Welcome back to the program.
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I'm Charles Mills
here with Dr. James Marcum
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We're talking about
hypertension on today's program.
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And Dr. Marcum,
there's a question from
00:00:06.60\00:00:09.26
heartwiseministries.
org web site here
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that I would like to know too.
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I sort of talked
about it earlier...
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HOW DO YOU KNOW IF YOU HAVE IT?
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I mean, you don't
FEEL it... Okay - right
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Sometimes it's
called a hidden killer,
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but sometimes you
can have symptoms.
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One of the symptoms of
high blood pressure might
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be a headache. Okay
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I have had some
people that their faces
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always turn red when
they have high blood pressure.
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But most people
don't know they have it.
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But one way they can
find out IF THEY HAVE IT
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is take this device here,
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and this is called
our "sphygmomanometer"
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Now I would normally take your
00:00:42.91\00:00:44.28
coat off Charles, but
I'm not going to do this.
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I'm just going to show
people how painless it is. Okay
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You just wrap it around here,
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and then you put it
here and this puts pressure
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on your upper arm,
and then I would take
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this stethoscope... can you
hold that for me - I sure can.
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I take this stethoscope - that
way I can hear the blood moving
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within your vessels.
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Okay, now this might cause you -
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Now see all these
numbers here? I do
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20, 40- that
tells me the pressure...
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So I'm going to inflate it
above your systolic pressure
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And it's a little bit harder
when you're wearing your coat,
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but I didn't want to mess up
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the microphone you
have underneath it.
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So I'm going to puff it up
really high... Okay there we go!
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Can you feel it getting tighter?
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Yeah, I can see
it getting tighter.
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So I'm going to
take it up to 200... okay
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And I'm going to
listen to your artery,
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and I'm going to
listen very closely,
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and I probably can't
hear through your coat here...
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Ahh - I saw it
jump right there. Yes
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I got it right
here, Charles Okay
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And your blood pressure,
the top number was 100,
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and the bottom number was 78,
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and that is a very
good blood pressure
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considering you're in
front of a television camera!
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Now what that means is
the pressure that the heart
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pumps out was
about 100, which is good,
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the vessels can handle that.
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The lower was 78
and that's excellent,
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that's when the heart relaxes.
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So based on this,
I would say, Charles,
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you DO NOT have
high blood pressure.
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Charles, you probably aren't
going to have bad headaches
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due to high blood pressure.
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You're kidneys aren't going
to be damaged by blood pressure
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Charles, you probably
will not suffer a weak heart
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because of high blood pressure,
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and one of these
causes of death that we've
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been talking about -
you probably don't have
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that risk factor.
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So you're going to be
at a lower risk of stroke,
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lower risk of heart attack,
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lower risk of renal disease,
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lower risk of
aneurysms just because
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your blood pressure is good.
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So you can go to a
Wal-Mart, you can go some place
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and put your arm in
this thing and pump it up...
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it gives you a pretty good idea.
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And here's what I want
to let our viewers know...
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The ones that work around
the wrist - they have some risk
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and those aren't
nearly as accurate.
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They usually read high.
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So if you have a wrist and
it's normal, it's probably good.
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But to buy the automated
ones that go around upper here,
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and if you carry extra weight,
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you might need what
we call the "big cuff. "
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But if you measure
this and it's pretty good...
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These cost about $40-
you can get them for $40.
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Anybody can buy
them... Anyone can get those,
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and the ones that they have in
the store, you just hit a button
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and it does all this for you...
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But, of course, in the doctor's
office, we like to listen
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to the pressure there.
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And you can take the
pressure in the arms,
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and also, I can
even take pressures
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in your leg if I wanted to,
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and I could listen to pressures
in your leg and compare
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the arms and the legs,
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and that's actually
how we tell if you have
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good circulation in
your leg is we can compare
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the pressure down
here which is called...
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the ankle - we call it
the "ankle-brachial index"
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We compare the pressures
there with the pressures up here
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and if they're about the same,
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we know you probably
don't have bad disease
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in your blood
vessels. That makes sense
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So that's called the
"ankle-brachial index"
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So blood pressure can
damage numerous blood vessels
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so that's how you know if
you have high blood pressure.
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Your blood pressure...
Does it stay pretty consistent
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throughout the day,
or different... Nope
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That's a good
question! It fluctuates.
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It's usually highest the
first thing in the morning
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because that's when the
cortisol is the highest.
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That's a wake-up-and-get-going,
you feel that WOOO, I feel good!
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It's usually lowest in the night
when you're asleep and relaxed.
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And apparently after
naps the same thing happens -
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Yeah it does
but now some people,
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you know as we get older,
you know you jump up real quick
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and you get
lightheaded! whooo-whooo!
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That's because the
arteries haven't pushed the
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blood pressure to
the brain as quick.
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And that
happens very frequently,
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so I want to tell our
older listeners to make sure
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if you change positions,
if you are getting dizzy,
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do it very slowly.
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Another cause of that blood
pressure fluctuation when you
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sit up is if you're dehydrated,
so you'll want to drink a lot
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of water if
you're getting dizzy too.
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So blood pressure can
change based on the elasticity
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and the volume of
what's in the blood vessels.
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Question from
heartwiseministries. org
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What is the best treatment
for high blood pressure?
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Now, I'm thinking that if we
are in a stressful situation,
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the best treatment would
be to reduce the stress...
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But what about those
of us who are sitting
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in our easy chair and we take
our pressure and it's elevated.
00:05:03.63\00:05:07.02
What do we do there?
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Well first thing I
would want to do is...
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You know, one way to naturally
lower your blood pressure
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and I want all of our
audience to try this...
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Take a deep breath...
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Hold it for 5 seconds...
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Blow it out slow...
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Do that 10 times.
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That actually turns on nerves
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that helps lower the
blood pressure in the body.
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Naturally! Yes -
Have you ever heard,
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you know, if you're stressed-out
"Son, take a deep-breath"
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Take a deep
breath. It actually works!
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Yes! There's actually chemistry
behind that deep breath
00:05:37.41\00:05:40.18
that lowers your blood pressure.
00:05:40.21\00:05:41.80
Now if you take some
deep breaths and your
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blood pressure is STILL high,
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you want to know WHY is
your blood pressure high?
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And that's where you would be an
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investigative scientist,
and you go to your doctor...
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He's going to ask
you about sleep apnea,
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see if you carry extra
weight, check your thyroid,
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check all the other
things that could cause it,
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and to see if he could
figure out why you have
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high blood pressure.
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And if he can't figure out why,
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sometimes you have
genetic high blood pressure.
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And he's also going to do...
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Oh, you want to see my
blood pressure tools, Charles?
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I do want to see these. okay
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This is the one that
we see if blood pressure
00:06:08.19\00:06:09.83
has damaged the eyes.
00:06:09.86\00:06:11.81
So you can look this way,
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and I look in your
eyes and I could see the
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blood vessels in the
back of the eye to see if they
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have been narrowed.
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Other things we can do to
see if there has been damage is
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the stethoscope because
I can listen to your heart
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to see if there
are extra heart sounds.
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And you know what this is?
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I would rather not do that.
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I don't blame you!
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This is a tongue depressor. Yes
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And does this have anything
to do with blood pressure?
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I'm afraid it probably does?
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No it doesn't... I was
just giving you a hard time.
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But it can raise
your blood pressure
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if you think I'm going to
jam it in your mouth. It worked!
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What about this?
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Do you think this has anything
to do with blood pressure?
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You're going to
have to tell me...
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No, it doesn't...
this is a reflex hammer...
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it has nothing to
do with blood pressure.
00:06:49.40\00:06:51.09
But, I thought I would get
your blood pressure to go up
00:06:51.12\00:06:53.68
because if I
pounded on you like that,
00:06:53.71\00:06:55.31
your blood pressure might go
up a little bit... It's working
00:06:55.34\00:06:57.83
So - our question...
we're getting diverted here.
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So back to our question,
as far as blood pressure...
00:07:02.70\00:07:05.00
Naturally - how to
bring it down naturally.
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First you have to find out what
is causing it and deal with that
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If you want to
bring it down naturally,
00:07:09.87\00:07:11.45
a couple of
things that we can do...
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#1 is exercise - regular
exercise makes endorphins,
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dilates the blood vessels.
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Regular exercise lowers
the blood pressure... Good rest
00:07:18.44\00:07:21.20
But when you're
doing the exercise,
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your blood pressure
might go up a little bit. Right
00:07:23.44\00:07:24.81
But then it will
come down afterwards,
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makes these endorphins...
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Getting adequate sleep
lowers the blood pressure.
00:07:27.64\00:07:30.41
Adequate hydration - water
can lower the blood pressure.
00:07:30.44\00:07:34.49
Staying away from
things like caffeine
00:07:34.52\00:07:36.43
can lower the blood pressure.
00:07:36.46\00:07:37.83
Alcohol RAISES
the blood pressure.
00:07:37.86\00:07:40.23
Getting enough rest at night.
00:07:40.26\00:07:42.07
Staying away
from PROCESSED FOODS
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can lower your blood pressure.
00:07:44.07\00:07:45.46
Eating lots of fresh fruits,
vegetables, nuts, and grains
00:07:45.49\00:07:47.98
can lower blood pressure.
00:07:48.01\00:07:49.68
And I don't have a scientific
study that proves this,
00:07:49.71\00:07:52.36
but I know that when you have
a relationship with your Creator
00:07:52.39\00:07:55.11
...the One that
loves you the most,
00:07:55.14\00:07:57.13
that can give you
a big HUG every day,
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that HAS to lower
your blood pressure as well
00:07:59.44\00:08:01.43
because it makes your
body have peace and relaxation,
00:08:01.46\00:08:04.43
and that helps
give you peace of mind
00:08:04.46\00:08:06.35
that has to bring down
your blood pressure too.
00:08:06.38\00:08:10.02
Now, a question here
from heartwiseministries. org
00:08:10.05\00:08:13.92
I think you've
answered part of this...
00:08:13.95\00:08:15.68
What do you do if your
blood pressure fluctuates?
00:08:15.71\00:08:18.63
Now you say it naturally
fluctuates throughout the day
00:08:18.66\00:08:21.31
when you get up and so...
00:08:21.34\00:08:22.71
I guess from that, we'd
have to say - you might want to
00:08:22.74\00:08:25.19
check your blood pressure
several times during the day
00:08:25.22\00:08:27.64
to find an average or something?
00:08:27.67\00:08:29.07
That is great because I have
some people that are sitting
00:08:29.10\00:08:32.47
in our audience that worry
all the time about their health.
00:08:32.50\00:08:35.56
They're just worried... you know
00:08:35.59\00:08:37.42
"Do I have cancer or am
I having a heart attack?"
00:08:37.45\00:08:39.87
They live in a state of anxiety.
00:08:39.90\00:08:41.87
And I have some people
that start checking their
00:08:41.90\00:08:43.71
blood pressure and
they check it so much,
00:08:43.74\00:08:46.02
that they worry
their blood pressure up.
00:08:46.05\00:08:47.93
So they get so concerned that
they check it all the time...
00:08:47.96\00:08:50.44
every 5 minutes and it's HIGH!
00:08:50.47\00:08:52.51
So, for those people, I'd
say - we have a condition called
00:08:52.54\00:08:55.21
"white coat high blood pressure"
00:08:55.24\00:08:57.34
That's when they come
to the doctor's office,
00:08:57.37\00:08:59.17
they find out that
their blood pressure is high,
00:08:59.20\00:09:01.09
and then they go
home and it's really low.
00:09:01.12\00:09:03.30
Now some doctors
will see that and say...
00:09:03.33\00:09:04.74
"Oh Mrs. Smith, you
have high blood pressure,
00:09:04.77\00:09:06.50
take this medicine. "
00:09:06.53\00:09:07.90
So they go home and their
blood pressure is really normal;
00:09:07.93\00:09:09.53
they take that medicine,
then their blood pressure
00:09:09.56\00:09:11.08
goes TOO low and they're
passing out, banging their head
00:09:11.11\00:09:14.02
almost killing themselves.
00:09:14.05\00:09:15.54
So remember,
medicines can kill... Yes
00:09:15.57\00:09:18.35
So THAT person really doesn't
have high blood pressure.
00:09:18.38\00:09:21.41
So I ask them to take
it at home when they are
00:09:21.44\00:09:23.15
nice and relaxed,
feeling well and see what the
00:09:23.18\00:09:25.90
blood pressure is
- do it 2 or 3 times,
00:09:25.93\00:09:28.26
but don't get so
paranoid that you
00:09:28.29\00:09:30.37
check your blood
pressure all the time.
00:09:30.40\00:09:31.94
In some countries, they
don't even treat blood pressure
00:09:31.97\00:09:34.81
until it's high for long periods
of time because they think
00:09:34.84\00:09:37.72
the blood pressure medication
is riskier than actually
00:09:37.75\00:09:40.49
having the blood pressure.
00:09:40.52\00:09:42.00
And they work on lifestyle
changes for 6 or 8 months
00:09:42.03\00:09:44.71
even with high blood pressure.
00:09:44.74\00:09:46.43
So... so, what was our
question I forgot what it was...
00:09:46.46\00:09:49.57
Yeah - if the blood
pressure fluctuates,
00:09:49.60\00:09:52.23
do you need a medication?
00:09:52.26\00:09:53.91
Yes. If you're dehydrated,
sometimes that can cause your
00:09:53.94\00:09:57.10
blood pressure
to go up and down.
00:09:57.13\00:09:58.74
If you're an anxious worrier,
that's the point I was giving...
00:09:58.77\00:10:01.16
If you're an anxious
worrier, it can go up and down,
00:10:01.19\00:10:03.11
and the real treatment for
that is to quit being anxious
00:10:03.14\00:10:05.52
and worried... Not
medicines! If you have PAIN...
00:10:05.55\00:10:07.45
You know if I took this thing
and whacked you a few times
00:10:07.49\00:10:10.03
Guess what... Your blood
pressure would go up too!
00:10:10.06\00:10:12.42
So if a person is having pain,
00:10:12.45\00:10:13.90
I wouldn't want to give
them a blood pressure medicine,
00:10:13.93\00:10:16.02
I'd want to treat their pain.
00:10:16.05\00:10:17.99
So you want to
try to find the cause,
00:10:18.02\00:10:19.96
ask the reason why they
have high blood pressure.
00:10:19.99\00:10:22.41
Now if a person is going through
a hard time in his or her life
00:10:22.44\00:10:26.49
and they are maybe
going through a divorce,
00:10:26.52\00:10:27.97
or they've lost their job,
00:10:28.00\00:10:29.64
or their house
has been foreclosed,
00:10:29.67\00:10:31.29
and they know their blood
pressure is going to go up
00:10:31.32\00:10:33.68
because of the
stress they're under,
00:10:33.71\00:10:35.48
should they take
some medication just to
00:10:35.51\00:10:38.18
help with that blood pressure
during that temporary time?
00:10:38.21\00:10:40.81
Only if it's causing an extreme
symptom - like a bad headache
00:10:40.84\00:10:46.95
or only if they cannot get their
blood pressure down with natural
00:10:46.98\00:10:49.96
I would say - Go take a walk...
00:10:50.93\00:10:52.51
Take some deep-breathing
- lower it that way.
00:10:52.54\00:10:55.45
Take a VACATION!
00:10:55.48\00:10:57.38
Get in the
Scriptures! READ the Psalms
00:10:57.41\00:11:00.00
...That can be
very peaceful too.
00:11:00.03\00:11:01.99
Do other things that we think
can lower your blood pressure
00:11:02.02\00:11:04.34
so you don't have
to take the RISK of a
00:11:04.37\00:11:06.68
blood pressure medication.
00:11:06.71\00:11:08.08
You are one of the few
cardiologists in this world
00:11:08.11\00:11:09.81
that prescribes Bible
reading and church attendance
00:11:09.84\00:11:12.23
as a medicine to help people...
00:11:12.26\00:11:16.04
But doesn't it make
sense to do these things?
00:11:16.07\00:11:18.26
Yeah... It DOES!
00:11:18.29\00:11:19.66
Hey, can I check your
tongue? No, okay - Good
00:11:19.69\00:11:21.31
All right, here we go
to the next question...
00:11:21.34\00:11:22.84
I think we have
time for this one...
00:11:22.87\00:11:24.43
I am on a beta
blocker for blood pressure,
00:11:24.46\00:11:26.81
and it makes me tired - Is
this is a common side effect?
00:11:26.84\00:11:29.16
Yes, beta
blockers block adrenalin.
00:11:29.19\00:11:32.46
You know, we talked
about epinephrine and stress.
00:11:32.49\00:11:35.12
Beta blockers block
that effect on the heart,
00:11:35.15\00:11:37.58
and a very frequent side
effect of beta blockers is it
00:11:37.61\00:11:40.89
slows down the heart.
00:11:40.92\00:11:42.29
And it's very good if we want
to put the heart in a cast...
00:11:42.32\00:11:45.07
like if we break your arm
and you want to put a cast
00:11:45.10\00:11:46.97
so it doesn't work as hard.
00:11:47.00\00:11:48.37
It's great after surgery to
keep the funny heart rhythms
00:11:48.40\00:11:50.93
and it's a good blood pressure
medicine for some people;
00:11:50.96\00:11:53.94
however, it can make a
person feel tired and fatigued.
00:11:53.97\00:11:57.50
All blood pressure medicines
have at least some side effects.
00:11:57.53\00:12:01.27
If you want to have a question
answered on this program,
00:12:01.30\00:12:03.98
visit...
heartwiseministries. org
00:12:04.01\00:12:06.16
There is a place there
you can put the question,
00:12:06.19\00:12:07.61
and will bring it in
to Dr. Marcum's attention
00:12:07.64\00:12:10.21
on a future broadcast.
00:12:10.24\00:12:12.12
We'll be right back
after we have a break
00:12:12.15\00:12:15.08
and when we come
back let's talk to the
00:12:15.11\00:12:16.82
Master Physician Stay tuned...
00:12:16.85\00:12:19.16
Years ago we used to
talk about high blood pressure
00:12:19.19\00:12:24.85
as a cause of
death very frequently
00:12:24.88\00:12:27.14
in medical health programs.
00:12:27.17\00:12:28.97
It just doesn't seem
to be as trendy anymore,
00:12:29.00\00:12:32.14
but it's still very important.
00:12:32.17\00:12:33.77
We've talked about
the importance of getting
00:12:33.80\00:12:35.43
your blood pressure measured.
00:12:35.46\00:12:37.25
And no matter what your age,
00:12:37.28\00:12:38.65
you need to have your
blood pressure measured.
00:12:38.68\00:12:40.85
If it is high; find
out why it's high...
00:12:40.88\00:12:43.08
If you can understand
the reasons why it's high,
00:12:43.11\00:12:45.69
then hopefully, you can
get it under good control
00:12:45.72\00:12:48.59
with lifestyle
changes, and in some instances
00:12:48.62\00:12:51.14
you might need a medication.
00:12:51.17\00:12:52.91
In thinking about high blood
pressure, we think about all the
00:12:52.94\00:12:56.32
stress that this world is under.
00:12:56.35\00:12:58.46
When your body is under stress,
00:12:58.49\00:12:59.94
it makes a lot of adrenalin;
that raises blood pressure.
00:12:59.97\00:13:03.27
Well I know one way to
help lower some of that stress,
00:13:03.30\00:13:06.31
and some of that stress
can be lowered by going to the
00:13:06.34\00:13:08.69
Ultimate Physician -
a relationship with our
00:13:08.72\00:13:11.42
Great Creator.
00:13:11.45\00:13:13.28
God can give us peace inside.
00:13:13.31\00:13:15.44
The peace that knows that
He is always there with us,
00:13:15.47\00:13:18.12
taking care of us,
willing to heal us in His time.
00:13:18.15\00:13:21.85
Willing to give us that
love that we all search for,
00:13:21.88\00:13:24.80
and to show us what
His will is for our lives.
00:13:24.83\00:13:27.52
If you would
like that peace today,
00:13:27.55\00:13:29.68
let's bow our heads together.
00:13:29.71\00:13:31.49
Heavenly Father... We want to
thank you for being a God that
00:13:31.52\00:13:35.04
loves us and wants to
take care of us and give
00:13:35.07\00:13:37.22
peace in our life, Father;
00:13:37.25\00:13:38.62
and if those out
there that need this peace,
00:13:38.65\00:13:40.59
to help lower
their blood pressure,
00:13:40.62\00:13:42.14
we pray that just
by praying this prayer
00:13:42.17\00:13:44.62
that You come into
their live, help change them,
00:13:44.65\00:13:47.19
and give them the
power to have GOOD health
00:13:47.22\00:13:49.11
and to have that
love relationship with You
00:13:49.14\00:13:51.26
that can give them
peace and ultimate healing
00:13:51.29\00:13:53.73
is our prayer. Amen
00:13:53.76\00:13:56.26
So don't forget, go out and
get your blood pressure checked
00:13:56.29\00:14:01.11
It might be at a drugstore,
00:14:01.14\00:14:02.87
it might be at
your doctor's office,
00:14:02.90\00:14:04.58
and we hope that you
have the greatest health EVER
00:14:04.61\00:14:07.42
as we seek to have a
relationship with the
00:14:07.45\00:14:10.71
Ultimate
Prescription - a relationship
00:14:10.74\00:14:13.12
with our Lord and Savior.
00:14:13.15\00:14:15.08