The importance of nocturnal blood pressure
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- čas přidán 23. 07. 2024
- We recognise that isolated blood pressure recordings are entirely useless. They can not be used to make a diagnosis. They can not be used to predict prognosis and they can not be used to monitor a patient’s response to treatment. They are a waste of time.
The best way to get a good understanding of blood pressure is to use something called ambulatory blood pressure monitoring. Here a blood pressure machine is strapped to the patient for 24 hours and the machine will automatically measure the blood pressure twice every hour during waking hours and once every hour at night and then calculate 3 sets of average from all the readings. It will give you a 24 hour average, a day-time average and a night time average. All research studies on the subject of blood pressure have found that ambulatory blood pressure monitoring is the most reliable non-invasive method for an accurate assessment of blood pressure. The results are reproducible because all the variability tends to get averaged out. An ambulatory blood pressure monitor can be helpful to give you an accurate representation of blood pressure numbers, it is more accurate in terms of predicting prognosis and it can reliably assess response to treatment.
Wouldn’t it be great if we could all have a such a wonderful, calming, intelligent, rational doctor like him??
Imagine Being a Doctor and a Saint at the sign time! You sir are it.
Awww thank you so much Phil. I really appreciate your kind words
Hes a living God. . thankyou Sir x
We have been Blessed with Dr. Gupta! His informative knowledge and his love of humankind makes him such a hero of our hearts and beyond! Thank you for each and every video Dr. Gupta!
leptinwellness.com/10-ways-to-control-high-blood-pressure-without-medication/
Doctors help a lot. Like Doctor on this you tube he's heat. If he's my doctor my blood pressure will be normal for sure. Because he's very intelligent and we believe and trusting him
I don't get nervous
So my blood pressure will be normal. Thank you, sir, for everything
I’m usually very sceptical of CZcams videos on health, even some where the creators are , or purport to be, qualified medical practitioners. But this series, from a consultant cardiologist giving us all the benefit of his advice free, with no dietary fad to peddle or product to sell, is worth its weight in gold. This is what the internet is for. Ideally it would on free to view TV, as a series of shorts, perhaps with similar episodes on other aspects of health.
You are a true doctor care about people's health not money. Thanks for taking the time to make this videos to educate people. You are a noble doctor. Really telling the truth. I wish you all the BEST and successful in everything. We need doctors like you. Blessings 🙏🙏🙏
How kind:-) thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
Subscribed when I came across you yesterday.
Awesome
Absolutely brilliant ! I have never heard such an in-depth and honest, yet totally understandable explanation of Blood Pressure in my life. Your approach to medicine is a credit to you and testament to the fact that you are both a true physician and a competent scientist. I cannot thank you enough. I shall subscribe to your channel now.
This is MIND-BLOWING information. 🤯
How kind:-) thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
I wish My doctor in the U.S. will explain this to me like you did. What a great lecture!!!!! Thank you from California ☺️
Glad it was helpful! thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
Iam in love with him . Knowledgeable down to earth person 🥰💯
Join the Club!
It's great you bring this subject up. BP is not a physical constant like gravitational pull. Actually, a
new German study determined that higher BP lowers morbidity of older people (European heart journal). Who of the huge world population has actually BP checks? 1% ?
Still, many unknowns.
Dr. Gupta..you are an amazing physician! Thank you for a commitment to total integrity!!
God bless you richly for always
teaching the truth.
I have fear of having my bp taken, I now have fear of the machine, the noise and while the cuff tightens, I can feel adrenaline running through my body, I have to keep taking it, the lowest I got was 132 over 82 but I was still anxious, I feel I can’t get a Normal reading now I have this fear, it’s not just at the doctors I’m now scared to do it myself.
You are not alone I do to my pulse go up heart pounds as soon I I hit the button I star getting nervous
I have that really badly too. I’m just now calming down abt it. My doctor was trying to double my bp meds and I was telling her I didn’t believe it was that high usually because I swell a lot when it’s truly high and I wasn’t. I was right. When I relaxed and cussed myself out the numbers came down to normal. I still get a higher number the first time so I sit still and wait several minutes for the second reading. You will get a baseline eventually but obsessing abt it drives it way up. In her office my bp was 198/100 at home it was 126/70. Anxiety will drive it crazy high don’t let anyone tell you differently. Still we must watch our stress, diets and drink water and exercise. Hugs♥️
@@julesflores8137 thank you ❤️ I found this site, after I started getting palpitations, and the doctor had made me feel much better, from his videos, I’ve had a 72 hour monitor, and nothing was picked up, even though I had lots of palpitations, but thankyou for the comment xx
Same with when ever the cuff tightens my heart pounds and i feel shaky
@@kapiljbp9129 I think that's a normal effect of the BP- taking process, i.e. blocking blood flow and then letting it go slowly. It happens to me and I have low BP.
This is GOLD !
I am a Emergency Practitioner myself and this information is just great.
aww thank you so much for this kind comment Adheesh.
Thank you so much for watching. I appreciate it. It would mean a tonne if you'd consider sharing the video with anyone who may benefit and also subscribing to the channel. best wishes
Sanjay
I ❤ the way you manage to put so many fears to rest for your viewers. Thanks a million Doc!!!❤❤❤
Thanks so much Donovan. It'd mean a tonne if you'd consider subscribing to the channel:-)
@@YorkCardiology, I subscribed my 1st viewing. And forward to all family and friends who have like concerns. Thanks millions! We need you in Orlando.😀
@York Cardiology Hi sir, i am 33 and chest pain and pain in arm but its gone now. i had skipping beats and heart palpation which is also gone. but sometimes when i wake up from sleep my heart beat gets faster . and sometimes if i eat salt or sugar my heart rate gets faster for 5 minutes and then slow down again. i dont understand why my heart beat gets faster sometimes and normal most of the time. i dont know if its because of stomach or heart problem.
@@faisalali6622 eat magnesium rich food, he told this in a video
Dear I agree with you 100% whatever you said. The only problem is that the doctors don’t agree with these kind of theories and don’t want to act and treat their patients as you said. They tell you to take the medicines as prescribed or change the doctor. Thank you very much for showing us the reality of the modern treatments. I believe in whatever you said and try to apply on me as much possible. A time will come that I might be without a doctor in future.
Thank you for saying this. My mother was on BP medicine for years and she still suffered several strokes despite her BP being controlled by the medication.
FYI: There can be several additional causes of strokes, besides high BP. I hope emshe can see a Secondary Stroke Prevention Clinic...
The best talk on bp I heard so far. Thank you Doctor.
Oh Boy! You have NAILED IT!
Dr. Gupta you thank us for watching your channel. It’s us the people who are very grateful to you for the knowledge that you are sharing with us in a very understandable manner. Your lectures make it easier to understand what is going on in our bodies, you are an excellent doctor and I thank you very much for sharing on CZcams. All the best.
This is the first time I listened to you, what a great and complete explanation, thank you very much!!!
Perfectly explained. This short video has a Payload of Tremendous Value. It challenges the norm and provides clarification for those growing number people wanting to understand a key health marker, track and manage it themselves at home. Rather than attempt to "off-shore" our health to someone else. Thank you. You have helped me.
Thanks for this video!! I watch these from time to time but this one caught me because I have high BP and any info to better understand it and holistic approaches I can take to dealing with it are much appreciated
This is a excellent tutorial. Wow. This man is an angel.
YOU ARE A WONDERFUL DOCTOR..! THANK YOU 🙏
You're truly a godsend, Dr. Gupta. I'm calling everyone who has friends and relatives that could benefit from Dr. Gupta's information, please share this and other videos that Dr. Gupta put out. Not only your relatives have information that can save their lives, but it also helps this doctor gain larger audiences, which he very well deserves.
Thank you so much for talking about nocturnal hypertension apparently very few doctors even understand that I kept telling my doctor my blood pressure will go up at night during the day is fine at night is when it goes up you have been very informative and I will speak to my cardiologist about having an ambulatory blood pressure monitor
Thank you. I'm glad I have this information, now. I wish I had it prior to my Dad's passing. I believe his health or lack there of was the result of medical mismanagement. He was a veteran. My Dad deserved much better from his doctors, but they pushed pills. They were licensed drug dealers, in my opinion - not healers.
Thanks so much. It'd mean a tonne if you'd consider subscribing to the channel:-)
I'm sorry about what you and your family experienced! and that so many of us can relate. 💜
My Dad had very high pulse level (tachycardia). I found out that his doctor was giving him six doses of Albuterol a day. I told the Nurse practitioner that he had never used Albuterol before and probably needed it once a day, if at all. She said, "I'll check on that."
Bless her, she did, and my dad had 5 doses of Albuterol removed. He lived for three more years without weird rythyms until 92.
I wore an ambulatory bp monitor..I was so stressed by it, my bp was much higher while I was awake...and lower while asleep.. My doctor implied that it was a bad thing to have low bp at night. I refused to go on meds b/c my bp was normal when taken at home (we have a bp machine).
Thank you Doctor for the time you are spending education the masses... Cheers from Canada
One of the best doctors on the net. Thanks god bless you. I forgot about your site. Excellent.
As one who has had an aortic aneurysm repair, a lad stent an an aortic valve replacement, I have had this b/p 24 hour taken. Am glad you brought up this important info.
Thanks Peggy! It'd mean a tonne if you'd consider subscribing to the channel:-)
Doctor, your videos are just awesome. Just listening to you makes one feel so comfortable. Doctors like you are rare! Keep up the good work and god bless you. I feel better already!😂
Exactly the information i was seeking really. Thanks and keep up the great work !!! Congratulations!!!!
Glad it was helpful!
Thank you so much for watching. I appreciate it. It would mean a tonne if you'd consider sharing the video with anyone who may benefit and also subscribing to the channel. best wishes
Sanjay
You are the best.no one can explain like you do.
You have given me some much needed insight. Thank you.
Thanks so much for this video. It has really helped me to understand more about hypertension and the importance of the best method of measurement to aid diagnosis and treatment.
Thanks for the new info about blood pressure. With this new knowledge learn from you, I will inform the next doctor im going to visit and will advise him to have me on this 24 hour bp monitoring to check if i really got high bp. Thanks so much. If only all doctors are like you, I would not get scared to visit them.
By listening to your videos half of the problems related to the Heart vanishes and one feels totally relaxed. Your knowledge of about Heart diseases/problems is par excellence. May Almighty God bless you always.
This doctor is truly Godsend.He is amazing .
Thank you Mr Gupta, your information is worth it’s weight in gold.
Hats off to you Doc for precision and honesty.
How kind Ikram:-) Glad it was useful. Thanks so much for your support. It'd mean a tonne if you'd consider subscribing to the channel:-) -Sanjay
Truly fine intuitive analysis. This is what I have envisioned also, but many physicians do not go in depth.
A.Gilani, MD
Thank you thank you! U r the first dr that understands what i have been going thru BP NORMAL during the day n high at sleep. Drs including cardiologist dont understand why. Ive been on cpap and it did not help. I bought a bed that elevates
Your head. No help ! I took it upon myself to start taking my BP med at night it has solved my dilemma. Thank u for showing me im not weird it does happen to others. God bless
Wow! You are spot on! You summed it up perfectly. I absolutely hate dealing with the cardiology dept where i go. Lots of big egos and pill pushers who dismiss your concerns. I deal with other departments in the medical system and rheumatology and cardiology are the worst.
Finally a doctor who cares, good explanation.
My blood pressure is always high when I know I’m going to see a doctor. It’s starts a few days before, while I’m there and I feel fine when I’m at home. I’m stressed because anything I mention he’s ready to prescribe a pill. Never heard him say anything about changing diet, exercise, anything, just pills. So both my husband and I are doing what we can to better our health naturally ,through diet, walking, vitamins, sleep, whatever it takes. No body cares more about us than us! And when my time is up, it’s up! When the Good Lord says so❤️
Oh Doctor, if only I lived in the UK.
Just found you and so appreciate your depth of knowledge. Thank you!
Welcome! Thank you for your support- it would mean a tonne if you’d consider subscribing to the channel.
Also I try and do some regular broadcasts via WhatsApp on +44795131008
You are quite simply 'the best'.
Thank you for this wonderful explanation, you sir are sophisticated and educated. 👍🏼☮️
Thank you Dr Sanjay., it’s another health tips for blood pressure that’s worth listening and watching. Be safe and well.
Thank you Dr. Gupta. Always sobering information well presented, thanks for making this available!
Could you make a video named cardiophobia when you have the time for all of us that suffer with deep fear of heart attacks! Lots of love!
Here is a video he has done on that..sacred of having a heart attack and what to do about it. Look up all his video's.
I am scared to monitor my bp. My anxiety "to the highest level" watching your video gives me hope that i'll be okay and at least i find a doctor who truly understands his patients..God bless you more!
Your information is profound and life changing thanks again.
What a beautiful way to explain ❤️done with the heart. Really admire you 🙏🏻Dr Gupta Thanks !!!!
Appreciate you and all the time you take to share this priceless information ♥
How kind:-) Thanks so much. It'd mean a tonne if you'd consider subscribing to the channel:-)
Another fantastic and educational video. Thank you
never have i seen a better doctor than you Dr Sanjay!
Awwww thank you:-)
thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
It reallt helps me a lot! Thankyou doc! Its inspires me to get mpre excercise everday and to focis always on a positive side. You are a great doctor! ❤️ Indeed.
Thank you for sharing your knowledge but most of all sharing with kind compassion🤗
Great info. Great approach. Thank you Doctor!
My pleasure! thanks for watching.
It would mean a tonne if you'd consider sharing the video with anyone who may benefit and also subscribing to the channel. best wishes
Sanjay
Excellent video as usual Dr. Gupta! I always watch your videos, all of them are super interesting!! You are an amazing doctor and and an even better human being! God bless you!
So nice of you - Thank you!!! Glad it was useful. Thanks so much for your support. It'd mean a tonne if you'd consider subscribing to the channel:-) -Sanjay
Thanks for this informative video. GOD BLESS YOU & YOUR LOVED ONES.
I noticed that my blood pressure has gone up since my beloved brother passed away suddenly and unexpectedly eight months ago. I find that if I make concerted efforts many times during the day to stop and take time to deep breathe, it helps right away to bring my BP down.
P.S. Hearing your calm voice and good advice also helps.
Loss of a sibling is traumatic. It is good you have found deep breathing helps. All the best.
Sir, you are a good and honest man. Thank you
this is amazing, makes everything easy to understand and also has helped me ease my anxiety about the whole issue, great video, great chanel.
Thank you for giving your time to help people...
Merry xmas to you and your family 👪 ❤
Good job Doc. You are what a real doctor should be, i have never met one in my already long life.
How kind Mario...thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
You really offer great advice thank you so much
Thank you Doctor for your helpful information!
This is EXACTLY my current situation!!!!!! Thank you! Thank you !! Thank you !!!!!!!❤😊❤
Doc, I love you for speaking to my problem. God bless you for standing up for us
Thanks patience:-) thanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.
@@YorkCardiology
I already have and receives notifications.
Doctor you are a real sweetheart and pure soul.
Namaskar. Thank you doctor Gupta for your sincere and valuable advise. God bless you.
Your lecture is very helpful. Thank you
Greetings here from the Philippines .Thank you for sharing such important advice. we really appreciate this topic for enlightenment. God Bless you Doc.
So nice of you Glenndale! Thank you so much for watching. I appreciate it. It would mean a tonne if you'd consider sharing the video with anyone who may benefit and also subscribing to the channel. best wishes
Sanjay
Very useful information, thank you Dr.
Huge fan Dr Gupta; I’ve been having Ectopic beats over the last 6 months and I’ll be arranging a consultation with you soon!
I look forward to it:-)
Thank you so much for watching. I appreciate it. It would mean a tonne if you'd consider sharing the video with anyone who may benefit and also subscribing to the channel. best wishes
Sanjay
That was really helpful and full of useful information and well explained. Thank you!
WOW! So informative!!! Thank you so very much!!
This is very helpful, for me as a nurse
Well said dear. I believe in whatever you said 100%. Thanks
Wonderful Presentation..Thank You So Much 😊
Outstanding explanation. Thank you!! Yes pills are pushed more often than not.
Thank you Dr. Great information! 👍
Thanks so much David. It'd mean a tonne if you'd consider subscribing to the channel:-)
Another excellent video. This time some of its content was expressed in bolder language. The word 'profit' was used and its relevance to current guidelines was discussed. I call that excellent and enlightened medicine. The words 'majestic integrity' also come to mind. It is a great privilege to hear a man of such appropriate learning and abundant experience speak of these things with such judgment and balance.
Thank you so much Mr Smith. I really appreciate your words
Brilliant information! Thank you!
you are the real doctor
Thank you so much Dr Gupta, this is an eye opener for me and will definitely discuss with my GP. Take care
Thanks for info. It has given me a better perspective
Brilliantly articulated
Yes. Very very important information. One should get ABPM results before taking any BP medications.
Thank you so much for watching (and also your email) Mr Sahay . It'd mean a tonne to me if you'd consider subscribing to the channel - Sanjay (and bluebell).
Very informative, thank you .
Thank you so much Dr Gupta for your very informative explanations of high blood pressure.
Fantastic!! You are brilliant. Thank you so much.
You are so real doc, tq
I would really appreciate a video on blood pressure differences between both arms and your arms and legs.
I would demand that ambulatory blood pressure monitoring before I would accept drug treatment. In the US, you have to arm yourself with knowledge or your doctor’s health insurance records algorithm loves to over prescribe and the doctor has to override that in order to treat you individually. Not all are willing to do this, especially because their records can be searched electronically for their compliance with insurance “guidelines” and their malpractice insurance rates raised accordingly-making it very costly to treat you.
Very helpful and supportive, as always. Thank you. I wonder if you have any advice on post-prandial hypotension?
Excellent site! I have been treated for hypertension for 30 years.....am 66 now.....and have never known why. Take Lisinopril and Lecanadipine every day.
I am not over weight. Eat healthy. Walk daily. Non smoker.
Guess I have some homework to do.
True straight from heart, hats off sir
Thanks so much Kapil:-)
Thank you so much for watching. I appreciate it. It would mean a tonne if you'd consider sharing the video with anyone who may benefit and also subscribing to the channel. best wishes
Sanjay
Dr.Gupta you are the best educator. Thank you so much for sharing valuable info.❤️👍❤️👍❤️👍
So nice of you Hannah:-) Hope you are doing well and keeping safe
Glad it was useful. Thanks so much for your support. It'd mean a tonne if you'd consider subscribing to the channel:-) -Sanjay
Very very well explained Dr Gupta , I am one of those non dippers where I have normal BP in the morning but it does not dip in the night but it increases but then since ones blood pressure is normal in the day time giving a blood pressure medication could put you into low blood in the morning and that is not desired either . So it’s a kind of a conundrum . But having seen your video and hearing your honest comments I will certainly pursue this with my health team . Thanks so much.