{"id":3619,"date":"2026-09-13T11:19:53","date_gmt":"2026-09-13T11:19:53","guid":{"rendered":"https:\/\/mcsorengo.ch\/?p=3619"},"modified":"2026-09-13T12:10:45","modified_gmt":"2026-09-13T12:10:45","slug":"high-blood-pressure-men-35-49-unaware","status":"publish","type":"post","link":"https:\/\/mcsorengo.ch\/en\/high-blood-pressure-men-35-49-unaware\/","title":{"rendered":"High blood pressure: 58% of men aged 35 to 49 do not know they have it"},"content":{"rendered":"<p><strong>58% of hypertensive men aged 35 to 49 do not know they have high blood pressure. And having seen a doctor in the past year made no difference.<\/strong> This comes from a Geneva study published in 2025, built on a method worth describing, because it explains why such a common problem so often stays invisible.<\/p>\n<h2>The study: 11,278 people, blood pressure measured three times<\/h2>\n<p>Bus Sant\u00e9 is the population survey of the Geneva University Hospitals. Between 2005 and 2023 it enrolled 11,278 adults aged 35 to 74, randomly selected among the canton&#8217;s residents. Each person had their blood pressure measured three times by trained staff, under the same conditions: nobody was asked &#8220;do you have high blood pressure?&#8221;, it was measured. That is the whole difference.<\/p>\n<p>The results, published in Preventive Medicine Reports in 2025:<\/p>\n<ul>\n<li>35.2% of adults aged 35 to 74 had blood pressure values in the hypertensive range;<\/li>\n<li>among men aged 35 to 49 with high blood pressure, 58% did not know it;<\/li>\n<li>a doctor visit in the past 12 months was not associated with greater awareness;<\/li>\n<li>among people already diagnosed, the share left untreated rose from 37.7% to 46.8% over the years.<\/li>\n<\/ul>\n<p>The study has its limits: it covers a single canton and about half of the people invited took part. But the picture matches the international one. According to the World Health Organization, in 2024 about 1.4 billion adults aged 30 to 79 had hypertension and 44% were unaware of it; only 23% had it under control. In Switzerland, the Federal Statistical Office&#8217;s Health Survey shows that the share of men reporting high blood pressure rose from 14.1% in 2002 to 22.4% in 2022. Reporting: those who do not know, do not report.<\/p>\n<h2>Why we do not notice<\/h2>\n<p>In the vast majority of cases, hypertension causes no symptoms. Headache, contrary to common belief, is not a reliable sign: it appears only with very high values and, in many people, never. Meanwhile the pressure works against the walls of the arteries, day and night, for years.<\/p>\n<p>The damage comes later, and it comes quietly: to the heart, which thickens to push against greater resistance, up to heart failure or a heart attack; to the brain, with stroke and earlier cognitive decline; to the kidneys, which gradually lose their ability to filter; to the eyes, with retinopathy. Much of this damage is avoidable, but only if the number is known in time.<\/p>\n<p>Between 35 and 49 the trap is specific. You feel well, you work a lot, you rarely see a doctor and when you do it is for something else. The underlying idea is that high blood pressure is a problem for people in their seventies. The Geneva data say the opposite: it is precisely in this age group that the share of unaware hypertensives is highest.<\/p>\n<h2>Why a visit is not enough<\/h2>\n<p>The most uncomfortable finding of the study is the third one: people who had seen a doctor in the past year were no more aware than the others. The possible explanations are few and concrete. Blood pressure is not measured, because the visit was about something else. Or it is measured once, in a hurry, and a borderline value is let go. Or it is measured and noted, but not discussed: the patient leaves without knowing what the number means or what to do about it.<\/p>\n<p>The 2024 guidelines of the European Society of Cardiology raised the bar on this point. Hypertension is defined by confirmed office values of 140\/90 mmHg or higher. But an intermediate category was introduced, &#8220;elevated blood pressure&#8221;, between 120 and 139 systolic or between 70 and 89 diastolic: not yet hypertension, but the moment to act on lifestyle and repeat the measurements. For values between 140-159 and 90-99, the diagnosis should be confirmed with measurements outside the doctor&#8217;s office, at home or with 24-hour monitoring, because a single office reading is less reliable than people think.<\/p>\n<p>Measuring properly means: seated, after five minutes of rest, back supported, arm supported at heart level, a cuff of the right size, at least two readings one minute apart, and the first time on both arms. That is two extra minutes. They are the ones that make the difference between a number and a diagnosis.<\/p>\n<h2>What to do between 35 and 49<\/h2>\n<p>The first step is knowing your number: a properly taken measurement at least once a year, and in any case at every medical visit, asking for it if it is not offered.<\/p>\n<p>If the value is elevated, the most useful thing is to measure at home for seven days, morning and evening, with a validated upper-arm device, and bring the values to your doctor. It is the best way to tell true hypertension from the effect of the doctor&#8217;s office.<\/p>\n<p>If hypertension is confirmed, it makes sense to look at the rest of the picture, because blood pressure rarely travels alone: blood sugar, cholesterol and triglycerides, lipoprotein(a) at least once in a lifetime, kidney function, weight and waist circumference, an electrocardiogram. The levers to pull straight away are well known and they work: less salt, less alcohol, weight, regular physical activity, sleep. When medication is needed, these are among the most studied and best tolerated drugs in medicine. Starting treatment at 45 is not a defeat: it is the way to reach 75 with the heart, kidneys and brain you had at 45.<\/p>\n<h2>At Medical Center Sorengo<\/h2>\n<p>At the Centre, blood pressure measurement is part of every internal medicine visit, using the method described above and with the time to discuss the result. If further assessment is needed, an electrocardiogram, blood tests and a cardiometabolic profile are done on site, without referrals elsewhere.<\/p>\n<p>For those who want a complete picture, the <a href=\"https:\/\/mcsorengo.ch\/en\/advanced-diagnostics\/\">Advanced Diagnostics<\/a> section offers pathways with published prices: the Advanced Cardiometabolic profile (CHF 245) and the Check-up 360 (CHF 495), with the option of a medical consultation on the results.<\/p>\n<p>You do not need to be an existing patient. We are open Monday to Friday from 8 am to 8 pm and on Saturdays from 8 am to 5 pm, at Via Ponte Tresa 35 in Sorengo, Lugano. You can call or write on WhatsApp to <a href=\"tel:+41919942000\">+41 91 994 20 00<\/a>, at the weekend too, and book a check for the week.<\/p>\n<h2>Frequently asked questions<\/h2>\n<h3>At what values is it hypertension?<\/h3>\n<p>According to the 2024 ESC guidelines, at office values of 140\/90 mmHg or higher, confirmed by repeated measurements. Between 120 and 139 systolic, or between 70 and 89 diastolic, it is &#8220;elevated blood pressure&#8221;: not hypertension, but the moment to act on lifestyle and repeat the checks.<\/p>\n<h3>Can I measure my blood pressure at home?<\/h3>\n<p>Yes, and it is useful: with a validated upper-arm device, seated, after five minutes of rest, morning and evening for seven days. The average of the values, excluding the first day, should be brought to your doctor. Wrist devices are less reliable.<\/p>\n<h3>Does high blood pressure cause headaches?<\/h3>\n<p>Usually not. Headache appears only with very high values, and many people with hypertension never have any symptom. That is why the only way to know is to measure.<\/p>\n<h3>How much does a blood pressure check cost at Medical Center Sorengo?<\/h3>\n<p>A medical visit with blood pressure measurement is an ordinary service covered by basic Swiss health insurance. The Advanced Diagnostics pathways are self-paid, with prices published on the website: Advanced Cardiometabolic CHF 245, Check-up 360 CHF 495.<\/p>\n<h2>Sources<\/h2>\n<ul>\n<li>Nehme M., Guessous I. et al., &#8220;Twenty years population-based trends in prevalence, awareness, treatment, and control of hypertension in Geneva, Switzerland&#8221; (Bus Sant\u00e9), Preventive Medicine Reports, 2025. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11999646\/\" rel=\"nofollow noopener\" target=\"_blank\">Full article<\/a><\/li>\n<li>World Health Organization, Hypertension fact sheet, 25 September 2025. <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hypertension\" rel=\"nofollow noopener\" target=\"_blank\">who.int<\/a><\/li>\n<li>McEvoy J.W. et al., 2024 ESC Guidelines for the management of elevated blood pressure and hypertension, European Heart Journal, 2024. <a href=\"https:\/\/academic.oup.com\/eurheartj\/article\/45\/38\/3912\/7741010\" rel=\"nofollow noopener\" target=\"_blank\">academic.oup.com<\/a><\/li>\n<li>Swiss Federal Statistical Office, Swiss Health Survey 2022, &#8220;Hypertension&#8221; indicator, Obsan MonAM. <a href=\"https:\/\/ind.obsan.admin.ch\/indicator\/monam\/bluthochdruck-alter-15\" rel=\"nofollow noopener\" target=\"_blank\">obsan.admin.ch<\/a><\/li>\n<\/ul>\n<p><em>This article is for information only and does not replace a medical consultation. For a personal assessment, see your doctor.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A Geneva study of 11,278 people: 58% of hypertensive men aged 35 to 49 are unaware, and a doctor visit is not enough. What it means and how to get checked in Lugano.<\/p>\n","protected":false},"author":8,"featured_media":3623,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"categories":[28],"tags":[],"class_list":["post-3619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>High blood pressure: 58% of men aged 35-49 do not know it<\/title>\n<meta name=\"description\" content=\"A Geneva study of 11,278 people: 58% of hypertensive men aged 35 to 49 are unaware. 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