Hypertension, or high blood pressure, affects 120 million Americans-nearly half the country. Often called the 'silent killer,' it can lead to heart attack and stroke. Cardiologist Michelle Kelsey of Duke University warns, 'You really have to check it to know.' Beyond the usual causes like salt and stress, here are five unexpected triggers.

Dehydration: Consistently low water intake forces blood vessels to constrict and retain salt, leading to high pressure over time.

Sleep Apnea: Interrupted breathing during sleep reduces oxygen, stressing the body and raising blood pressure.

Chronic Pain: Persistent pain triggers an adrenaline response; one study found it increases hypertension risk by 75%.

Loneliness: Social isolation, especially in women over 45, is linked to higher blood pressure due to increased stress.

NSAIDs: Daily use of ibuprofen or naproxen can cause sodium retention and narrowed blood vessels, raising pressure.

Kelsey advises regular blood pressure checks. 'Knowing your numbers can be empowering.'