg
Anita Singhal's Condition
Nephrotic syndrome
Dr. Sandeep Mahajan's Role
Professor, Department of Nephrology, AIIMS
Dr. Tarun Kumar's Role
Senior Director, Medanta Moolchand Heart Centre
Winter BP Increase
20-30% more heart attack cases
Winter Hypertension Patients
40% of OPD patients
Winter BP Management
Increased medication and monitoring
Physical Activity Benefits
Strengthens heart, reduces arterial stiffness, manages weight

Quotes

Dr Sandeep Mahajan

Professor at the Department of Nephrology, AIIMS

“Starting October, we advise patients to monitor their blood pressure closely, even when on medication. Those who are unaware of this seasonal effect often face the most problems. If blood pressure rises in older adults, the chances of complications are higher.”
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“During winters, many patients, who are well-controlled on a certain number of medications, may require an additional dose. If they do not monitor their blood pressure regularly, they may not realize it has increased. This can accelerate kidney disease.”
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Dr Tarun Kumar

Senior director, Medanta Moolchand Heart Centre

“Then there are metabolic changes as people tend to eat more and reduce physical activity, which in turn lead to weight gain and poor blood sugar control. Reduced sweating during winter increases intravascular fluid volume, which further raises blood pressure. Another major concern is the higher risk of clot formation due to hormonal changes, reduced activity and clotting abnormalities, increasing the chances of thrombosis. Together, these changes increase blood pressure and put additional strain on the heart.”
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“Many people fail to notice rising blood pressure because hypertension is largely asymptomatic, especially in the early stages. Worst, those on medication tend to discontinue it once their levels are normal and have a rebound. BP medication needs to be taken at the same time everyday for consistency and ensuring the drug has stable levels which can in turn stabilise BP throughout the day.”
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Mahendra Pratap

Hypertension patient diagnosed four years ago

“I keep myself under layers and have warm water.”
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Sources

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