Question

What is the reason for a low blood pressure, despite always having high blood pressure (HTN), and high cholesterol?

A) Blood vessels have become bigger, so there is less pressure on the wall and less pressure overall.

B) At this time, the heart muscles are not contracting correctly because there is tissue death and therefore, less blood is being pumped out of the ventricles to the body.

C) Blood vessels have dilated to have more perfusion to his organs.

Answer 1

Blood pressure is pressure exerted on the wall of blood vessels by the blood. Sustained elevation in blood pressure is called hypertension or high blood pressure (HBP).

When blood pressure is always high, very high pressure is always exerted on the wall of the arteries and other vessels result in damage of blood vessels. This damage to the arteries and high cholesterol level enhances deposition cholesterol and other substances (plaque) on the walls results in narrowing of the arteries . This make heart to pump harder and give more strain to the myocardial muscle results in myocardial hypertrophy (thickening of myocardium) especially ventricle. This damage decreases contractility of the heart muscle and heart muscle become weaken result in decreased blood pump and low blood pressure.

Answer is B)  At this time, the heart muscles are not contracting correctly because there is tissue death and therefore, less blood is being pumped out of the ventricles to the body.