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Updated by Umbrella Health Care Systems on Oct 22, 2023
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Visual Guide to High Blood Pressure

High blood pressure is a common condition that affects the body's arteries. It's also called hypertension. If you have high blood pressure, the force of the blood pushing against the artery walls is consistently too high. The heart has to work harder to pump blood.

Blood pressure is measured in millimeters of mercury (mm Hg). In general, hypertension is a blood pressure reading of 130/80 mm Hg or higher.

The American College of Cardiology and the American Heart Association divide blood pressure into four general categories. Ideal blood pressure is categorized as normal.)

Normal blood pressure. Blood pressure is 120/80 mm Hg or lower.
Elevated blood pressure. The top number ranges from 120 to 129 mm Hg and the bottom number is below, not above, 80 mm Hg.
Stage 1 hypertension. The top number ranges from 130 to 139 mm Hg or the bottom number is between 80 and 89 mm Hg.
Stage 2 hypertension. The top number is 140 mm Hg or higher or the bottom number is 90 mm Hg or higher.
Blood pressure higher than 180/120 mm Hg is considered a hypertensive emergency or crisis. Seek emergency medical help for anyone with these blood pressure numbers.

Untreated, high blood pressure increases the risk of heart attack, stroke and other serious health problems. It's important to have your blood pressure checked at least every two years starting at age 18. Some people need more-frequent checks.

Healthy lifestyle habits —such as not smoking, exercising and eating well — can help prevent and treat high blood pressure. Some people need medicine to treat high blood pressure.
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1

What Is Hypertension?

What Is Hypertension?

Hypertension, or high blood pressure, is a common condition. The older you are, the more likely you are to get it. Blood pressure is the force of blood pressing against the walls of your arteries. When it's too high, your heart has to work harder. This can cause serious damage to your arteries. Over time, uncontrolled high blood pressure makes you more likely to get heart disease, stroke, and kidney disease.
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2

Hypertension Symptoms

Hypertension Symptoms

High blood pressure is often called a silent killer because it doesn't always have outward symptoms. That means you could have it for years and not know. It can quietly damage your heart, lungs, blood vessels, brain, and kidneys if it isn't treated. It's a major cause of strokes and heart attacks in the U.S.
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3

Elevated Blood Pressure: A Warning Sign

Elevated Blood Pressure: A Warning Sign

Elevated blood pressure is consistently just above the normal level -- anywhere between 120 and 129 for systolic pressure and less than 80 for diastolic pressure. People in this range are more likely to get heart disease than those with a lower reading. Your doctor may suggest lifestyle changes to help get your numbers down.
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4

Race Plays a Role

Race Plays a Role

African-Americans are more likely to get hypertension -- and at a younger age. Genetic research suggests they're more sensitive to salt. Diet and excess weight make a difference, too.
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5

Medication Might Bring It On

Medication Might Bring It On

Cold and flu medicines with decongestants are one of several classes of medication that can raise blood pressure. Others include NSAID pain relievers, steroids, diet pills, birth control pills, and some antidepressants. If you have high blood pressure, ask your doctor if any drugs or supplements you're taking could affect your readings.
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6

Get More Exercise

Get More Exercise

Regular activity helps lower blood pressure. Adults should get about 150 minutes of moderate-intensity exercise every week. That could include gardening, walking briskly, bicycling, or other aerobic exercise. Add in some muscle strengthening at least 2 days a week. Target all your major muscle groups.
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7

Diuretics Get Rid of Extra Water

Diuretics Get Rid of Extra Water

Also called water pills, they're often the first choice if diet and exercise changes aren't enough. They help your body shed excess sodium and water to lower blood pressure. That means you'll pee more often. Some diuretics may lower the amount of potassium in your body. You might notice more muscle weakness, leg cramps, and fatigue. Others can boost blood sugar in people with diabetes. Erectile dysfunction is a less common side effect.
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8

Beta-Blockers Slow Things Down

Beta-Blockers Slow Things Down

These drugs slow your heart rate, which means your ticker doesn't have to work as hard. They're also used to treat other heart conditions, like an abnormal heart rate, or arrhythmia. Your doctor may prescribe them along with other medications. Side effects can include insomnia, dizziness, fatigue, cold hands and feet, and erectile dysfunction.
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9

Other Medications Can Help

Other Medications Can Help

Vasodilators, alpha blockers, and central agonists also relax blood vessels. Side effects can include dizziness, a fast heartbeat or heart palpitations, headaches, or diarrhea. Your doctor may suggest them if other blood pressure medications don't work well enough or if you have another condition.
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10

Living With High Blood Pressure

Living With High Blood Pressure

Hypertension is often a lifelong condition. It's important to take your medications and continue to monitor your blood pressure. If you keep it under control, you can lower your odds of stroke, heart disease, and kidney failure.
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