What is hypertension?

Blood travels away from the heart through special blood vessels, called arteries, to all parts of the body. The pressure of the blood against the walls of the arteries as the heart pumps is what is measured. The blood pressure measurement has two numbers: a top one, and a bottom one. The top number (systolic) is the pressure when the heart pumps blood out. The bottom number (diastolic) is the pressure when the heart relaxes before the next beat.

When blood pressure is high, the condition is called hypertension. If left untreated, it can damage the blood vessels that carry blood throughout the body. The smaller blood vessels are the ones usually affected first. Kidneys have small blood vessels that can become damaged by high blood pressure. This can lead to chronic kidney disease (CKD). Because one of the jobs of the kidneys is to control blood pressure, this can cause more problems. Renin is a hormone produced by the kidneys. When the kidneys are not working properly, they may release renin, causing blood pressure to go up even higher.

Know Your Number

Most people with high blood pressure do not know they have it because they don't have any symptoms. Unfortunately, a heart attack or stroke can sometimes be the first sign of a problem. The only way to know if your blood pressure is high is to have it checked by a health care provider.

A blood pressure reading lower than 120/80 is desirable. Lower readings are usually found in children and adults who are in excellent physical condition. A person's blood pressure is considered high if the top number is higher than 140 and the bottom number is higher than 90.

Usually, blood pressure is lowest when sleeping and highest when exercising. Because blood pressure varies throughout the day, several readings should be taken to get a true measurement. One high reading alone may not mean a person has high blood pressure. That is why it takes a few readings to determine if a person has high blood pressure.

Who is at risk?

As people get older they tend to get high blood pressure. The National Heart, Lung, and Blood Institute (NHLBI) indicates that chances of getting high blood pressure are even greater for:

  • Smokers
  • Overweight people
  • Men over 45 years old
  • Women over 55 years old
  • Those with a family history of high blood pressure
  • Those who are borderline or pre hypertensive (between 120/80 and 139/89)

Your Actions Can Help Control Your Blood Pressure

Remember, you have some control over your blood pressure. By maintaining a healthy weight, not smoking, exercising regularly, limiting salt intake and taking prescribed medicines as directed by your physician, you are taking steps in the right direction.

You can also buy a home blood pressure monitor and keep track of your blood pressure as often as you wish. Ask your health care provider to show you how to take your blood pressure. In some cases your insurance may cover a blood pressure cuff. Otherwise, you can find affordable blood pressure monitors at the store.

Make sure you visit your doctor regularly for routine checkups, which should include a blood pressure check. By controlling the things you can, and following your doctor's advice, you help to keep your blood pressure within normal limits and protect your kidneys.


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