Who, what, why and how of high blood pressure
Who suffers from high blood pressure?
About 1 in 3, more than 100 million, American adults have high blood pressure. But only half of these people have their condition under control. Many people develop high blood pressure in their late 30s or early 40s, and this becomes more common as people get older. But as a result of the obesity epidemic, more and more children are also developing high blood pressure.
What is high blood pressure?
Blood pressure is defined as the force with which blood pushes against the walls of the arteries as the heart pumps blood. High blood pressure – also called hypertension – is a disease in which the blood flows through the blood vessels (arteries) at a higher pressure than normal.
Blood pressure is measured with two numbers. The first or top number is the pressure in your blood vessels when your heart beats, called the systolic pressure. The systolic pressure is the higher of the two numbers. The second or bottom number measures the force of blood in your arteries while your heart is relaxed between beats. The bottom number is the lower of the two and is called the diastolic pressure.
Normal pressure is 120/80 or lower. Your blood pressure is considered high (stage 1) if it is 130/80. Stage 2 high blood pressure is 140/90 or higher. If you get a blood pressure of 180/110 or higher more than once, seek immediate medical attention. Such a high value is considered a 'hypertensive crisis'.
Readings between 120/80 and 129/89 are considered pre-hypertension. People with pre-hypertension do not have blood pressure as low as it should be, but they are not yet considered to have high blood pressure.
Why is it important to know if you have high blood pressure?
Early detection of high blood pressure is very important. Often referred to as 'the silent killer' because high blood pressure may have no symptoms, it puts you at increased risk for heart disease, heart failure and stroke, among other things. According to the Centers for Disease Control and Prevention, high blood pressure was a primary or contributing cause in more than 360,000 deaths in the United States in 2013.
How can you control your high blood pressure?
Treating high blood pressure often starts with lifestyle changes, including reducing the salt in your diet, losing weight if necessary, quitting smoking, drinking less alcohol, and exercising regularly.
In addition to lifestyle changes, medications are often used to lower blood pressure. There are several types of medications that treat high blood pressure, and each type of medication has benefits and risks that should be carefully weighed by you and your healthcare provider. Most people take more than one medication to bring their blood pressure to the treatment goal.
Your blood pressure medication should start working within a few days. However, because high blood pressure is a long-term medical condition that often causes few or no symptoms, remembering to take your medications can be challenging. Combination medications, long-acting or once-daily medications, can be used to reduce the burden of taking multiple medications and ensure that medications are taken regularly. Once started, the medication should be used until your doctor tells you to stop.
Types of medications for high blood pressure | Mechanism of action |
---|---|
Angiotensine-converterende enzymremmers | reduce certain chemicals that constrict blood vessels so that blood flows more smoothly and the heart can pump blood more efficiently. |
Beta blockers | relax blood vessels and slow heart rate to improve blood flow and lower blood pressure. |
Calcium channel blocker | relax the blood vessels so that the heart does not have to pump as hard. |
Peripherally acting alpha-adrenergic blockers | relax the blood vessels so that blood can flow more easily through the body. |
Angiotensie II-receptorblokkere | block the action of certain natural substances that constrict blood vessels, allowing blood to flow more smoothly and the heart to pump more efficiently. |
Vasodilator | relax the blood vessels so that blood can flow more easily through the body. |
Centrally acting alpha-adrenergics | slow down the heart rate and relax the blood vessels so that blood can flow more easily through the body. |
Renin inhibitors | reduce certain natural chemicals that constrict blood vessels, so that the blood vessels relax and the heart can pump blood more efficiently. |
Diuretics (also called 'water pills') | works in the kidneys to rid the body of unnecessary water and salt in the urine. |
Combination medicine | combining two (or more) different types of approved blood pressure medications into a single dose. |
Keeping your blood pressure under control should be part of a healthy lifestyle and a lifelong task. The damage that high blood pressure causes to your internal organs does not cause any symptoms until serious damage has occurred.
By taking charge of your health, you can help control the silent killer. It's about knowing who, what, why and how!
Related information
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