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How heatwaves affect your blood pressure

While warmer days are normal during British summers, extreme heat can make things far more challenging. For many of us, sunscreen, fluids, and shade are enough to stay safe, but if you have a health condition such as high blood pressure, there are other things to think about.

The British Heart Foundation (BHF) says that around 3 in 10 people in the UK have high blood pressure (hypertension). It happens when the pressure on the walls of your blood vessels - caused by the blood within them - is higher than normal. Because they’re under more strain, your heart has to work harder, increasing the chance of מחלת לב, שבץ, and other serious conditions.

So as temperatures rise, should you be concerned? Let’s take a look.

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How heat can affect high blood pressure

While your body’s usually good at lowering blood pressure as a way to keep it safe when you overheat, there can be issues if it goes too far. Again, the additional strain on your heart as it beats faster to maintain blood flow into your organs means blood pressure can spike temporarily.

This happens when:

  • Blood vessels widen - your body widens the blood vessels near your skin to cool you down. This is called vasodilation and allows blood to flow more freely.

  • You sweat - this reduces blood volume, and your body might increase your heart rate as a response.

  • Your body releases stress hormones - if you get too hot, parts of your nervous system release adrenaline, which shrinks your blood vessels and increases your heart rate.

  • There’s an electrolyte imbalance - excessive sweating can reduce important minerals such as sodium, potassium, and magnesium, affecting your heart function.

  • Medications have side effects - heat can increase the side effects of some medications. For example, some selective serotonin reuptake inhibitors and tricyclic antidepressants can affect your ability to sweat.

There are other examples of medications which can have side effects in heat.

כוללים:

  • Beta blockers - can reduce blood flow to your skin, making it harder for your body to cool down in hot weather.

  • Calcium channel blockers - can cause electrolyte imbalances and may affect your body’s ability to maintain a healthy temperature.

  • Antipsychotics - can affect your ability to sweat and alter your ‘internal thermostat’, making it harder to cool down.

  • Diuretics - can increase your chancce of dehydration and heat-related illnesses.

  • ACE inhibitors - can cause dehydration, affect kidney function, and limit your body's ability to redirect blood flow.

  • Weight loss medicine, such as GLP-1 - might increase your chance of dehydration.

Storing your medicines at the right temperature helps them stay effective. While many should be kept below 25 degrees Celsius (°C), others - such as insulin and some liquid antibiotics - need refrigeration. If your medicine changes colour, smell, texture, or appearance, check with your pharmacist before taking it.

While sweating cools us down, it also means we lose water and electrolytes. Losing any type of fluid from your body reduces blood volume, which means blood pressure can drop, sometimes suddenly.

The most effective ways to stay safe are to keep hydrated and cool. You should also stay indoors between 11 am and 3 pm when the sun is at its most intense, wear light clothing, and limit strenuous activity.

Be more aware if you’re an older person, have a long‑term condition, or are taking blood‑pressure medication. Whether or not you belong to an at-risk group, there are some symptoms to watch out for that might mean you need some assistance.

Warning signs that your blood pressure may be affected include:

  • Being light-headed or dizzy.

  • Fainting or feeling faint.

  • Rapid heartbeat.

  • Nausea or headache.

  • Muscle cramps.

  • Excessive sweating or no sweating at all.

If you have any of these symptoms, act straight away to cool down and stay hydrated by getting out of direct sunlight and into somewhere cooler, cooling yourself down with cold - but not icy - water, and drinking plenty of non-alcoholic fluids.

If symptoms don’t go away, get help from a medical professional. Call an ambulance immediately if you or someone else becomes confused, stops sweating, loses consciousness, or collapses.

Symptoms such as chest pain, shortness of breath, nausea or vomiting, and sweating could be signs of a heart attack. If you or someone else experiences these symptoms, call 999 immediately.

People with high blood pressure are more vulnerable to heart attack, so it's important not to ignore these warning signs.

Things to remember

As you can see, heatwaves can sometimes lower or increase your blood pressure, but if you take simple steps to reduce any risks and keep an eye on any symptoms, you’ll be in a much better position.

Sometimes high blood pressure has no symptoms at all, so if you belong to any of the higher-risk groups included above, or you feel concerned, you might want to consider getting it checked. You can often do this without a doctor’s appointment, with many pharmacies offering the service, including some inside major supermarkets.

Enjoy the sunshine as much as you can while it lasts, and stay safe.

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אודות המחברצפה בפרופיל המלא

תמונת מחבר

Claire Kenny

אודות המבקרצפה בפרופיל המלא

תמונת מחבר

Dr Colin Tidy, MRCGP

רופא כללי, מחבר רפואי

MBBS, MRCGP, MRCP (Paediatrics), DCH

ד"ר קולין טיידי הוא רופא ב-NHS, הממוקם באוקספורדשייר.

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