Understanding High Blood Pressure (Hypertension)

A Comprehensive Guide for Patients

Cardiology

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Last updated: Mar 24, 2025

What is Blood Pressure?

Blood pressure is the force of blood pushing against your artery walls as your heart pumps. It's measured using two numbers:

  • Systolic pressure: The top number (when your heart beats)
  • Diastolic pressure: The bottom number (when your heart rests)

Understanding the Numbers

  • Normal: Less than 120/80 mmHg
  • Elevated: 120-129/less than 80 mmHg
  • Stage 1 Hypertension: 130-139/80-89 mmHg
  • Stage 2 Hypertension: 140+/90+ mmHg

Risk Factors

  • Age (over 65)
  • Family history
  • Obesity
  • Sedentary lifestyle
  • High sodium diet
  • Smoking
  • Excessive alcohol consumption
  • Chronic stress

Common Symptoms

Note: Many people have no symptoms

  • Headaches
  • Shortness of breath
  • Nosebleeds
  • Visual changes
  • Dizziness

Treatment Options

Lifestyle Changes

  1. Maintain healthy weight
  2. Regular exercise
  3. Reduce sodium intake
  4. Limit alcohol
  5. Quit smoking

Medications

  • Diuretics
  • ACE inhibitors
  • Beta blockers
  • Calcium channel blockers

Complications if Untreated

  • Heart disease
  • Stroke
  • Kidney damage
  • Vision loss
  • Cognitive decline

Monitoring

  • Regular blood pressure checks
  • Keep a blood pressure diary
  • Follow up with healthcare provider
  • Use proper measuring technique

When to Seek Emergency Care

Seek immediate medical attention if:

  • BP exceeds 180/120 mmHg
  • Severe chest pain
  • Severe headache with confusion
  • Difficulty breathing

Prevention Strategies

  1. Regular exercise (30 minutes daily)
  2. DASH diet
  3. Stress management
  4. Regular health screenings
  5. Medication compliance

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