High blood pressure, or hypertension, is when the force of the blood pushing on the blood vessel walls is too high. When someone has high blood pressure:
After a while, high blood pressure can damage the heart, brain, kidneys, and eyes. Finding and treating high blood pressure early can help people stay healthy, now and in the future..
Blood pressure is the force against blood vessel walls as the heart pumps blood. When the heart squeezes and pushes blood into the vessels, blood pressure goes up. It comes down when the heart relaxes.
Blood pressure changes from minute to minute. It's affected by activity and rest, body temperature, diet, emotions, posture, and medicines.
The most common type of high blood pressure is called primary hypertension. This means that no other medical problem is found that is causing the high blood pressure. Primary hypertension is more common in people who are overweight or obese, and those who have high blood pressure in their family.
When a medical problem is found that is causing high blood pressure, it is called secondary hypertension.
Secondary hypertension often is due to:
Most of the time high blood pressure doesn't cause symptoms. In rare cases, severe high blood pressure can cause headaches, blurry vision, dizziness, nosebleeds, a fluttering or racing heartbeat, and nausea.
If you have high blood pressure and any of these symptoms, get medical care right away.
Health care providers measure blood pressure with a cuff that wraps around the upper arm. When the cuff inflates, it squeezes a large artery, stopping the blood flow for a moment. Blood pressure is measured as air is slowly let out of the cuff, which lets blood flow through the artery again.
Blood pressure is measured in two numbers:
You hear blood pressure reported as the first number "over" the second number, like 120 over 80 or 120/80.
A single reading showing high blood pressure doesn't mean that you have hypertension. Sometimes, blood pressure needs to be checked several times over a period of days or weeks to know if someone has hypertension. Your doctor will probably weigh and measure you. He or she might do urine tests or blood tests to check for other conditions that can cause hypertension.
Some people have what's called "white coat hypertension." This means that their blood pressure goes up when they're at a doctor's office because they're nervous. When they feel more relaxed, their blood pressure usually goes down. To make sure high blood pressure readings aren't caused by anxiety, doctors will sometimes track a person's blood pressure over a whole day. This is called ambulatory blood pressure monitoring.
If high blood pressure is due to a condition like kidney disease or a hormone problem, treating the condition might be enough to get the blood pressure back to normal.
Doctors often recommend lifestyle changes. If you have hypertension, your doctor might want you to:
Eat a healthy diet:
Get regular exercise:
Not smoke. Or if you do smoke, quit:
If diet and exercise changes do not improve the blood pressure, doctors may prescribe medicine.
It's important to follow the advice of your care team. A healthy diet and exercise, taking medicine if needed, and getting regular blood pressure checks can help you stay healthy.
Reviewed by: Larissa Hirsch, MD
Date Reviewed: Feb 15, 2022
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