Mayo Clinic Health Matters Under Pressure: How to Lower High Blood Pressure
Oct 14, 2025
Dr. Gary Schwartz, a nephrologist specializing in hypertensive disorders, discusses the often-hidden issue of high blood pressure affecting nearly half of American adults. He explains the meaning behind blood pressure numbers and the importance of home monitoring for accurate readings. Key lifestyle factors like diet and activity that contribute to hypertension are highlighted, along with the difference between primary and secondary hypertension. Dr. Schwartz also shares effective management strategies and when medication or surgery might be necessary.
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Genetics Versus Environment
- About 30% of blood pressure variation is genetic and ~70% is environmental.
- That environmental portion is what we can modify to lower BP.
Diet And Lifestyle Changes That Work
- Reduce sodium and increase potassium intake to lower blood pressure risk.
- Also limit alcohol and boost physical activity for meaningful BP improvements.
Why Hypertension Is Dangerous
- Chronic high blood pressure damages small arteries, narrowing them and reducing organ blood flow.
- This process increases risk for kidney disease, strokes, dementia, heart attacks, and heart failure.