Heart & Blood Pressure
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Blood pressure categories
The five blood pressure ranges as recognized by the American Heart Association are:
Blood pressure numbers of less than 120/80 mm Hg are considered within the normal range. If your results fall into this category, stick with heart-healthy habits like following a balanced diet and getting regular exercise.
Elevated blood pressure is when readings consistently range from 120-129 systolic and less than 80 mm Hg diastolic. People with elevated blood pressure are likely to develop high blood pressure unless steps are taken to control the condition.
Hypertension Stage 1
Hypertension Stage 1 is when blood pressure consistently ranges from 130-139 systolic or 80-89 mm Hg diastolic. At this stage of high blood pressure, doctors are likely to prescribe lifestyle changes and may consider adding blood pressure medication based on your risk of atherosclerotic cardiovascular disease (ASCVD), such as heart attack or stroke.
Hypertension Stage 2
Hypertension Stage 2 is when blood pressure consistently ranges at 140/90 mm Hg or higher. At this stage of high blood pressure, doctors are likely to prescribe a combination of blood pressure medications and lifestyle changes.
This stage of high blood pressure requires medical attention. If your blood pressure readings suddenly exceed 180/120 mm Hg, wait five minutes and then test your blood pressure again. If your readings are still unusually high, contact your doctor immediately. You could be experiencing a hypertensive crisis.
If your blood pressure is higher than 180/120 mm Hg and you are experiencing signs of possible organ damage such as chest pain, shortness of breath, back pain, numbness/weakness, change in vision or difficulty speaking, do not wait to see if your pressure comes down on its own.
Your blood pressure numbers and what they mean
Your blood pressure is recorded as two numbers:
Systolic blood pressure (the first number) – indicates how much pressure your blood is exerting against your artery walls when the heart beats.
Diastolic blood pressure (the second number) – indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats.
Which number is more important?
Typically, more attention is given to systolic blood pressure (the first number) as a major risk factor for cardiovascular disease for people over 50. In most people, systolic blood pressure rises steadily with age due to the increasing stiffness of large arteries, long-term buildup of plaque and an increased incidence of cardiac and vascular disease.
However, either an elevated systolic or an elevated diastolic blood pressure reading may be used to make a diagnosis of high blood pressure. According to recent studies, the risk of death from ischemic heart disease and stroke doubles with every 20 mm Hg systolic or 10 mm Hg diastolic increase among people from age 40 to 89.
Why blood pressure is measured in mm Hg
The abbreviation mm Hg means millimeters of mercury. Mercury was used in the first accurate pressure gauges and is still used in medicine today as the standard unit of measurement for pressure.
Taking your pulse versus checking your blood pressure
While both are indications of health, blood pressure and heart rate (pulse) are two separate measurements. Learn more about the difference between blood pressure and heart rate.
Heart rate and exercise
In discussions about high blood pressure, you will often see heart rate mentioned in relation to exercise. Your target heart rate is based on age and can help you monitor the intensity of your exercise.
- If you measure your heart rate (take your pulse) before, during and after physical activity, you’ll notice it will increase over the course of the exercise.
- The greater the intensity of the exercise, the more your heart rate will increase.
- When you stop exercising, your heart rate does not immediately return to your normal (resting) heart rate.
- The more fit you are, the sooner your heart rate will return to normal.
The exact causes of high blood pressure are often not clear. Your blood pressure may be strongly influenced by:
- family history
- eating patterns, including salty foods
- alcohol intake
- how much physical activity you do.
Some medicines can also raise blood pressure.
You can’t feel high blood pressure. There are usually no warning signs, so you can have it and not know. That’s why it’s important to get it checked.
The best way to know if you have high blood pressure is to have your blood pressure checked by your doctor or health practitioner.
They will take your blood pressure using an inflatable bag (cuff) that goes around your arm. It’s joined to a device that measures the pressure.
Blood pressure can vary at different times of the day. Sometimes it can even go up just because someone is taking it, so it’s important to have an accurate measure of your blood pressure. Talk to your doctor or health practitioner about what your blood pressure level should be.Heart & Blood Pressure
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