Understanding Blood Pressure Readings

Introduction

Blood pressure is the force of blood pushing against your artery walls as the heart pumps. It is measured in millimeters of mercury (mmHg) and recorded as two numbers:

  • Systolic Pressure (Top Number): The pressure when your heart beats and pumps blood into your arteries.
  • Diastolic Pressure (Bottom Number): The pressure when your heart is at rest between beats.

Normal and Abnormal Blood Pressure Ranges

According to clinical guidelines, blood pressure categories include:


Category Systolic (mmHg) Diastolic (mmHg)
Normal <120 <80
Elevated 120-129 <80
Hypertension Stage 1 130-139 80-89
Hypertension Stage 2 ≥140 ≥90
Hypertensive Crisis >180 >120

Why is Blood Pressure Important?

High blood pressure (hypertension) increases the risk of heart disease, stroke, kidney disease, and other complications. Low blood pressure (hypotension) can cause dizziness, fainting, and shock in severe cases.

Factors Affecting Blood Pressure

  • Lifestyle: Diet, exercise, stress, alcohol, and tobacco.
  • Medical Conditions: Diabetes, kidney disease, and hormonal disorders.
  • Medications: Some drugs can raise or lower blood pressure.

How to Measure Blood Pressure Accurately

  • Rest for at least 5 minutes before measurement.
  • Sit calmly with your back supported and feet flat on the ground.
  • Avoid caffeine, smoking, or exercise 30 minutes before measurement.
  • Use a properly fitted cuff at heart level.

Lifestyle Changes to Control Blood Pressure

  • Healthy Diet: Reduce salt, eat more fruits and vegetables.
  • Regular Exercise: At least 150 minutes per week of moderate activity.
  • Weight Management: Maintain a healthy body weight.
  • Reduce Stress: Practice relaxation techniques like meditation.
  • Medication: If prescribed, take medicines as directed by your doctor.

When to Seek Medical Help?

  • If your blood pressure is persistently high.
  • If you have symptoms like chest pain, shortness of breath, or fainting.
  • In a hypertensive crisis (BP >180/120 mmHg), seek emergency care immediately.

Source recommendations

1. American Heart Association Guidelines on Hypertension

  1. https://www.heart.org/en/health-topics/high-blood-pressure
  2. https://www.ahajournals.org/doi/10.1161/hyp.0000000000000065
  3. https://www.heart.org/-/media/Files/Professional/Quality-Improvement/Pain-Management/AHA-GUIDELINEDRIVEN-MANAGEMENT-OF-HYPERTENSION--AN-EVIDENCEBASED-UPDATE.pdf
  4. https://professional.heart.org/en/science-news/2017-hypertension-clinical-guidelines
  5. https://newsroom.heart.org/news/high-blood-pressure-redefined-for-first-time-in-14-years-130-is-the-new-high

2. European Society of Cardiology Guidelines on Arterial Hypertension

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Elevated-Blood-Pressure-and-Hypertension
  2. https://pubmed.ncbi.nlm.nih.gov/37345492/
  3. https://academic.oup.com/eurheartj/article/39/33/3021/5079119
  4. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Pulmonary-Hypertension-Guidelines-on-Diagnosis-and-Treatment-of
  5. https://academic.oup.com/eurheartj/article/45/38/3912/7741010

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