Reasons For Blood Pressure 150 Over 100
More than 90% of cases of high blood pressure is an independent nosology, and not a manifestation of any other disease . The mechanism of occurrence of boils down to whats going on vasospasm due to a number of reasons:
- genetic predisposition, if in the family there were cases of this disease, especially in the female line. This does not mean that such heir is doomed, with proper nutrition, healthy lifestyle and careful attitude to the disease may not be realized
- overweight two-thirds of patients with obesity suffer from high blood pressure
- lack of exercise people who do intellectual work, is experiencing a strong emotional load, pressure rise contributes to a large flow of information and frenzied pace of work
- improper diet excess salt, check the fluid in the blood vessels, fatty foods, especially at night
- age is a gradual loss of elasticity of the vascular wall due to proliferation of connective tissue fibers, resulting in no adequate and fast response vessels to the load
- chronic stress, constant worrying
- alcohol abuse and heavy smoking.
In addition, there are secondary hypertension when the cause of high blood pressure is getting any chronic disease. For example, heart disease, chronic renal disease, thyroid disease, atherosclerosis, consequences of traumatic brain injury, etc.
What Is The Treatment For High Blood Pressure
Mild high blood pressure can often be treated by making lifestyle changes, including:
- losing weight
- limiting your alcohol intake to no more than 2 drinks per day for men, or 1 drink per day for women with high blood pressure
However, lifestyle changes may not be enough. Some people also need medication to help reduce blood pressure levels to normal. While medicines are usually very effective at lowering blood pressure, they may cause side effects in some people.
Usually doctors will start a person on a low dose of a medicine and see how it goes. If it doesnt work well enough, or if there are troublesome side effects, other medicines will be used, sometimes in combination, until the blood pressure is controlled. This can take time. Some people will take medicines for life, although others will find that continuing to lose weight and changing their diet reduces the need for medicines.
Someone whose blood pressure is very high or causing symptoms such as headache, or if they have conditions such as heart disease or diabetes, may need urgent treatment with medicines to bring the blood pressure down to normal levels.
The Royal Australian College of General Practitioners recommends that you regularly review with your doctor or specialist any medications you are taking for high blood pressure or high cholesterol to assess the ongoing benefits and risks. For further information, visit the Choosing Wisely Australia website.
How Does Blood Pressure Work
Blood pressure is the force against blood vessel walls as the heart pumps blood. When the heart squeezes and pushes blood into the vessels, blood pressure goes up. It comes down when the heart relaxes.
Blood pressure changes from minute to minute. It’s affected by activity and rest, body temperature, diet, emotions, posture, and medicines.
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What Complications Are Associated With Hypertension
While kids with hypertension are unlikely to have heart attacks and strokes, it still has significant risks. Hypertension causes changes in the structures of the blood vessels and heart. Since hypertension in children has historically been understudied, there isnt a lot of data about exactly what these changes mean. But we do know that in adults, hypertension increases the chance of complications in the heart, blood vessels, and kidneys. Theres also compelling evidence that some of these changes are seen in children with high blood pressure.
These changes affect:
Blood vesselshigh blood pressure can damage blood vessels throughout the body, which makes it harder for organs to work efficiently.
Kidneysif the blood vessels in the kidneys are damaged, they may stop removing waste and extra fluid from the body. This extra fluid can raise blood pressure even more.
Other organsif left untreated, hypertension makes it harder for blood to reach many different parts of the body, including the eyes and the brain, and can lead to blindness and strokes.
Have Your Blood Pressure Measured Regularly
Have your blood pressure measured regularly and know what your blood pressure is. Remember that both numbers are important. If either the systolic or diastolic number is high , then your doctor will need to further check your blood pressure. A blood pressure measurement of less than 120/80 mmHg is very good unless it causes dizziness.
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How Is It Treated
For most people, the goal is to reduce the blood pressure to less than 140/90. If you have diabetes or kidney disease, the goal is less than 130/80 mm Hg.
If your blood pressure is above normal , you may be able to bring it down to a normal level without medicine. Weight loss, changes in your diet, and exercise may be the only treatment you need. If you also have diabetes, you may need additional treatment.
If these lifestyle changes do not lower your blood pressure enough, your healthcare provider may prescribe medicine. Some of the types of medicines that can help are diuretics, beta blockers, ACE inhibitors, calcium channel blockers, and vasodilators. These medicines work in different ways. Many people need to take 2 or more medicines to bring their blood pressure down to a healthy level.
When you start taking medicine, it is important to:
- Take the medicine regularly, exactly as prescribed.
- Tell your healthcare provider about any side effects right away.
- Have regular follow-up visits with your healthcare provider.
It may not be possible to know at first which drug or mix of drugs will work best for you. It may take several weeks or months to find the best treatment for you.
So You Have High Blood Pressure What Else Could Be Wrong
If you have high blood pressure, get checked for diabetes and high cholesterol. Most people who have high blood pressure also have some of the other risks for heart disease and stroke, such as not getting enough physical activity, having unhealthy eating habits, smoking, being overweight or drinking too much alcohol. Ask your doctor to test your kidney function through a blood and urine test, and through the electrolytes in your blood kidney problems can cause high blood pressure.
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If You Now Have High Blood Pressure You May Not Need Meds Yet
The guidelines also outline very clearly when a diet-and-lifestyle approach is the recommended, first-line treatment, and when medications are simply just what you have to do. Thankfully, the decision is largely based on facts and statistics. For the elevated blood pressure category, medications are actually not recommended rather, a long list of evidence-based, non-drug interventions are. What are these interventions? Things that really work: a diet high in fruits and vegetables decreased salt and bad fats more activity weight loss if one is overweight or obese and no more than two alcoholic drinks per day for men, and one for women. Simply changing what you eat can bring down systolic blood pressure by as much as 11 points, and each additional healthy habit you adopt can bring it down another four to five points.
For people with stage 1 hypertension who dont have cardiovascular disease and are at low risk for developing it , lifestyle changes are still the way to go.
However, if a patient has any kind of cardiovascular disease and stage 1 hypertension , or no existing cardiovascular disease but a significant risk of developing it , then lifestyle changes plus medications are recommended. And, even if someone has less than a 10% risk, if their blood pressure is over 140 systolic or 90 diastolic, which is now stage 2 high blood pressure, they ought to be treated with medication as well.
Blood Pressure Checks During Pregnancy
If you are pregnant, you should have your blood pressure checked on a regular basis, even if it is not high.
Watching your blood pressure while you are pregnant reduces your risk of developing pregnancy-induced hypertension. This can lead to a serious condition called pre-eclampsia where there is a problem with the placenta .
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Hypertensive Crisis: When You Should Call 911 For High Blood Pressure
A hypertensive crisis is when blood pressure rises quickly and severely with readings of 180/120 or greater.
The consequences of uncontrolled blood pressure in this range can be severe and include:
- Pulmonary edema
- Eclampsia
An elevated reading may or may not be accompanied by one or more of the following symptoms:
- Severe headache
- Severe anxiety
My Blood Pressure Is 200
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Blood Pressure Reading Chart
Below is a blood pressure reading chart for you.
*Remember that the larger figure in your reading represents the systolic value the smaller figure represents your diastolic value. Systolic is the measurement of pressure when the heart is beating. Diastolic is the measurement of pressure when the heart is resting.
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.
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Frequently Asked Questions About Hypertension
Q: If left untreated, does hypertension get worse?
A: Its hard to say. Researchers are starting to see that kids and adolescents with pre-hypertension are more likely to develop stage 1 hypertension, but we dont know if or when stage 1 hypertension will progress to stage 2.
Q: Can hypertension be cured?
A: In some cases, secondary hypertension can be fixed. For example, if:
- its caused by a narrowing in a blood vessel that the doctors are able to widen
- its caused by a rare endocrine tumor that doctors are able to treat successfully
There are also cases in which hypertension might be transient for example, if its caused by a temporary inflammation of the filters in the kidney.
Even when hypertension cant be fixed, it can almost always be well-controlled, with diet and exercise and/or medication.
Q: If my child is being treated for hypertension, what should I watch out for?
A: Keep an eye out for:
- chest pains
- severe headaches that dont seem to respond to at-home treatment
- changes in vision
- swelling of hands and feet
- shortness of breath with limited exertion
- changes in her urine
Q: Will my child need to go on medication?
A: Only a fraction of kids with hypertension require medication. Frequently, its treated with diet and exercise modification first. And if the child is overweight, every kilogram of weight she loses, her blood pressure could bring her blood pressure down by about a point.
Q: Will my child have hypertension as an adult?
What Is White Coat Hypertension
White coat hypertension is when a childs blood pressure readings are high at the doctors office , but normal outside of the office .
This is pretty common in kids. By some estimations, between 30 and 40 percent of kids who have high blood pressure in the office actually have white-coat hypertension.
White coat hypertension is still a risk. Everyones blood pressure changes from time to timeits lower when youre asleep, for examplebut if a childs blood pressure continually rises when shes anxious , it can be sign of high blood pressure at other times and potentially cause the same kinds of damage that standard hypertension causes.
White coat hypertension is diagnosed by taking the childs blood pressure outside of the doctors office. This can be done in different ways:
- Some parents feel comfortable doing it at home.
- Sometimes we make arrangements for a school nurse to check the childs blood pressure.
- Your childs doctor might recommend that she wear an ambulatory blood pressure monitoring devicea blood pressure cuff attached to a small device that sits on her belt , and measures her blood pressure at regular intervals over the course of 24 hours. This device is about the size of a deck of cards and is usually tolerated very well.
If your child is diagnosed with white coat hypertension, her doctor may still want to follow her, since some children with white coat hypertension will develop actual hypertension in the future.
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Buying A Blood Pressure Instrument To Measure Your Blood Pressure At Home
Blood pressure instruments can be purchased in most pharmacies. Buy a blood pressure instrument that has been approved by the Association for the Advancement in Medical Instrumentation , the British Hypertension Society or the International Protocol . These labels will be marked clearly on the box. If you are unsure whether an instrument is approved, ask your pharmacist for help. Once you have bought the instrument, ask your doctor or pharmacist to check it to make sure the instrument measures your blood pressure accurately.
If You Need Two Medications
Many types of blood pressure drugs work best when taken together. When taking two drugs together, diuretics have been shown to lower blood pressure with a beta-blocker, ACE inhibitor and an ARB. A calcium channel blocker lowers blood pressure with the same drugs that work well with a diuretic. Other drug combinations are necessary when taking three or more blood pressure medications. There may be other reasons why your doctor may prescribe two blood pressure medications. For example, after heart attacks, doctors will prescribe a beta-blocker and an ACE inhibitor, but this is not primarily to reduce blood pressure.
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Diagnosing High Blood Pressure
The only way to find out whether you have high blood pressure is to have your blood pressure checked regularly. Ask your GP when you are next due for yours to be checked.
Before having your blood pressure taken, you should rest for at least five minutes and empty your bladder. To get an accurate blood pressure reading, you should be sitting down and not talking when the reading is taken.
Having one high blood pressure reading does not necessarily mean that you have high blood pressure. Your blood pressure can change throughout the day. Feeling anxious or stressed when you visit your GP can raise your blood pressure .
Therefore, your GP will need to take several readings over a set period of time, usually every month, to see whether your blood pressure level is consistently high.
Blood and urine tests may also be carried out in order to check for conditions that are known to cause an increase in blood pressure, such as kidney infections.
You may also be given a blood pressure device to take home so that you can record your blood pressure level throughout the day. This also helps to identify white coat syndrome and therefore helps to identify the best treatment options for you.
New Blood Pressure Guidelines Dangerous
Research says the treatment threshold is too high for those over 60 years of age
HealthDay Reporter
MONDAY, Feb. 1, 2016 — Scientists continue to debate when doctors should prescribe blood pressure medication for older Americans, with a new study saying delayed treatment puts people at greater risk of stroke.
For people 60 and older, a U.S. panel in 2014 recommended raising the blood pressure rate at which doctors prescribe treatment from 140 to 150 systolic blood pressure. Systolic blood pressure is the top number in a blood pressure reading.
But the new study finds that people with systolic blood pressure of 140 to 149 have a 70 percent increased risk of stroke compared to people with lower blood pressure.
“Our study shows the borderline group is probably as risky as having a blood pressure greater than 150, at least for stroke risk,” said senior author Dr. Ralph Sacco, chair of neurology at the University of Miami Miller School of Medicine. “This was a controversial move, and I think our study suggests we shouldn’t switch it to 150. We should stick to 140.”
The new findings, published online Feb. 1 in the journal Hypertension, are unlikely to quell arguments over proper blood pressure management, however.
“It’s a matter of balancing the risk of treatment with the benefits of treatment,” said James. “That’s not a simple thing, and it’s not really something that one study like this study could answer.”
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What Questions Might I Be Asked In The Emergency Room
Your healthcare provider will interview you when you enter the emergency room. Do your best to prepare yourself to answer the following questions, and more, that your healthcare provider may ask.
- What medications are you on?
- Did you forget your blood pressure medication?
- What symptoms do you have?
- How long have you had these symptoms?
If youre unable to check your blood pressure, but think it might be high, dont hesitate to call 911 or go to the emergency room.
Last reviewed by a Cleveland Clinic medical professional on 01/14/2021.
References
Causes Of Hypertension In Children
1. Primary hypertension
Primary hypertension means that the hypertension does not seem to be caused by some other underlyng medical condition. Many doctors think that the incidence of childhood or adolescent hypertension has been rising along with the obesity epidemic. The majority of teens and children over age 6 with hypertension have a family history of hypertension and/or are overweight.
2. Secondary hypertension
Secondary hypertension is caused by a known underlying medical condition. Of these, about
- 80 percent of children have some kind of kidney disease or blood vessel abnormalities
- 5 percent have an endocrinological disorder
- 2 to 5 percent have heart disease
Hypertension in infants with hypertension almost always has a secondary cause. In addition, premature infants have a higher incidence of hypertension.
Among kids with hypertension, especially those who are very young, secondary hypertension is more common than primary hypertension. But among children who are older than 6 to 8 years old, the ratio of primary to secondary hypertension is approaching 50/50.
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