How Is High Blood Pressure Diagnosed
To figure out your blood pressure rate, your health care provider takes blood pressure readings at different times. You need more than 1 reading because blood pressure changes depending on what you are doing and varies during the day. For example, your blood pressure can increase when you are nervous or in a hurry.
If your blood pressure is high while with your health care provider but normal otherwise, you may just be nervous. This effect is common. Even people already being treated for high blood pressure go through this.
What matters is what happens to your blood pressure outside your health care providers office. If you have high blood pressure, you should use a home blood pressure monitor. Ask your health care provider how to use the monitor correctly.
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 5 times a week for 30 to 45 minutes each session.
How Can I Control My Blood Pressure
You can often lower your blood pressure by changing your day-to-day habits and by taking medication if needed. Treatment, especially if you have other medical conditions such as diabetes, requires ongoing evaluation and discussions with your doctor.
Lifestyle changes you can make to help prevent and lower high blood pressure:
In addition to recommending lifestyle changes, your doctor will likely prescribe medication to lower your blood pressure to a safe level. Isolated systolic hypertension, the most common form of high blood pressure in older adults, is treated in the same way as regular high blood pressure but may require more than one type of blood pressure medication. You may try several kinds or combinations of medications before finding a plan that works best for you. Medication can control your blood pressure, but it can’t cure it. If your doctor starts you on medication for high blood pressure, you may need to take it long-term.
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Preventing High Blood Pressure
To keep your blood pressure in the normal range, your daily habits are key. These things help:
Donât smoke. Among the many health problems that smoking causes, it raises your blood pressure.
Make physical activity a habit. Most experts recommend at least 30 minutes of moderate-intensity physical activity five or more times a week. Or you could do a harder activity for a shorter period of time per session.
Eat right. Read food labels to see how much sodium is in a serving. Check with your doctor to find out what your daily limit should be. Include a lot of vegetables and fruits, along with whatever else you choose to put on your plate.
Stick to a healthy weight. Extra pounds raise your blood pressure. If youâre not sure what a healthy weight would be for you, ask your doctor.
Get enough sleep. For most adults, thatâs 7-8 hours of sleep per night, on a regular basis.
If you drink alcohol, limit it to no more than one drink a day if youâre a woman and up to two drinks a day if youâre a man.
What Numbers Mean High Blood Pressure What Numbers Mean Normal Blood Pressure
Normal blood pressure is at or under 120 over 80.
In November 2017, blood pressure guidelines were modified. Any blood pressure measurement at or above 130 over 80 is now considered high. And thats what we in the medical community call hypertension. These numbers are down from the old recommendation of 140 over 90.
In the past, many people in the United States were considered prehypertension. The new recommendations get rid of that category, and now almost half of U.S. adults fall into the category of hypertension. That could seem shocking. But patients who are in this category should already be discussing their blood pressure numbers with their primary care doctor. If they arent, now is a good time to connect with their medical provider and come up with a plan for treatment.
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Blood Pressure Is Diagnosed By A Doctor Using A Blood Pressure Machine The Process Includes:
- Being seated in a chair with your back supported
- Putting your feet flat on the floor and supporting your arm at heart level
- Remaining quiet for five minutes and refraining from talking
It is very important to use the proper size cuff when taking a blood pressure reading. Failure to do so will lead to inaccuracies. A cuff that is too small for the arm circumference will give an artificially high reading. A cuff that is too large will give too low a reading. Initially, blood pressure should be measured in each arm to make sure both readings are the same. The arm with the higher readings should then be targeted for all future blood pressure checks.
If your blood pressure readings are high, your doctor may ask that you return for additional measurements on different days because blood pressure can vary widely from day to day.
Your doctor will most likely diagnose you with high blood pressure if you have several readings of 140/90 or higher. If you have readings of 130/80 or higher and are diabetic or have chronic kidney disease, you are likely to be diagnosed with high blood pressure.
What can I do if I am diagnosed with high blood pressure?
Eat healthy food
Make sure your diet emphasizes fruits, vegetables, whole grains, and low-fat dairy foods. An easy tool for planning health meals is the Dietary Approaches to Stop Hypertension diet which can help you reduce your systolic blood pressure by 8-14 mm Hg.
Achieve and Maintain a Healthy Weight
Increase Physical Activity
What Can Cause A Short
It’s normal for blood pressure to go up and down throughout the day. Things like exercise, stress, and sleeping can affect your blood pressure. Some medicines can cause a spike in blood pressure, including certain asthma medicines and cold remedies.
A low blood pressure reading can be caused by many things, including some medicines, a severe allergic reaction, or an infection. Another cause is dehydration, which is when your body loses too much fluid.
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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.
Signs And Symptoms Of Hypertension In The Elderly
There is a big problem we need to mention here. And it involves high blood pressure in the elderly, usually showing no symptoms. As much as one-third of people who have high blood pressure dont know that they have it. Often, the only way to diagnose it is by taking proper blood pressure measurements.
Fortunately, as you know, this is very simple, and it is one of the first things your doctor does when performing a physical exam. Therefore, if you regularly visit your doctors office, high blood pressure wont be left undiagnosed. Its recommended for people over the age of 21 to keep track of their blood pressure, and even more so for seniors.
When it comes to high blood pressure in the elderly, symptoms start to appear only at dangerously high levels. The symptoms of extreme hypertension can include:
- Intense headache
- Pulsating in the chest, neck, or ears
- Blood in the urine
If you have any of these symptoms, you must see a doctor immediately. You could be having a hypertensive crisis that requires urgent treatment because it can lead to a heart attack or stroke.
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What Is High Blood Pressure What Is Normal Blood Pressure
- High blood pressure is defined as high pressure in the arteries, which are the vessels that carry blood from the heart to the rest of the body.
- Blood pressure readings are given as two numbers:
- The systolic blood pressure equals the pressure in the arteries as the heart contracts.
- The diastolic pressure is the pressure in the arteries as the heart relaxes.
Measuring Your Blood Pressure
Healthcare professionals use a stethoscope and a manual sphygmomanometer to measure your blood pressure. Typically they take the reading above your elbow. The sphygmomanometer has a bladder, cuff, bulb, and a gauge. When the bulb is pumped it inflates the bladder inside the cuff, which is wrapped around your arm. This inflation will stop the blood flow in your arteries.
The stethoscope is used to listen for sound of the heartbeat, and no sound indicates that there is no flow. As the pressure is released from the bladder, you will hear the sound of the blood flowing again. That point becomes your blood pressure systolic reading. The diastolic reading is when you hear no sound again, which means that the blood flow is back to normal.
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Prehypertension: A Little Too Much Pressure A Lot Of Trouble
Everyone needs some blood pressure so that blood can get to all of the bodys organs. But how much is enough? How much is too much?
High blood pressure is often called the silent killer, because it usually doesn’t cause symptoms. High blood pressure is also known as hypertension. It points to a higher risk of having heart disease, kidney disease and stroke. Doctors have known for a long time that blood pressure that is too high can cause these problems. But now doctors know that if it is even a little too high, it should be noticed.
When you visit a doctor for your annual checkup, your blood pressure will be taken. Blood pressure is measured by a machine with a band wrapped around your arm. The measure will tell if the blood pressure is normal, low, high, or somewhere in between. It is considered prehypertension when it doesnt quite reach the level of high blood pressure, but it is higher than normal.
Prehypertension can serve as an early warning for patients and doctors. It is a sign of possible changes that could lead to heart disease. The pressure caused by constant prehypertension can change blood vessels and the heart in a damaging way. Prehypertension can also stress the kidneys.
A single blood pressure reading does not predict heart and blood vessel disease . You won’t be diagnosed with hypertension or prehypertension until it is high on several occasions. A blood pressure reading higher than normal will need to be carefully monitored.
How Is Blood Pressure Measured
Blood pressure is measured by a blood pressure cuff . The blood pressure cuff consists of an air pump, a pressure gauge, and a rubber cuff. The instrument measures the blood pressure in units called millimeters of mercury .
The cuff is placed around the upper arm and inflated with an air pump to a pressure that blocks the flow of blood in the main artery that travels through the arm. The arm is held at the side of the body at the level of the heart, and the pressure of the cuff is gradually released. As the pressure decreases, a health practitioner listens with a stethoscope over the artery at the front of the elbow or an electronic machine senses the pulsation. The pressure at which the practitioner first hears a pulsation from the artery is the systolic pressure . As the cuff pressure decreases further, the pressure at which the pulsation finally stops is the diastolic pressure .
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Does High Blood Pressure Increase Heart Rate
Heart rate and blood pressure do not necessarily increase at the same rate. A rising heart rate does not cause your blood pressure to increase at the same rate. Even though your heart is beating more times a minute, healthy blood vessels dilate to allow more blood to flow through more easily. When you exercise, your heart speeds up so more blood can reach your muscles. It may be possible for your heart rate to double safely, while your blood pressure may respond by only increasing a modest amount.
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.
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Normal Vs Abnormal Blood Pressure
According to the AHA, a normal blood pressure reading for adults is a top number below 120 combined with a bottom number under 80 noted as 120/80 millimeters of mercury.
However, physicians start to get concerned when the top number heads north. “Blood pressure is considered ‘mildly elevated’ if it’s between 120 and 129 over less than 80,” says Willie E. Lawrence, Jr., MD, chief of cardiology with Midwest Heart & Vascular Specialists, in Kansas City, Missouri. “We define blood pressure greater than 130 over 80 or more as high blood pressure, or hypertension,” he says. “Once it’s above 130, that’s certainly considered high.”
Specifically, the AHA characterizes a blood pressure of 130 to 139 over 80 to 89 as “Stage 1” high blood pressure. Even more risky is “Stage 2,” which is when a reading is between 140 and 180 over 90 to 120.
“Now, where we get particularly concerned is when the top number is found to be greater than 180,” Dr. Lawrence says. “In truth, there are plenty of people who run around living their life with 180 and feel nothing. They may be asymptomatic. They may have no idea that anything is wrong. But unfortunately for them, in many cases, their first indication that something is very wrong ends up being a heart attack, a stroke or congestive heart failure.”
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Drink Alcohol In Moderation
Drinking excessive amounts of alcohol will increase your blood pressure and raise the cholesterol levels in your blood.
Sticking to the recommended amounts of alcohol consumption is the best way to reduce your risk of developing high blood pressure.
The recommended daily limits of alcohol consumption are:
- 3 to 4 units of alcohol for men
- 2 to 3 units of alcohol for women.
A unit of alcohol is equal to about half a pint of normal-strength lager, a small glass of wine or a pub measure or spirits.
More about drinking alcohol reponsibly
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Medications For High Blood Pressure
There is a large variety of medicines available to lower and manage high blood pressure. Your doctor may call them antihypertensives, .
These medications do not cure high blood pressure, but they do help manage it. Once you start to take medicines to manage your blood pressure, you may need to take them for the rest of your life. However, the dose of these medicines may change over time.
If you need to take medication, your doctor will advise you on the correct type and dose. Two or more different medications are often needed to manage blood pressure.
Make sure you take your medicines regularly. Some things that may help you remember to take them include:
- Building them into your daily routine by taking them at the same time each day.
- Keeping them somewhere that will remind you such as next to your alarm, or with your coffee or tea.
- Using a weekly pill box.
- Asking a family member or friend to remind you.
- Always carrying a list of your medicines and their doses with you.
- Entering a daily alarm in your mobile phone or download an app to remind you.
Take any blood pressure medicine exactly as prescribed. Dont stop or change your medicine, unless your doctor advises you to.
Whats A Normal Reading
For a normal reading, your blood pressure needs to show a top number thats between 90 and less than 120 and a bottom number thats between 60 and less than 80. The American Heart Association considers blood pressure to be within the normal range when both your systolic and diastolic numbers are in these ranges.
Blood pressure readings are expressed in millimeters of mercury. This unit is abbreviated as mm Hg. A normal reading would be any blood pressure below 120/80 mm Hg and above 90/60 mm Hg in an adult.
If youre in the normal range, no medical intervention is needed. However, you should maintain a healthy lifestyle and healthy weight to help prevent hypertension from developing. Regular exercise and healthy eating can also help. You may need to be even more mindful of your lifestyle if hypertension runs in your family.
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