An acquaintance of mine just had a routine medical check up done and his blood pressure came out to be as high as 210/130. Which is not so good.
He's been put on medications; but what struck me is how despite such a dangerously high blood pressure he didn't experience any symptoms whatsoever. no headache, nausea or dizziness at all.
Does this indicate something more serious?
If I say pain is a boon, would any one agree? But then, pain or any other symptom is truly important because without any symptom, one would simply die without knowing what really happened. Same thing with high blood pressure. half the patients with high BP never know about their disease until it is found at routine examination. Why a person with a BP of 210/130 never had any symptoms? let me explain….
High BP symptoms may be a) due to raised BP itself or b) due to complication of blood pressure such as eye or kidney disease. if the complication have not started or progressed, symptoms related to complications wouldn't be there.
Then, the symptoms of high BP per se such as headache, nausea or dizziness occur when the rise takes place over a short span of time. the brain which was perfused under the previous normal pressure gets less perfused due to vasoconstriction and it has no time to adjust to new pressure levels thereby producing the above mentioned symptoms.
If the BP rise happens in a calibrated manner, over a long period of time, brain has enough time to get accustomed to each level of raised pressure and therefore the symptoms do not occur. this was exactly what happened to your acquaintance. the danger in such a case is that by the time hypertension is detected, it would have caused a lot of organ damage. So, earlier the hypertension is detected and treated, the lesser is the chance of damage. Other than this, your acquaintance's hypertension has no other implication
It is precisely for this reason that periodic BP check up is advised – symptom or no symptom.
210/130 is awfully dangerous.
Exposed for long periods of time that could cause massive damage. He needs proper investigation, get him to a cardiologist asap. Tell him to do a full blood test and get the cardiologist to prescribe a Rennin and Aldosterone blood test. you will also have to get a Cortisol 48 hour urine test.
Tell him to ask for them.
Finally plead with him to avoid eating any take away especially subway as its loaded with salt, and eat very healthy.
He can get it under control, but drugs are probably the best bet for now.
Dear friend,
Calm down. he has very high blood pressure. Symptoms like headche, neck pain, body pain, feeling very hot, feeling heat around you. he should not have too much of pickles and spices in his food. Give him cucumber to eat every day. and watever medication he is aking he might have to take it for lifetime soo if his blood pressure comes to normal just buy having home food. He has silent blood pressure and that is much serious than having bp that shows symptoms.
Make sure he doesn't have too much of salt in his diet
He should also have a glass of fresh lemon water without salt. it is healthy and harmless.
Take care 
It is possible for blood pressure to spike on a given day. I never heard of HBP being that high without any symptoms. when my blood pressure is 150 / 90 I feel like I am about to explode. I am now on 200mg metaprolol succianate and I LOVE it. no symptoms at all, I just feel totally relaxed and happy.
High Blood Pressure. when the heart beats, it pumps blood to the arteries and creates … That's why you can live for years without any symptoms or ill effects
nymedicaldoctor.com/Cardiovas…
"Does this indicate something more serious?"
Well, not really more serious condition but more like a time bomb, anytime can turn to hemorrhagic stroke.good he did a routine medical check up.
Very high blood pressure without any symptoms is due to his young age
even then it would have lead him to sudden stroke or heart attack
as he is now under treatment, so he is lucky
middle age or old age persons will surely show symptoms
check this link to get the answer:
normalbp.blogspot.com/