How Serious Is Your Hypertension
Doctors classify hypertension according to systolic pressure and diastolic pressure readings and the effects various levels can have on your health.
Hypertension, or high blood pressure, is a health condition that affects about one in three American adults. But not everyone who has hypertension has high blood pressure to the same degree. Doctors use four hypertension categories to help classify how likely your blood pressure level is to affect your health: prehypertension, stage 1, stage 2, and hypertensive crisis.
Normal Blood Pressure
Blood pressure is measured by taking two different measurements of the pressure within your arteries: systolic pressure and diastolic pressure. Systolic pressure, the first or top number of the blood pressure reading, is the highest level of pressure in your arteries, which occurs when your heart muscle contracts and forces a burst of blood into the aorta. Diastolic pressure, which is the bottom number, is the pressure that exists within your arteries between heart muscle contractions, which is when your heart is filling with blood.
If your blood pressure reading is less than 120/80 millimeters of mercury or mm Hg , you have normal blood pressure. This means that your systolic pressure is less than 120 mm/Hg and your diastolic reading is less than 80 mm/Hg.
Prehypertension: When Blood Pressure Is Above Normal
Stage 1 and Stage 2 Hypertension
Hypertensive Crisis: A High Blood Pressure Emergency
Treatment For Low Or High Blood Pressure
Your reading may indicate a blood pressure problem even if only one number is high. No matter what category of blood pressure you have, its important to monitor it regularly. Talk with a doctor about how often you should check your blood pressure at home.
Write the results in a blood pressure journal and share them with the doctor. Its a good idea to take your blood pressure more than once at one sitting,
The doctor will likely address that health condition or concern first.
If its unclear why your blood pressure is low, treatment options may include:
- eating more salt
- wearing compression stockings to help prevent blood from pooling in your legs
- taking a corticosteroid like fludrocortisone to help increase blood volume
Habits For Promoting Healthy Blood Pressure
Blood pressure is greatly influenced by lifestyle, so most healthy people can properly manage blood pressure without medical intervention.
Keeping body weight within a normal range, eating a heart-healthy diet, decreasing mental stress and having a regular aerobic exercise routine can have a profound effect on blood pressure, Kazemi said.
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What Is Blood Pressure
Blood pressure is a measurement of the extent of the force of blood on your blood vessel walls as your heart pumps. Its measured in millimeters of mercury .
Systolic blood pressure is the top number in a reading. It measures the pressure on blood vessels as your heart squeezes blood out to your body.
Diastolic blood pressure is the bottom number in a reading. It measures the pressure on blood vessels in between heartbeats while your heart fills up with blood returning from your body.
Its important to manage your blood pressure.
Hypotension, or blood pressure thats too low, can cause serious symptoms, like dizziness or fainting. Severely low blood pressure can damage organs by depriving them of blood flow and oxygen.
Hypertension, or blood pressure thats too high, can put you at risk for:
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When Should You Get Help For An Abnormal Blood Pressure Reading
One high or low blood pressure reading by itself may not mean you need to call for help. If you take your blood pressure and it is out of the normal range, wait a few minutes and take it again. If it’s still high or low, use the following guidance.
911 anytime you think you may need emergency care. For example, call if:
- You passed out .
or seek immediate medical care if:
- Your blood pressure is much higher than normal .
- You think high blood pressure is causing symptoms such as:
- Severe headache.
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Normal Range Of Blood Pressure
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Understanding The Highs And Lows Of Your Blood Pressure Reading
Blood pressure is a key indicator of how well the cardiovascular system is functioning and can signal many diseases and conditions.
It measures the pressure of blood flow to the vascular system. This is necessary for all the organs in the body to receive adequate nutrition and oxygen to function, said Navid Kazemi, MD, cardiologist and chair of MountainView Hospital Cardiac Services Department.
There is a healthy blood pressure range, and having too high or too low blood pressure can cause serious, long-term health consequences. Unfortunately, the importance of healthy blood pressure often is overlooked, and many people with poor blood pressure may not realize theyre at risk.
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Regular Blood Pressure Checks If Diagnosed With High Blood Pressure
If you are diagnosed with high blood pressure, your blood pressure will need to be closely monitored until it is brought under control.
After your blood pressure has been controlled, your GP or practice nurse will measure your blood pressure at agreed regular intervals .
It is important you attend these appointments to ensure your blood pressure is being maintained within an acceptable range.
The Name Of The Game: Prevention
So if rising blood pressure and aging don’t — or shouldn’t — go hand in hand, what should the millions of us who now have prehypertension do about it? The good news: we shouldn’t be looking for a new pill. “Unless you have diabetes or kidney disease, people with prehypertension don’t need to be on medication,” says Sheps.
That’s also the bad news. Preventing high blood pressure means lifestyle changes, which is usually harder than popping a pill. Number one on the blood pressure reduction hit parade: preventing or treating obesity. As our pants sizes get smaller, so do our blood pressure numbers. Of course, the opposite is true as well. With our nation on a supersizing binge and a growing percentage of adults and children becoming overweight or obese, it’s no surprise that rates of high blood pressure have skyrocketed as well.
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Your Blood Pressure Is Borderline High What Should You Do About It
Perhaps this has happened to you: You go to the doctor, for a checkup or a sprained ankle, and find that your blood pressure is high.
Not really high, not hypertension high, but borderline high. Say 130 over 85. Normal blood pressure is 120/80 or below, and hypertension is defined as 140/90 or higher.
Should you be worried? Is there something you can do now to ward off a later diagnosis of hypertension?
Hypertension increases your risk for heart attack and stroke, as well as for kidney disease and vision loss. And hypertension is very common: The Centers for Disease Control and Prevention estimates that one of every three American adults has the condition.
But the cardiovascular risks dont suddenly begin at the magic number of 140/90. Its important to realize that theres a continuum of risk, says Elliott Antman, president of the American Heart Association and a cardiologist at Brigham and Womens Hospital in Boston. The higher the blood pressure, the higher the risk.
The label prehypertension became official when clinical practice guidelines were updated in 2003. Since then, researchers have continued to find significant risks associated with borderline high blood pressure. A 2013 review of studies encompassing more than a million people found that those with prehypertension had a 28 percent increased risk of dying from cardiovascular disease and a 41 percent increased risk of dying from stroke compared with people who had normal blood pressure.
What Does A Blood Pressure Reading Look Like
When you have your , you will be given two numbers, a top number and a bottom number.
- Systolic blood pressure. This is the first, or top, number. This is the highest level your blood pressure reaches when your heart beats, forcing blood around your body.
- Diastolic blood pressure. The second number, or bottom number, is the lowest level your blood pressure reaches as your heart relaxes between beats.
Blood pressure is measured in millimetres of mercury . If the first number is 120 and the second number is 80, this would be written as 120/80mmHg, and youd call it 120 over 80.
This video explains more about systolic and diastolic blood pressure.
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Primary High Blood Pressure
While the specific cause of primary high blood pressure remains unknown, there is compelling evidence to suggest that a number of risk factors increase your chances of developing the condition.
These risk factors include:
- age – the risk of developing high blood pressure increases as you get older
- a family history of high blood pressure – the condition seems to run in families
- being of Afro-Caribbean or South Asian origin
- high amount of salt in your diet
- lack of exercise
- excessive alcohol consumption
A number of health conditions, such as diabetes and kidney disease, have also been linked to an increase risk of developing primary high blood pressure.
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What You Should Know About A Blood Pressure Of 142/99
What is hypertension stage two? Blood pressure guidelines exist to define hypertension within stages. These stages, which were created by The American Heart Association and The American College of Cardiology, are like a roadmap to help guide and tailor decisions in the treatment process for hypertension. Understanding the specifics of your blood pressure stage is critical to successfully controlling readings over the long-term.
Stage two hypertension blood pressure is systolic blood pressure 140-180 mmHg or diastolic blood pressure 90-120.
Normal systolic and diastolic blood pressure readings are considered under 120/80 mmHg. The next stage is elevated blood pressure, which is 120-129 systolic mmHg and diastolic pressure remaining less than 80 mmHg. High blood pressure starts at hypertension stage one, which is a systolic reading of 130-139 mmHg or a diastolic reading of 80-89 mmHg. Hypertension stage two is progressive hypertension, and its the last stop before the hypertensive crisis stage of having blood pressures over 180/120 mmHg.
Its important to remember that the above stages are all distinguished through consistent, reliable blood pressure measurements. In other words, your blood pressure should be taken at least twice on two separate occasions via a trustworthy measurement tool before a classification of hypertension stage two is made.
Medications With Blood Pressure Of 142/92
If you arent on medications already, your doctor may recommend you begin with lifestyle changes. However, many will ultimately need medication to reduce their high blood pressure.
Medications can have a big impact on your blood pressure. There are a variety of different types of blood pressure medications available.
Following is a short list of each type of medication and what they do to reduce blood pressure.
- DiureticsHelps rid the body of sodium , which helps control blood pressure.
- Beta-blockersHelps reduce your heart rate, which helps lower blood pressure.
- ACE inhibitorsACE stands for Angiotensin-Converting Enzyme. Helps the body produce less angiotensin, which helps the blood vessels relax and lowers blood pressure.
- Angiotensin II receptor blockersHelps block the chemical that causes blood vessels to narrow, which helps blood vessels stay open and lowers blood pressure.
- Calcium channel blockersHelps lower blood pressure by preventing calcium from entering smooth muscle cells, which can cause stronger heart contraction and narrow blood vessels.
- Alpha blockersHelps relax certain muscles, which keeps blood vessels open and lowers blood pressure.
- Alpha-2 Receptor AgonistsHelps lower blood pressure by inhibiting sympathetic activity.
- Central agonistsUsing a different nerve path than Alpha and Beta blockers, Central agonists help relax blood vessels, which lowers blood pressure.
- VasodilatorsHelps dilate the blood vessels, which lowers blood pressure.
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