A silent killer
In a world where certain health conditions, such as high blood pressure, remain unexplained, experts claim that medicine does not have all of the answers. But taking proactive steps toward a healthier life is the best way to minimise risks;
A Bengaluru-based CEO, after a significant health crisis that necessitated his admission to the ICU due to a blood pressure spike of 230, has emphasised the need of prioritising health before career obligations. Amit Mishra, founder and CEO of Dazeinfo Media and Research, published a LinkedIn article that garnered significant attention. Despite lacking symptoms or relevant medical history, he discussed the “silent killers” of health and said his own situation was a “real shock.”
There are still mysteries in medical science. The reason of my BP rise stays unknown even after 15+ tests. However, it is obvious that looking after one’s health is not optional; rather, it is a need, he said in the post.
A stark reminder
Despite the remarkable advancements in medical science, there are still many mysteries that elude even the most thorough investigations, says Dr Hima Deepti Alla, Sr. Consultant Nephrologist & Renal Transplant Physician, Arete Hospitals.
“One such mystery is unexplained fluctuations in blood pressure. It serves as a stark reminder that, while medical science has come a long way, there is still much we don't fully understand about the human body. However, what remains undeniable is the importance of taking care of one’s health,” adds Dr Hima.
Science has limits
A sudden spike in blood pressure to dangerous levels, can result from various factors, even when routine tests fail to pinpoint a single cause, says Dr. Srikrishna R Boddu, Consultant General Physician, Kamineni Hospitals. “Stress, lack of sleep, undiagnosed underlying conditions, genetic predisposition, and lifestyle habits such as excessive caffeine, high-sodium diets, or prolonged sedentary behaviour can contribute in high blood pressure,” saya Dr Srikrishna.
Our bodies are complicated, and a variety of things may have an impact on our health, including heredity, stress, lifestyle, and even undiscovered triggers. “Waiting for a diagnosis or a clear medical explanation is not always feasible. The only way ahead is to prioritise health on a daily basis, via mindful dietary choices, exercise, stress management, and frequent checkups,” says Dr Srikrishna.
Unexplained BP spikes
A clinical-based explanation would involve assessing multiple potential factors, such as:
Physiological Causes
- Primary Hypertension: This is high blood pressure without a known cause, often linked to genetics, age, and lifestyle.
- Secondary Hypertension: Caused by underlying conditions such as kidney disease, thyroid disorders, or adrenal gland issues.
Cardiovascular and Nervous System Factors, Vascular Causes
- The autonomic nervous system (ANS) plays a role in regulating BP. Dysregulation, sometimes due to stress or nerve-related issues, can cause unpredictable spikes.
- Baroreceptor Sensitivity: The body’s BP sensors (baroreceptors) may not respond properly, leading to fluctuations.
Endocrine and Hormonal Imbalances
- Cortisol & Adrenaline Surges: Stress or adrenal gland disorders can cause sudden BP spikes.
- Thyroid Hormones: An overactive thyroid (hyperthyroidism) can elevate BP unpredictably.
Medication or Dietary Triggers
- Some medications (e.g., decongestants, steroids, birth control pills) can affect BP.
- High salt, caffeine, alcohol, or excessive sugar intake may contribute to BP fluctuations.
Autonomic and Psychological Factors:
- White Coat Syndrome: BP rises due to anxiety in medical settings.
- Panic Attacks or Anxiety Disorders: Can mimic hypertension by causing temporary BP spikes.