What’s The Impact Of Having High Blood Pressure
High blood pressure is a major risk factor for developing cardiovascular diseases such as:
- coronary heart disease – where the main arteries that supply your heart become clogged up with plaques
- strokes – a serious condition where the blood supply to your brain is interrupted
- heart attacks – a serious condition where the blood supply to part of your heart is blocked
Diabetes and kidney disease are also linked to high blood pressure complications.
High Blood Pressure Treatment
The best way to lower blood pressure begins with changes you can make to your lifestyle to help lower your blood pressure and reduce your risk of heart disease. Additionally, your doctor may prescribe medicine to lower your blood pressure. These are called antihypertensive medicines.
The goal of treatment is to reduce your blood pressure to normal levels. Your doctor may prescribe medicine thats easy to take and has few, if any, side effects. This treatment is highly successful. If your blood pressure can only be controlled with medicine, youll need to take the medicine for the rest of your life. It is common to need more than one medicine to help control your blood pressure. Dont stop taking the medicine without talking with your doctor. Otherwise, you may increase your risk of having a stroke or heart attack.
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Confirming High Blood Pressure
To diagnose high blood pressure, your doctor will take two or more readings at separate medical appointments. Learn more about screening for high blood pressure, including how to take it yourself.
For most adults, a normal blood pressure is less than 120/80 mm Hg. Your doctor may diagnose you with high blood pressure when you have consistent systolic readings of 130 mm Hg or higher or diastolic readings of 80 mm Hg or higher.
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Family History And Genetics
High blood pressure often runs in families. Much of the understanding of the body systems involved in high blood pressure has come from genetic studies. Many different genes are linked to a small increase in the risk of developing high blood pressure. Research suggests that certain DNA changes as an unborn baby grows in the womb may also lead to high blood pressure later in life.
Some people have a high sensitivity to salt in their diet. This can also run in families.
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What Are The Different Types Of High Blood Pressure
There are two main types of high blood pressure: primary and secondary high blood pressure.:
- Primary, or essential, high blood pressure is the most common type of high blood pressure. For most people who get this kind of blood pressure, it develops over time as you get older.
- Secondary high blood pressure is caused by another medical condition or use of certain medicines. It usually gets better after you treat that condition or stop taking the medicines that are causing it.
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How To Prepare For A Blood Pressure Test
Your doctor will use a blood pressure test to see if you have higher-than-normal blood pressure readings. The reading is made up of two numbers, with the systolic number above the diastolic number. These numbers are measures of pressure in mm Hg. To learn more about systolic and diastolic pressure, visit How the Heart Works.
A blood pressure test is easy and painless and can be done in a doctor’s office or clinic. A healthcare provider will use a gauge, stethoscope, or electronic sensor and a blood pressure cuff to measure your blood pressure. To prepare, take the following steps:
- Do not exercise, drink coffee, or smoke cigarettes for 30 minutes before the test.
- Go to the bathroom before the test.
- For at least 5 minutes before the test, sit in a chair and relax.
- Make sure your feet are flat on the floor.
- Do not talk while you are relaxing or during the test.
- Uncover your arm for the cuff.
- Rest your arm on a table so it is supported and at the level of your heart.
If it is the first time your provider has measured your blood pressure, you may have readings taken on both arms.
You can also take your blood pressure at home or at a pharmacy. Visit Measure Your Blood Pressure for more information.
Key Difference Hypertension Vs High Blood Pressure
The key difference between hypertension and high blood pressure is that the hypertension is a medical diagnosis where blood pressure is persistently elevated at or above 140/90 mm Hg for most adults. To diagnose hypertension, the person should have at least two separate blood pressure measurements above 140/90 mmHg threshold at rest, preferably, in the sitting position. Whereas, high blood pressure refers to a nonspecific elevation of the blood pressure above 130/80 mmHg.
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High Blood Pressure In Kids And Teens
Too many kids and teens have high blood pressure and other risk factors for heart disease and stroke. Using the updated 2017 American Academy of Pediatrics Clinical Practice Guidelineexternal icon, a CDC study shows that about 1 in 25 youth ages 12 to 19 have hypertension, and 1 in 10 has elevated blood pressure . High blood pressure is more common in youth with obesity.
What Can Parents Do
Ask your doctor to measure your childs blood pressure starting at age 3. Helping children keep a healthy weight, eat nutritious foods, and get regular physical activity can lower their blood pressure and reduce their risk for cardiovascular disease later in life. Try these tips to help your child keep a healthy weight and normal blood pressure:
Food and Drinks
- Offer nutritious, lower-calorie foods such as fruits and vegetablesexternal icon in place of foods high in added sugars and solid fats. Try serving more fruits and vegetables at meals and as snacks.
- Provide foods that are low in sodium . Sodium raises blood pressure. Nearly 9 in 10 U.S. children eat more sodium than is recommended. Learn more about sodium.
- Make sure water is always available as a no-calorie alternative to sugary drinks, and limit juice.
- Help your child get the recommended amount of physical activity each day. Choose from many age-appropriate activities.
- Be aware of your childs growth. Learn how obesity is measured in children, and use CDCs Child and Teen BMI Calculator to screen your child for potential weight issues.
- Be a role model! Eat healthy meals and snacks, and get the right amount of physical activity every day.
- Help shape a healthy school environment using CDCs Parents for Healthy Schools resources.
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How Is Hypertension Treated
High blood pressure usually cannot be cured, but it can be controlled with proper treatment. Treatment options including changing diet/exercise habits and medications. However it usually requires lifelong medication for those individuals whose blood pressure is definitely abnormal.
If your clinician prescribes one or more medications for you, it is important that you take them regularly . Controlling high blood pressure can help prevent heart disease, kidney disease and stroke. Discuss any side effects with your health care provider, because many can be prevented by a change in medication dosage or type.
Early Warning Sign: Elevated Blood Pressure
An elevated blood pressure reading means that your blood pressure falls just above the normal level, corresponding to a systolic pressure between 120 and 129 or a diastolic pressure of 80 or less. The new guidelines eliminate the previous category of prehypertension. About one-fourth of Americans have elevated levels and they have two times the risk of heart disease compared with those who have lower blood pressures. Lifestyle changes can help many people with prehypertension lower their blood pressure.
Factors that increase your blood pressure can cause elevated levels. Medications such as birth control pills, cold remedies, decongestants, over-the-counter pain relievers, and some prescription drugs may cause a temporary rise in blood pressure. The buildup of fatty deposits in the arteries can also lead to prehypertension. Other conditions that may lead to prehypertension include the following:
- Obstructive sleep apnea
- Thyroid disease
There are usually no symptoms with elevated blood pressure. The only way to keep track of your blood pressure is to visit your doctor regularly and have your blood pressure checked.
- Losing weight if overweight or obese
- Eating a healthy, low-salt diet
- Exercise regularly
- Quit smoking
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Living With High Blood Pressure
Controlling your high blood pressure is a lifelong commitment. You will always need to monitor your weight, make healthy food choices, exercise, learn to cope with stress, avoid smoking, and limit your alcohol intake. If you need medicine to control your high blood pressure, you will likely need it all your life.
Additionally, you will need to get used to regular blood pressure checks. Your doctor may want you to come to the office regularly. Or you may be asked to check your blood pressure at home and keep track of your numbers for your doctor. Some pharmacies and retail clinics have blood pressure machines on site. You can buy your own, automated arm blood pressure cuff for use at home. Your doctor may want you to check your blood pressure several times a day. Another option is to use an ambulatory blood pressure monitor.
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-fat diet
- 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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Regular Blood Pressure Checks For Over Over 40’s
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.
Blood pressure checks are usually available on request at most GP surgeries and health clinics. Some surgeries have home monitoring devices available, which you may be able to use at the time of blood pressure medication start up or change. Many also have a policy of arranging regular checks for you.
Adults who are over 40 and have not been diagnosed with high blood pressure should have their blood pressure checked at least once every five years. However, your blood pressure should ideally be checked more frequently, particularly if you have any contributory risk factors.
Maintain A Healthy Weight
Being overweight is a risk factor for having high blood pressure, and your risk increases further if you are obese.
There are two ways to check if you are overweight:
- Body Mass Index – This is your weight in kilograms divided by your height in metres squared. In the UK, people with a BMI of between 25 to 30 are overweight, and those with an index above 30 are classed as obese. People with a BMI of 40 or more are morbidly obese.
- Waist size – Using a measuring tape place the tape round your waist between the bottom of your ribs and the top of your hip bone. The table below indicates how much your health might be at risk, your ethnicity should also be taken into account.
|Over 80 cm|
The best way to tackle obesity is by reducing the amount of calories that you eat, and taking regular exercise. Your GP can provide you with further information and advice on how you can do this.
More about having a healthy weight
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