High blood pressure, often called the “silent killer,” is frequently overlooked because it typically shows no symptoms. Many people mistakenly believe that if they don’t feel unwell, treatment isn’t necessary. However, consultant cardiologist Dr. Nabila Laskar warns that ignoring this condition can lead to serious, potentially irreversible heart damage.
Dr. Laskar, a cardiac imaging specialist at St Bartholomew’s Hospital in London, recently shared an eye-opening video on her social media platforms under the handle @Thecardiologydoctors. In the video, titled “The most underrated silent killer,” she explained why managing high blood pressure is crucial—even when you feel fine. “Why do we have to take medication if we feel well? Sometimes you just have to consider the future you because when something eventually appears, it may be too late,” she said.
She recounted a case of a patient in their early forties newly diagnosed with high blood pressure. Imaging revealed the patient’s left ventricle — the heart’s main pumping chamber — had thickened significantly. This change indicated prolonged untreated hypertension, which could ultimately lead to heart failure without timely intervention.
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Dr. Laskar emphasized that while there are multiple silent killers, uncontrolled high blood pressure is one that demands attention. “Many patients ask, ‘If I can’t feel it, why should I treat it?’ And that is a good question,” she said. But she made it clear that feeling well does not equate to being safe; untreated hypertension silently damages the heart and other organs over time.
The NHS also underscores the importance of managing high blood pressure, warning it can cause heart attacks and strokes. It advises lifestyle changes and medication as effective tools to maintain health. Risk factors include age, obesity, smoking, excessive alcohol intake, and chronic stress. In addition, certain ethnic groups, including Black African, Black Caribbean, and South Asian populations, face a higher risk.
Regular blood pressure monitoring is essential, especially for those over 40 or with risk factors. Free blood pressure checks are widely available through pharmacies, healthcare providers, and some workplaces. If there are concerns, consulting a GP promptly can help prevent serious complications.
High blood pressure may be silent, but the consequences of leaving it untreated are loud and clear. Staying informed, monitoring your health, and following medical advice can save lives.