High Blood Pressure – Understanding the Silent Killer (2024)

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 pressureMechanism 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 blockersrelax blood vessels and slow heart rate to improve blood flow and lower blood pressure.
Calcium channel blockerrelax the blood vessels so that the heart does not have to pump as hard.
Peripherally acting alpha-adrenergic blockersrelax the blood vessels so that blood can flow more easily through the body.
Angiotensie II-receptorblokkereblock the action of certain natural substances that constrict blood vessels, allowing blood to flow more smoothly and the heart to pump more efficiently.
Vasodilatorrelax the blood vessels so that blood can flow more easily through the body.
Centrally acting alpha-adrenergicsslow down the heart rate and relax the blood vessels so that blood can flow more easily through the body.
Renin inhibitorsreduce 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 medicinecombining 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

  • High blood pressure medications and you: Infographic

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High Blood Pressure – Understanding the Silent Killer (2024)

FAQs

High Blood Pressure – Understanding the Silent Killer? ›

Medical professionals call high blood pressure, also known as hypertension, the silent killer because it can go undetected for a long period of time and leads to death. Most people who have high blood pressure do not have any symptoms; testing is the only way to determine if someone has it.

Why is high blood pressure considered the silent killer? ›

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 it may show no symptoms, high blood pressure puts you at an increased risk for heart disease, heart failure, and stroke, among other things.

What are the silent symptoms of high blood pressure? ›

Symptoms. Most people with hypertension don't feel any symptoms. Very high blood pressures can cause headaches, blurred vision, chest pain and other symptoms. Checking your blood pressure is the best way to know if you have high blood pressure.

Which condition is consistently elevated blood pressure and known as silent killer? ›

Hypertension, also known as high or raised blood pressure, is a condition in which the blood vessels have persistently raised pressure. Blood is carried from the heart to all parts of the body in the vessels. Each time the heart beats, it pumps blood into the vessels.

Is high blood pressure the number 1 killer? ›

Hypertension is the number one risk factor for death globally, affecting more than 1 billion people. It accounts for about half of all heart disease and stroke-related deaths worldwide. Hypertension does not cause any symptoms on its own, which is why it's often referred to as “the silent killer”.

How bad is 160 over 80 blood pressure? ›

A blood pressure of 140/90 mmHg or higher indicates high blood pressure (hypertension). When systolic and diastolic blood pressures fall into different categories, the higher category should be used to classify blood pressure level. For example, 160/80 mmHg would be stage 2 hypertension (high blood pressure).

Is 140-90 BP normal for 50 years? ›

In people aged over 50 years high systolic blood pressure (above 140 mm Hg) is considered a greater risk factor for cardiovascular disease than high diastolic blood pressure.

How to bring down blood pressure quickly? ›

Tricks to Lower Blood Pressure Instantly
  1. Meditate or focus on deep breathing. Meditation and breathing exercises can help you relax, which slows your heart rate and lowers your blood pressure.
  2. Reduce your stress levels. ...
  3. Take a warm bath or shower.

Can you feel if your blood pressure is too high? ›

This is because most of the time, there are none. Myth: People with high blood pressure will experience symptoms, like nervousness, sweating, difficulty sleeping or facial flushing. Truth: High blood pressure is a largely symptomless “silent killer.”

How to bring down BP naturally? ›

Natural Ways to Lower Blood Pressure
  1. Balance nutrients. Go for less sodium (under 1,500 mg per day) and more potassium. ...
  2. Put probiotics on your side. Eating food that contains probiotics—consumable live bacteria—has been linked to healthier blood pressure. ...
  3. Lose even a little weight. ...
  4. Move more. ...
  5. Relieve stress.

How high can blood pressure go before it kills you? ›

Key takeaways: Untreated high blood pressure can lead to heart disease, stroke, and even death. You may have life-threatening complications if your blood pressure is higher than 180/120 mmHg. Staying active, limiting your salt intake, and taking all medications as prescribed can help you lower your blood pressure.

How long can you have high blood pressure before it causes damage? ›

In other words, once blood pressure rises above normal, subtle but harmful brain changes can occur rather quickly—perhaps within a year or two. And those changes may be hard to reverse, even if blood pressure is nudged back into the normal range with treatment.

What are four worst blood pressure drugs? ›

5 of the worst blood pressure medications
  1. Beta blockers. Usually, beta blockers aren't used as first-choice therapies to lower blood pressure. ...
  2. Loop diuretics. Furosemide (Lasix) is a type of diuretic (water pill) known as a loop diuretic. ...
  3. Alpha blockers. ...
  4. Vasodilators. ...
  5. Alpha-2 agonists.
Feb 14, 2024

What is stroke level blood pressure? ›

Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.

What should I do if my BP is 140-90? ›

If your blood pressure is moderately high (140/90mmHg or higher), or your GP feels that your risk of developing cardiovascular disease in the next 10 years is more than one in five, then you will be advised about changing your lifestyle and may also be prescribed medication.

Should I be worried if my blood pressure is 150/100? ›

Doctors are generally concerned when levels are consistently greater than 140/90, as this is the level above which blood pressure starts significantly contributing to the long term risk of increased cardiovascular problems (strokes and heart attacks).

Is it possible to live long with high blood pressure? ›

It's important to remember that high blood pressure is not usually a death sentence. As long as you're regularly working with your doctor on treatment and managing your blood pressure levels, you will likely live a long life. This includes making significant changes to your health and lifestyle for the better.

How high can blood pressure go before a stroke? ›

Extremely high blood pressure can damage blood vessels and weaken arteries in the brain, increasing the risk of stroke. Blood pressure readings above 180/120 mmHg are considered stroke-level, dangerously high, and require immediate medical attention.

What is the main cause of high blood pressure? ›

What causes high blood pressure? High blood pressure usually develops over time. It can happen because of unhealthy lifestyle choices, such as not getting enough regular physical activity. Certain health conditions, such as diabetes and having obesity, can also increase the risk for developing high blood pressure.

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