A 5 6 , 210 lb., 64-year-old male business executive had a physical exam prior to his retirement from corporate work. His blood pressure was 180/115 on three separate days. Further examination showed normal to low plasma renin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, x-ray evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy was weight reduction to his ideal level, a low-salt diet (
Hello, I passed carefully through your question and would explain that these changes in the heart, in peripheral resistance and kidneys, are related to chronic high blood pressure values.  For this reason, if these high blood pressure values persist, despite reducing salt intake, I would recommend starting antihypertensive therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.