Then Well Be Back on Again at 130

Blood pressure is a measurement of the force exerted against the walls of your arteries every bit your heart pumps blood to your body. Hypertension is the term used to depict high blood pressure.

Untreated high blood pressure can lead to many medical problems. These include heart affliction, stroke, kidney failure, middle problems, and other health bug.

Blood pressure readings are given as two numbers. The top number is called systolic blood force per unit area. The bottom number is called diastolic claret pressure. For example, 120 over 80 (written every bit 120/80 mm Hg).

One or both of these numbers can exist too loftier. (Note: These numbers use to people who are not taking medicines for claret force per unit area and who are not sick.)

• Normal blood pressure level is when your claret pressure is lower than 120/80 mm Hg most of the fourth dimension.
• High claret pressure (hypertension) is when one or both of your claret pressure readings are higher than 130/80 mm Hg near of the fourth dimension.
• If the meridian blood pressure number is between 120 and 130 mm Hg, and the bottom blood pressure level number is less than 80 mm Hg, it is called elevated blood pressure.

If you accept heart or kidney problems, or you had a stroke, your medico may want your blood pressure to be even lower than that of people who practice not have these atmospheric condition.

Many factors can touch blood pressure, including:

• The amount of water and common salt you have in your body
• The condition of your kidneys, nervous system, or blood vessels
• Your hormone levels

You are more likely to be told your blood pressure is also loftier every bit you get older. This is because your blood vessels get stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your take chances of having a stroke, heart attack, centre failure, kidney disease, or early decease.

Yous take a higher risk of high blood pressure level if yous:

• Are African American
• Are obese
• Are oft stressed or anxious
• Drink too much booze (more than 1 drinkable per twenty-four hours for women and more 2 drinks per day for men)
• Eat likewise much salt
• Have a family history of loftier blood pressure
• Have diabetes
• Smoke

Most of the time, no cause of high blood pressure level is found. This is called essential hypertension.

High blood pressure that is caused past another medical condition or medicine y'all are taking is chosen secondary hypertension. Secondary hypertension may be due to:

• Chronic kidney disease
• Disorders of the adrenal gland (such as pheochromocytoma or Cushing syndrome)
• Hyperparathyroidism
• Pregnancy or preeclampsia
• Medicines such every bit birth control pills, diet pills, some cold medicines, migraine medicines, corticosteroids, some antipsychotics, and sure medicines used to care for cancer
• Narrowed avenue that supplies blood to the kidney (renal avenue stenosis)
• Obstructive slumber apnea (OSA)

Nigh of the time, there are no symptoms. For near people, high blood force per unit area is found when they visit their wellness care provider or have it checked elsewhere.

Because there are no symptoms, people tin develop centre illness and kidney bug without knowing they take high claret pressure.

Malignant hypertension is a dangerous form of very high blood force per unit area. Symptoms may include:

• Severe headache
• Nausea and vomiting
• Confusion
• Vision changes
• Nosebleeds

Diagnosing high blood pressure early can aid preclude heart disease, stroke, eye problems, and chronic kidney disease.

Your provider will measure out your blood pressure many times before diagnosing you lot with loftier claret pressure. It is normal for your blood pressure to be different based on the time of twenty-four hour period.

All adults over the age of 18 should accept their blood pressure checked every twelvemonth. More frequent measurements may exist needed for those with a history of high blood force per unit area readings or those with adventure factors for loftier blood pressure.

Blood pressure readings taken at dwelling may be a better measure of your electric current blood pressure than those taken at your provider'due south office.

• Make sure you get a good quality, well-plumbing fixtures dwelling house blood pressure monitor. It should accept a properly sized cuff and a digital readout.
• Do with your provider to make certain yous are taking your claret pressure correctly.
• You should exist relaxed and seated for several minutes prior to taking a reading.
• Bring your home monitor to your appointments and so your provider can make sure it is working correctly.

Your provider volition do a physical exam to look for signs of heart disease, harm to the eyes, and other changes in your body.

Tests may besides be done to look for:

• High cholesterol level
• Heart illness, using tests such equally an echocardiogram or electrocardiogram
• Kidney illness, using tests such as a bones metabolic panel and urinalysis or ultrasound of the kidneys

The goal of treatment is to reduce your blood pressure so that yous have a lower run a risk of health problems acquired by loftier claret pressure. You and your provider should set a blood pressure goal for you lot.

Whenever thinking about the all-time treatment for high claret pressure, y'all and your provider must consider other factors such equally:

• Your age
• The medicines yous take
• Your risk of side effects from possible medications
• Other medical conditions you may take, such as a history of heart affliction, stroke, kidney bug, or diabetes

If your blood pressure is between 120/80 and 130/eighty mm Hg, you take elevated blood force per unit area.

• Your provider will recommend lifestyle changes to bring your blood pressure down to a normal range.
• Medicines are rarely used at this phase.

If your blood pressure is higher than 130/80, but lower than 140/xc mm Hg, you have Stage 1 high blood pressure. When thinking nearly the all-time handling, y'all and your provider must consider:

• If you take no other diseases or risk factors, your provider may recommend lifestyle changes and repeat the measurements after a few months.
• If your claret force per unit area remains above 130/fourscore, simply lower than 140/ninety mm Hg, your provider may recommend medicines to treat high claret force per unit area.
• If you have other diseases or chance factors, your provider may be more likely to start medicines at the same time as lifestyle changes.

If your blood force per unit area is higher than 140/90 mm Hg, you have Stage 2 high blood pressure. Your provider will most likely offset you on medicines and recommend lifestyle changes.

Before making a last diagnosis of either elevated blood pressure or high blood force per unit area, your provider should enquire you to have your blood pressure measured at home, at your pharmacy, or somewhere else besides their role or a hospital.

LIFESTYLE CHANGES

You tin can do many things to help control your blood pressure, including:

• Eat a heart-healthy diet, including potassium and fiber.
• Drink plenty of water.
• Get at to the lowest degree 40 minutes of moderate to vigorous aerobic do at least 3 to four days a week.
• If you fume, quit.
• Limit how much alcohol you drink to 1 drinkable a solar day for women, and 2 a 24-hour interval for men or less.
• Limit the amount of sodium (table salt) you eat. Aim for less than 1,500 mg per day.
• Reduce stress. Try to avoid things that crusade you stress, and try meditation or yoga to de-stress.
• Stay at a healthy body weight.

Your provider can help you lot notice programs for losing weight, stopping smoking, and exercising.

You tin can also go a referral to a dietitian, who tin help yous plan a diet that is healthy for yous.

How low your claret pressure should be and at what level you demand to start handling is individualized, based on your age and whatever medical issues you have.

MEDICINES FOR HYPERTENSION

Most of the time, your provider will try lifestyle changes first, and bank check your claret pressure level ii or more than times. Medicines will likely be started if your claret pressure level readings remain at or above these levels:

• Height number (systolic pressure) of 130 or more than
• Bottom number (diastolic force per unit area) of eighty or more

If you accept diabetes, middle problems, or a history of a stroke, medicines may exist started at lower blood pressure level reading. The most ordinarily used claret pressure targets for people with these medical issues are below 120 to 130/eighty mm Hg.

At that place are many different medicines to treat loftier claret pressure.

• Often, a single claret pressure drug may not be enough to command your blood pressure, and you may demand to take 2 or more drugs.
• It is very important that y'all take the medicines prescribed to you.
• If you have side effects, your medico tin can substitute a unlike medicine.

Most of the fourth dimension, high claret pressure can be controlled with medicine and lifestyle changes.

When blood force per unit area is not well-controlled, y'all are at risk for:

• Bleeding from the aorta, the large blood vessel that supplies blood to the abdomen, pelvis, and legs
• Chronic kidney disease
• Heart attack and center failure
• Poor claret supply to the legs
• Problems with your vision
• Stroke

If you have loftier blood force per unit area, you will have regular checkups with your provider.

Even if you accept not been diagnosed with loftier blood force per unit area, it is of import to have your blood pressure checked during your regular check-up, especially if someone in your family unit has or had high blood pressure level.

Call your provider right away if home monitoring shows that your blood pressure is still loftier.

Most people tin can forestall high blood force per unit area from occurring by following lifestyle changes designed to bring blood force per unit area downwardly.

American Diabetes Association. x. Cardiovascular Disease and Take chances Direction: Standards of Medical Care in Diabetes-2021. Diabetes Intendance. 44(Suppl one):S125-S150. PMID: 33298421 pubmed.ncbi.nlm.nih.gov/33298421/.

Arnett DK, Blumenthal RS, Albert MA, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American Higher of Cardiology/American Heart Clan Task Strength on Clinical Practice Guidelines. Circulation. 2019;140(11);e596-e646. PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.

Victor RG. Systemic hypertension: mechanisms and diagnosis. In: Zipes DP, Libby P, Bonow RO, Isle of man DL, Tomaselli GF, Braunwald East, eds. Braunwald'due south Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 46.

Victor RG, Libby P. Systemic hypertension: management. In: Zipes DP, Libby P, Bonow RO, Isle of mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 47.

Weber MA, Schiffrin EL, White WB, et al. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Club of Hypertension and the International Order of Hypertension. J Clin Hypertens (Greenwich). 2014;16(1):14-26. PMID: 24341872 pubmed.ncbi.nlm.nih.gov/24341872/.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and direction of high blood pressure in adults: a report of the American College of Cardiology/American Eye Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71(xix):e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535.

Xie X, Atkins Due east, Lv J, et al. Effects of intensive blood pressure level lowering on cardiovascular and renal outcomes: updated systematic review and meta-analysis. Lancet. 2016;387(10017):435-443. PMID: 26559744 pubmed.ncbi.nlm.nih.gov/26559744/.

Updated past: Michael A. Chen, Doctor, PhD, Associate Professor of Medicine, Partitioning of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Internal review and update on 06/03/2021 by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Manager, and the A.D.A.M. Editorial team.

raubcontich.blogspot.com

Source: https://medlineplus.gov/ency/article/000468.htm

Share this post