Hypertension

Common Questions & Answers
Someone can have high blood pressure for years with no symptoms at all, which is why it’s known as the “silent killer.” Severe hypertension may cause headaches, vision problems, shortness of breath, and nosebleeds.
A blood pressure reading of 180/120 mm Hg or higher is considered a hypertensive crisis that requires immediate medical attention. Call 911 if there’s also chest pain, shortness of breath, vision changes, weakness, or speech difficulties.
Many factors raise your risk of high blood pressure, including age, race, family history, and genetics. A poor diet, not exercising enough, chronic stress, heavy alcohol consumption, and smoking also increase your risk.
There’s no cure for hypertension, but high blood pressure numbers can be effectively lowered with a combination of medication and healthy lifestyle choices, such as limiting salt, maintaining a healthy weight, and consistently getting enough sleep.
Limit your intake of sodium, saturated and trans fats, red meat, processed foods, and added sugars. Instead choose fruits and vegetables, whole grains, low-fat dairy, skinless poultry and fish, nuts, and legumes.

Chung Yoon, MD
Medical Reviewer

Anurag Sahu, MD
Medical Reviewer
Anurag Sahu, MD, is the director of the adult congenital heart program at Inova Health System in Fairfax, Virginia. Previously, he was an associate professor of medicine as well as an associate professor of radiology at Emory University in Atlanta, where he also served as director of cardiac intensive care.
He attended medical school at the University of Missouri in Kansas City in its combined six-year BA/MD program. He then completed his internal medicine residency at Washington Hospital Center in Washington, DC; fellowship training at Rush University in Chicago; and advanced training in cardiac imaging and adult congenital heart disease at The Ohio State University in Columbus.
Dr. Sahu has published book chapters on cardiovascular imaging as well as a variety of journal articles in publications including The Journal of Heart and Lung Transplant, JACC: Cardiovascular Interventions, and the Journal of Thoracic Imaging.
Among the places that his career has taken him, his favorite was Kauai, Hawaii, where he was the only cardiologist on the island.

Michael Cutler, DO, PhD
Medical Reviewer
Michael Cutler, DO, PhD, is a cardiac electrophysiologist at Intermountain Heart Rhythm Specialists in Salt Lake City, Utah. His research interests include understanding the cellular and molecular mechanisms of cardiac arrhythmia, gene therapy for cardiac arrhythmias, neural control of the circulation in sleep apnea, role of exercise in health and disease, and improving the management of cardiac arrhythmias (i.e., atrial fibrillation).
He completed his BS and MS in exercise physiology and was a member of the track/cross country team at the University of Utah in Salt Lake City. Prior to attending medical school, Dr. Cutler was an adjunct clinical instructor in the College of Health at the University of Utah and also served on the Utah Governor’s Council on Health and Physical Fitness. He then attended the University of North Texas Health Science Center in Fort Worth for medical school and for his PhD in cardiovascular physiology.
After medical school, Cutler entered the highly selective ABIM Research Pathway physician-scientist training program at the MetroHealth Campus of Case Western Reserve University in Cleveland. During this time, he completed his clinical training in internal medicine, cardiology and clinical cardiac electrophysiology, served as chief cardiology fellow, and received the Kenneth M. Rosen Fellowship in cardiac pacing and electrophysiology from the Heart Rhythm Society. Following residency and fellowship, Cutler accepted a position as an assistant professor of medicine at the MetroHealth Campus of Case Western Reserve University until he joined his current partners at Intermountain Heart Rhythm Specialists.
Cutler's research has received meritorious recognition from the American Physiological Society, the American Heart Association, and the Heart Rhythm Society.
Cutler has been an author on publications in journals such as Circulation, Circulation Research, Proceedings of the National Academy of Science, and Nature. He is board certified in internal medicine, cardiovascular disease, and clinical cardiac electrophysiology through the American Board of Internal Medicine.
- What is High Blood Pressure? American Heart Association. May 2024.
- High Blood Pressure (Hypertension). Mayo Clinic. February 29, 2024.
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