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Cardiologist explains how ‘early blood pressure changes can predict heart attack 10 years before symptoms’

Dr Bhojraj highlights the significance of recognising early blood pressure changes as predictors of heart attacks, advocating for proactive health measures.

Updated on: Dec 02, 2025 8:21 AM IST
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Are heart attacks sudden? Millions of people die from heart attacks and other cardiovascular diseases (CVDs) each year, making CVDs the leading cause of death globally. Therefore, it is important to know the early signs before heart conditions can turn deadly.

Early blood pressure changes predict heart attacks 10 years before symptoms. (Arun Sankar / AFP)
Early blood pressure changes predict heart attacks 10 years before symptoms. (Arun Sankar / AFP)

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Dr Sanjay Bhojraj, MD, a functional medicine doctor and board-certified cardiologist with over 20 years of experience, believes that certain early signs in blood pressure changes can predict a heart attack.

Can early blood pressure changes predict a heart attack?

On December 2, Dr Bhojraj posted a video on Instagram with the title, “Why is no one talking about how early blood pressure changes predict…heart attacks 10 years before symptoms.”

In the caption, the cardiologist explained that earlier he was a traditional cardiologist, seeing patients only after their symptoms arrived, such as:

  • Chest pain
  • Fatigue
  • Shortness of breath

“By the time they landed in my office, their bodies had been whispering for years,” he added. However, everything changed the day the cardiologist treated a patient whose heart attack was unexpected.

“His cholesterol was normal. His weight was stable. But when I looked deeper, his blood pressure had been quietly changing for nearly a decade — long before anyone noticed,” he noted.

The early signs you shouldn't miss

This moment shifted everything for Dr Bhojraj. He confessed, “I realised we’re not dealing with sudden heart disease — we’re missing the early signals.” Some of the earliest predictors of cardiovascular ageing, according to the cardiologist, are:

  • Subtle blood pressure variability
  • Morning surges
  • Night-time elevations
  • Loss of autonomic flexibility

Here's how the cardiologist started treating his patients: “I stopped waiting for symptoms. I started looking at patterns, not normal ranges. I studied how stress, sleep, hormones, and inflammation shape blood pressure long before disease.”

He added, “Now I help people reduce their cardiovascular age before it becomes a crisis — and the transformation is profound. More energy. Better metabolic health. Stronger resilience. A younger heart. This is why I do what I do — because prevention shouldn’t be a guessing game. And no one should wait for a wake-up call to understand their cardiovascular future.”

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

  • Krishna Pallavi Priya
    ABOUT THE AUTHOR
    Krishna Pallavi Priya

    Krishna Priya Pallavi is an Assistant Editor at Hindustan Times with almost 9 years of experience in lifestyle reporting. Over the years, Pallavi has reported extensively on health, fashion, pop culture, wellness, entertainment, festivals, mental health, art and culture, fitness, and sex and relationships. An alumna of the Indian Institute of Mass Communication (IIMC Dhenkanal), she also holds an undergraduate degree in Journalism and Mass Communication from Guru Gobind Singh Indraprastha University. Prior to joining Hindustan Times, she spent nearly three years with India Today and 1.5 years with ScoopWhoop’s feminist digital platform, Vagabomb. Pallavi enjoys tracking global fashion trends, interviewing celebrities, following international fashion seasons, and keeping pace with pop culture—interests that often turn into engaging write-ups. Alongside this, she has a keen eye for impactful health stories. She regularly engages with doctors, designers, and content creators to craft narratives with depth and perspective. Born and raised in Haryana, her heart remains deeply connected to her ancestral home in Odisha. She has a knack for finding interesting angles where none seem to exist. When not chasing stories, she spends her downtime enjoying playdates with her dog, planning her next vacation, or discovering new destinations.Read More

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