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Lifestyle measures, including good nutrition, regular exercise, adequate sleep, and appropriate stress management, are the best ways to maintain normal blood pressure throughout life. Most people with high blood pressure will be treated with an ACEinhibitor, ARB, calcium channel blocker or a diuretic. There are others also.
Plenty of people love to exercise. But the disheartening truth is that most people don’t enjoy exercise. A third or less of adults meet the minimum recommendations for aerobic and strength exercise each week. I’m an exercise scientist by training. We can promote exercise until we’re red in the face.
Exercise Regularly : Aim for at least 150 minutes of moderate-intensity aerobic activity per week, such as walking, cycling, or swimming. Exercise strengthens your heart and improves its efficiency, reducing blood pressure levels over time. Limit Alcohol and Avoid Tobacco : Drinking excessive alcohol can raise your blood pressure.
Medications Medications are often the first line of treatment for cardiomegaly and can include: ACEinhibitors or ARBs , which help lower blood pressure and reduce the workload on the heart. Exercise regularly to keep the heart strong and healthy. Beta-blockers , which slow the heart rate and reduce blood pressure.
The heart hasn’t failed – it just doesn’t match up to the body’s requirements especially when the requirements are increased such as during exercise. Clinically patients who have heart failure and are deficient in testosterone will have more muscle wasting, reduced exercise capacity and worse quality of life.
The heart is a pump and if the heart is in some way damaged – be that by a heart attack or a virus or harmful drugs then the heart is unable to pump out enough blood to meet the body’s requirements especially when the body is asking for more blood such as during exercise.
These include ACEinhibitors (and now a medication called Entresto), beta blockers, Mineralocorticoid receptor antagonists and now a new class of anti-diabetic medications called SGLT2 inhibitors and ideally wherever possible the patient should try and take a little of all of them as opposed to taking lots of one and none of the others.
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