You Can Take Steps To Prevent High Blood Pressure
“The good news is that high blood pressure is avoidable,” says Dr. Patel. “The keys to preventing high blood pressure are to focus on making healthy lifestyle choices and avoiding the habits and behaviors known to be unhealthy.”
High blood pressure prevention tips include:
- Regularly monitoring your blood pressure
- Maintaining a healthy weight and losing weight if you are overweight
- Eating a well-balanced diet that limits highly processed foods
- Limiting your salt intake
- Getting 150 minutes of physical activity per week
- Limiting alcohol
- Quitting smoking
- Having regular checkups with your primary-care physician
“If you already have high blood pressure, the steps above become even more immediately important for you since they also help manage your blood pressure,” recommends Dr. Patel. “Getting high blood pressure under control helps prevent it from progressing, and working with a preventive cardiologist can help you achieve the close monitoring needed to reach your blood pressure goals.”
Next Steps:
- The Cardiovascular Prevention & Wellness Program at Houston Methodist offers preventive cardiology services, including high blood pressure management. Our team can help you understand which healthy lifestyle practices and personalized medications can help reduce and manage your blood pressure.
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.
How Can I Be More Active
- Check first with your healthcare provider before increasing your physical activity. Ask your provider what type and amount of exercise is right for you.
- Choose aerobic activities such as walking, biking or swimming.
- Start slowly and increase activity gradually. Aim for a regular routine of activity five times a week for 30 to 45 minutes each session.
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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.
| Sex | |
| 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.
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Monitor Your Blood Pressure Regularly
The best way to prevent complications and avoid problems is to recognize hypertension early.
Keep a log of your blood pressure readings and take it to your regular doctor appointments. This can help your doctor see any possible problems before the condition advances.
People with hypertension can deliver healthy babies despite having the condition. But it can be dangerous to both the birthing parent and baby if its not monitored closely and managed during the pregnancy.
People with high blood pressure who become pregnant are more likely to develop complications . For example, pregnant women with hypertension may experience decreased kidney function. Babies born to birthing parents with hypertension may have a low birth weight or be born prematurely.
Some people may develop hypertension during their pregnancies. Several types of high blood pressure problems can develop. The condition often reverses itself once the baby is born. Developing hypertension during pregnancy may increase your risk for developing hypertension later in life.
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What Are Common Symptoms Of Hypertension
Hypertension is called a “silent killer”. Most people with hypertension are unaware of the problem because it may have no warning signs or symptoms. For this reason, it is essential that blood pressure is measured regularly.
When symptoms do occur, they can include early morning headaches, nosebleeds, irregular heart rhythms, vision changes, and buzzing in the ears. Severe hypertension can cause fatigue, nausea, vomiting, confusion, anxiety, chest pain, and muscle tremors.
The only way to detect hypertension is to have a health professional measure blood pressure. Having blood pressure measured is quick and painless. Although individuals can measure their own blood pressure using automated devices, an evaluation by a health professional is important for assessment of risk and associated conditions.
Research And Statistics: How Many People Have High Blood Pressure
Hypertension is a very common condition, in developing countries as well as industrialized nations.
High blood pressure is more common in men than women, the CDC reports. About 50 percent of men in the United States have high blood pressure, compared with 44 percent of women.
Only 1 in 4 Americans with hypertension have the condition under control.
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What Do Blood Pressure Numbers Mean
Blood pressure is measured using two numbers:
The first number, called systolic blood pressure, measures the pressure in your arteries when your heart beats.
The second number, called diastolic blood pressure, measures the pressure in your arteries when your heart rests between beats.
If the measurement reads 120 systolic and 80 diastolic, you would say, 120 over 80, or write, 120/80 mmHg.
Causes Of High Blood Pressure
Although the exact cause is unknown, certain conditions, traits or habits may raise your risk for the condition. These are known as risk factors and include:
Non-modifiable risk factors: These factors are irreversible and cannot be changed. The more of these risk factors you have, the greater your chance of developing HBP.
- Starting at age 18, ask your doctor for a blood pressure reading at least every two years. If you’re age 40 or older, or you’re 18 to 39 with a high risk of high blood pressure, ask your doctor for a blood pressure reading every year.
- Family history/Genetics
- African Americans and non-white Hispanic Americans are at higher risk for developing high blood pressure than any other group in the U.S.
Modifiable risk factors: These factors can be modified, treated or controlled through medications or lifestyle changes.
- Excessive alcohol consumption over many years.
- Little to no physical activity
- Excessive amounts of salt in diet that excess the recommended amounts of 1,500 to 2,300 mg of sodium per day.
- Long history of smoking and/or drug abuse
- Extreme emotional stress
Other conditions that contribute to developing high blood pressure
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Diagnosing High Blood Pressure
Diagnosing hypertension is as simple as taking a blood pressure reading. Most doctors offices check blood pressure as part of a routine visit. If you dont receive a blood pressure reading at your next appointment, request one.
If your blood pressure is elevated, your doctor may request you have more readings over the course of a few days or weeks. A hypertension diagnosis is rarely given after just one reading.
Your doctor needs to see evidence of a sustained problem. Thats because your environment can contribute to increased blood pressure, like the stress you may feel by being at the doctors office. Also, blood pressure levels change throughout the day.
If your blood pressure remains high, your doctor will likely conduct more tests to rule out underlying conditions. These tests can include:
- cholesterol screening and other blood tests
- test of your hearts electrical activity with an electrocardiogram
- ultrasound of your heart or kidneys
- home blood pressure monitor to monitor your blood pressure over a 24-hour period at home
These tests can help your doctor identify any secondary issues causing your elevated blood pressure. They can also look at the effects high blood pressure may have had on your organs.
During this time, your doctor may begin treating your hypertension. Early treatment may reduce your risk of lasting damage.
About High Blood Pressure
High blood pressure, also known as hypertension, is usually defined as having a sustained blood pressure of 140/90mmHg or above.
The line between normal and raised blood pressure is not fixed and depends on your individual circumstances. However, most doctors agree that the ideal blood pressure for a physically healthy person is around 120/80mmHg.
A normal blood pressure reading is classed as less than 130/80mmHg.
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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.
Secondary Hypertension Treatment Options
If your doctor discovers an underlying issue causing your hypertension, treatment will focus on that other condition. For example, if a medication youve started taking is causing increased blood pressure, your doctor will try other medications that dont have this side effect.
Sometimes, hypertension is persistent despite treatment for the underlying cause. In this case, your doctor may work with you to develop lifestyle changes and prescribe medications to help reduce your blood pressure.
Treatment plans for hypertension often evolve. What worked at first may become less useful over time. Your doctor will continue to work with you to refine your treatment.
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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.
What Are The Symptoms Of High Blood Pressure In Women
Blood pressure is the force of blood pushing against the inside lining of the arteries. High blood pressure, or hypertension, occurs when that force increases and stays higher than normal for a period. This condition can damage the blood vessels, heart, brain, and other organs.
Hypertension is often considered a mens health problem, but thats a myth. The in their 40s, 50s, and 60s. Gender doesnt usually impact the risk greatly, but the onset of menopause slightly raises the risk of developing high blood pressure.
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How Do I Know If I Have High Blood Pressure
Theres only one way to know if you have high blood pressure: Have a doctor or other health professional measure it. Measuring your blood pressure is quick and painless.
Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure monitoring.
High blood pressure is called the silent killer because it usually has no warning signs or symptoms, and many people do not know they have it.
Secondary High Blood Pressure
Some cases of high blood pressure are the result of underlying factors or cause and this is known as secondary high blood pressure.
Underlying factors include:
- kidney conditions, such as a kidney infection, or kidney disease
- narrowing of the arteries
- hormonal conditions, such as Cushing’s syndrome
- conditions that affect the bodys tissue, such as lupus
- medication, such as the oral contraceptive pill, or the type of painkillers that are known as nonsteroidal anti-inflammatory drugs , such as ibuprofen
- recreational drugs, such as cocaine, amphetamines and crystal meth
Occasionally, a rise in blood pressure can result from taking herbal remedies, such as herbal supplements.
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How Can You Reduce Your Risk Of High Blood Pressure
Fortunately, there are certain things you can do to help reduce your risk of developing high blood pressure. These include the following:
- Eat right: A healthy diet is an important step in keeping your blood pressure normal. The DASH diet emphasizes adding fruits, vegetables and whole grains to your diet while reducing the amount of sodium. Since its rich in fruits and vegetables, which are naturally lower in sodium than many other foods, the DASH diet makes it easier to eat less salt and sodium.
- Keep a healthy weight: Going hand-in-hand with a proper diet is keeping a healthy weight. Since being overweight increases your blood pressure, losing excess weight with diet and exercise will help lower your blood pressure to healthier levels.
- Cut down on salt: The recommendation for salt in your diet is to have less than 1,500 milligrams of sodium a day . To prevent hypertension, you should keep your salt intake below this level. Don’t forget that most restaurant foods and many processed and frozen foods contain high levels of salt. Use herbs and spices that do not contain salt in recipes to flavor your food do not add salt at the table.
- Keep active: Even simple physical activities, such as walking, can lower your blood pressure .
- Drinkalcoholin moderation: Having more than one drink a day and two drinks a day can raise blood pressure.
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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How To Lower High Blood Pressure Naturally
Taking antihypertensive medication is one way to lower your blood pressure, but not everybody likes taking drugs all the time. There are ways to control or reduce blood pressure without taking medication, such as:
- Exercise regularly
- Cut out added sugar and refined foods
- Practise deep breathing and yoga
- Get enough sleep
What Are The Signs & Symptoms Of High Blood Pressure
Most of the time high blood pressure doesn’t cause symptoms. In rare cases, severe high blood pressure can cause headaches, blurry vision, dizziness, nosebleeds, a fluttering or racing heartbeat, and nausea.
If your child has high blood pressure and gets any of these symptoms, get medical care right away.
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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 .
Blood Spots In The Eyes
Image by Alexandre Debieve on Unsplash
This is another warning sign of high blood pressure that must not be ignored. Blood spots occur as red spots in the eye. Such red spots are also called subconjunctival haemorrhages. A subconjunctival haemorrhage occurs when tiny blood vessels under the conjunctiva break, causing blood to be trapped.
In the case of hypertension, subconjunctival haemorrhage occurs when too much pressure on the tiny arterial walls stretches the arteries’ tissues, causing them to damage and break. The arteries and optical nerves of the eyes might get damaged if left untreated.
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What Are The Complications Of Uncontrolled Hypertension
- Chest pain, also called angina.
- Heart attack, which occurs when the blood supply to the heart is blocked and heart muscle cells die from lack of oxygen. The longer the blood flow is blocked, the greater the damage to the heart.
- Heart failure, which occurs when the heart cannot pump enough blood and oxygen to other vital body organs.
- Irregular heart beat which can lead to a sudden death.
How Common Is High Blood Pressure
High blood pressure is a common condition, it is estimated that 18% of adult men and 13% of adult women have high blood pressure but are not getting treatment for it.
In 90-95% of cases, there is no single identifiable reason for a rise in blood pressure. But all available evidence shows that lifestyle plays a significant role in regulating your blood pressure.
Risk factors for high blood pressure include:
- being overweight
- excessive alcohol consumption.
Also, for reasons not fully understood, people of Afro-Caribbean and South Asian origin are more likely to develop high blood pressure than other ethnic groups.
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