Many Women Struggle With Uncontrolled Blood Pressure
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Wednesday, July 16, 2008; 12:00 AM
WEDNESDAY, July 16 (HealthDay News) -- Nearly one in three Americans suffers from high blood pressure -- more than 73 million adults.
But half of them -- women -- face unique challenges in controlling their blood pressure.
For instance, women with high blood pressure are more likely to be obese and have high cholesterol levels. They're also less likely than men to meet target goals for their blood pressure. And they're also less likely than men to receive medications such as aspirin, blood pressure-lowering drugs or cholesterol-lowering drugs, compared to men, recent research found.
These findings add greater urgency to the American Heart Association's ongoing "Go Red for Women" campaign, which seeks to change the perception that high blood pressure and heart disease are "male" health threats.
Most people don't know that heart disease is the No. 1 killer of American women -- as well as men. An estimated 480,000 women die of cardiovascular disease every year, more than the total number of cardiovascular disease-related deaths in men, or the next four causes of death combined, according to the heart association.
Unchecked high blood pressure -- also known as hypertension -- can produce terrible systemic damage and disease. It can lead to a heart attack, stroke, heart failure, kidney damage, blindness and a host of other medical problems.
Despite this, a large segment of women aren't adequately addressing their hypertension.
"Only about 60 percent of women with high blood pressure are having it controlled," said Dr. Nieca Goldberg, medical director of New York University Medical Center's Women's Heart Program, and a spokeswoman for the "Go Red for Women" campaign. "When you bring your blood pressure down, you cut your stroke risk in half and risk of heart attack by 25 percent."
Part of the problem is that women tend to suffer from an increased systolic rate, said Dr. Daniel Jones, president of the American Heart Association.
Blood pressure is the force of the blood against artery walls when the heart beats and then rests. Measurement renders two numbers. Systolic pressure, the top number, is recorded when your heart beats and forces blood out to the body. Diastolic pressure is the bottom number, and is the minimum pressure that occurs when the heart relaxes between beats. The ideal blood pressure is below 120/80 mmHg, according to the heart association.
But, Jones added, "The systolic rate is more resistant to treatment through medication."
Goldberg believes that some women might be stopping their blood pressure medication without talking with their doctor, after suffering from side effects that can include insomnia, lethargy and depression.



