Disease: Elevated blood pressure
Slightly elevated blood pressure is known as elevated blood pressure. Elevated blood pressure will likely turn into high blood pressure (hypertension) unless you make lifestyle changes, such as getting more exercise and eating healthier foods. Both elevated blood pressure and high blood pressure increase your risk of a heart attack, stroke and heart failure.
A blood pressure reading has two numbers. The first, or upper, number measures the pressure in your arteries when your heart beats (systolic pressure). The second, or lower, number measures the pressure in your arteries between beats (diastolic pressure).
The American Heart Association defines elevated blood pressure as a systolic pressure from 120 to 129 millimeters of mercury (mm Hg) and a diastolic pressure below 80 mm Hg. The American Heart Association previously included a blood pressure category called prehypertension, but that is no longer a category. If elevated blood pressure progresses, it can develop into stage 1 or stage 2 high blood pressure (hypertension).
Weight loss, exercise and other healthy lifestyle changes can often control elevated blood pressure, and set the stage for a lifetime of better health.
Elevated blood pressure doesn't cause symptoms. In fact, severe high blood pressure may not cause symptoms.
The only way to detect elevated blood pressure is to keep track of your blood pressure readings. Have your blood pressure checked at each doctor's visit â or check it yourself at home with a home blood pressure monitoring device.
When to see a doctor
Ask your doctor for a blood pressure reading at least once every two years starting at age 18. If you're age 40 or older, or you're ages 18 to 39 with a high risk of high blood pressure, ask your doctor for a blood pressure reading every year. You may need more-frequent readings if you have elevated blood pressure or other risk factors for cardiovascular disease.
Any factor that increases pressure against the artery walls can lead to elevated blood pressure. Atherosclerosis, which is the buildup of fatty deposits in your arteries, can lead to high blood pressure. Sometimes an underlying condition causes blood pressure to rise. Possible conditions that can lead to elevated blood pressure or high blood pressure include:
- Obstructive sleep apnea
- Kidney disease
- Adrenal disease
- Thyroid disease
Certain medications â including birth control pills, cold remedies, decongestants, over-the-counter pain relievers and some prescription drugs â also may cause blood pressure to temporarily rise. Illegal drugs, such as cocaine and amphetamines, can have the same effect.
Often, however, high blood pressure develops gradually over many years without a specific identifiable cause.
To diagnose elevated blood pressure, you'll have a blood pressure test. Your doctor or a specialist will usually place an inflatable arm cuff around your arm and measure your blood pressure using a pressure-measuring gauge.
A blood pressure reading, given in millimeters of mercury (mm Hg), has two numbers. The first, or upper, number measures the pressure in your arteries when your heart beats (systolic pressure). The second, or lower, number measures the pressure in your arteries between beats (diastolic pressure).
Your blood pressure is considered normal if it's below 120/80 mm Hg. Other blood pressure measurements are categorized as:
- Elevated blood pressure. Elevated blood pressure is a systolic pressure ranging from 120 to 129 mm Hg and a diastolic pressure below 80 mm Hg. Elevated blood pressure tends to get worse over time unless steps are taken to control blood pressure.
- Stage 1 hypertension. Stage 1 hypertension is a systolic pressure ranging from 130 to 139 mm Hg or a diastolic pressure ranging from 80 to 89 mm Hg.
- Stage 2 hypertension. More-severe hypertension, stage 2 hypertension is a systolic pressure of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher.
Because blood pressure tends to fluctuate, a diagnosis of elevated blood pressure is based on the average of two or more blood pressure readings taken on separate occasions in a consistent manner. Your blood pressure generally should be measured in both arms to determine if there is a difference. Your doctor may ask you to record your blood pressure at home and at work to provide additional information.
Your doctor may suggest a 24-hour blood pressure monitoring test called ambulatory blood pressure monitoring. The device used for this test measures your blood pressure at regular intervals over a 24-hour period and provides a more accurate picture of blood pressure changes over an average day and night. However, these devices aren't available in all medical centers, and they're rarely reimbursed.
Elevated blood pressure itself doesn't often have complications. If you have elevated blood pressure, it's likely to worsen and develop into high blood pressure (hypertension). The term "elevated blood pressure" is often used by doctors to signal that it's time to begin making lifestyle changes or, if you have certain conditions such as diabetes, to consider taking medications to stop your blood pressure from rising to definite high blood pressure.
High blood pressure can damage your organs and increase the risk of several conditions including a heart attack, heart failure, stroke, aneurysms and kidney failure.
The same healthy lifestyle changes recommended to treat elevated blood pressure also help prevent high blood pressure. You've heard it before â eat healthy foods, use less salt, exercise regularly, maintain a healthy weight, drink less alcohol and quit smoking. But take the advice to heart. Start adopting healthier habits today.
Lifestyle and home remedies
As your blood pressure increases, so does your risk of cardiovascular disease. That's why it's so important to control elevated blood pressure. The key is a commitment to healthy lifestyle changes.
- Eat healthy foods. Eat a healthy diet. Try the Dietary Approaches to Stop Hypertension (DASH) diet. Choose fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which can help lower blood pressure. Eat less saturated fat and trans fat.
- Maintain a healthy weight. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your blood pressure and lower your risk of related health problems. In general, you may reduce your blood pressure by about 1 mm Hg with each kilogram (about 2.2 pounds) of weight you lose.
Use less salt. Aim to limit sodium to less than 2,300 milligrams (mg) a day or less. However, a lower sodium intake â 1,500 mg a day or less â is ideal for most adults.
While you can reduce the amount of salt you eat by putting down the saltshaker, you usually should also pay attention to the amount of salt that's in the processed foods you eat, such as canned soups or frozen dinners.
Increase physical activity. Regular physical activity can help lower your blood pressure, manage stress, reduce your risk of other health problems and keep your weight under control.
For most healthy adults, the Department of Health and Human Services recommends that you get at least 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic activity, or a combination or moderate and vigorous activity. Aim to do muscle-strengthening exercises at least two days a week.
- Limit alcohol. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women, and up to two drinks a day for men. One drink equals 12 ounces of beer, 5 ounces of wine or 1.5 ounces of 80-proof liquor.
- Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. If you smoke, ask your doctor to help you quit.
- Manage stress. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too.
Risk factors for elevated blood pressure include:
- Being overweight or obese. A primary risk factor is being overweight. The greater your body mass, the more blood you need to supply oxygen and nutrients to your tissues. As the volume of blood circulated through your blood vessels increases, so does the force on your artery walls.
- Age. Younger adults are more likely to have elevated blood pressure than are older adults. Many older adults have progressed to high blood pressure, and the risk of high blood pressure increases as you age.
- Sex. Elevated blood pressure is more common in men than in women. Through about age 64, high blood pressure is more common in men. Women are more likely to develop high blood pressure after age 65.
- Race. High blood pressure is particularly common among people of African heritage, often developing at an earlier age than it does in white people.
- Family history of high blood pressure. High blood pressure tends to run in families. If a first-degree relative, such as a parent or sibling, has high blood pressure, you're more likely to develop the condition.
- Not being physically active. Not exercising can increase your risk of high blood pressure and increase your risk of being overweight.
- Diet high in salt (sodium) or low in potassium. Sodium and potassium are two key nutrients in the way your body regulates your blood pressure. If you have too much sodium or too little potassium in your diet, you're more likely to have high blood pressure.
- Tobacco use. Smoking cigarettes, chewing tobacco or even being around other people who are smoking (secondhand smoke) can increase your blood pressure.
- Drinking too much alcohol. Drinking more than two drinks a day if you're a man or more than one drink a day if you're a woman can increase your blood pressure. One drink equals 12 ounces of beer, 5 ounces of wine or 1.5 ounces of 80-proof liquor.
- Certain chronic conditions. Certain chronic conditions â including kidney disease, diabetes and sleep apnea â may increase the risk of elevated blood pressure.
Although elevated blood pressure and high blood pressure are most common in adults, children may be at risk, too. For some children, high blood pressure is caused by problems with the kidneys or heart. But for a growing number of kids, poor lifestyle habits, such as an unhealthy diet, obesity and lack of exercise, contribute to elevated blood pressure and high blood pressure.
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